Physical Deterioration in Patients with Advanced Cancer

1979 ◽  
pp. 111-115
Author(s):  
Irwin H. Krakoff
2010 ◽  
Author(s):  
Carl Kardinal ◽  
Judith Sanders ◽  
Helen Cupper
Keyword(s):  

2016 ◽  
Vol 3 (2) ◽  
pp. 32-42
Author(s):  
Catherine Morley

A hermeneutic phenomenology was undertaken to explore eating and feeding experiences with 11 women living with changed health status and who had household feeding responsibilities. Thematic analysis yielded two distinct narratives; those in Life-the-Same (LS) group (n=3; participants whose lives were relatively the same after a period of adjustment), and the Life Altered (LA) group (n=8) (those whose lives were completely altered as a result of their condition). Participants in the LS group had adjusted to new dietary, exercise, and medication routines, achieved physiologic goals, and retained eating and feeding routines at and away from home. Participants in the LA group experienced profound changes in ingesting and digesting food, and eliminating waste, physical appearance, and in enjoyment of eating, and rarely left home. Anticipated physiologic effects of dietary change were not achieved due to physical deterioration. Family and friends took on feeding duties when the regular ‘feeder’ was acutely ill, however, participants resumed these roles as soon as they were able (even though they remained unwell) owing to the strength of role identification. The Organizational Framework for Exploring Nutrition Narratives (OFFENN) emerged from the analysis, and is comprised of four domains (Personal; Household; Beyond Household; and Unthoughts), and four filters (Events/Facts; Values/Beliefs; Actions; Emotions and Reflections). The framework offers a means to explore clients’ narratives and to invite conversations about eating and feeding; it is not meant to be prescriptive of dietary guidance, and has application in dietetics education (in preparing students for their counselling roles and in informing research).


1959 ◽  
Vol XXXII (I) ◽  
pp. 23-32 ◽  
Author(s):  
Kurt Schubert ◽  
Hans Schröder

ABSTRACT A testosterone test using two different dosages was carried out simultaneously in 7 women suffering from metastasizing carcinoma of the mamma and in 3 normal women. In each case the urinary steroids were estimated before the beginning of the test and after administration of 50 mg and 100 mg of testosterone respectively; the interval between the single estimations being one week. The use of fractionated hydrolysis enabled a mild fission of the conjugates and the classification of the products into free steroids, glucuronosides, sulfates and unknown conjugates. The 17-ketosteroids and the testosterone were estimated by means of Girard's separation and adsorption chromatography. During the loading test with testosterone different behaviours became evident, which had not been realized before. The behaviour of the 17-ketosteroids rendered possible the differentiation of normal women from patients with cancer of the breast yet without hepatic insufficiency, and furthermore of these latter ones from those with a liver damage in addition to the cancer of the breast. The glucuronosides of the 17-ketosteroids are only depressed, when there exists a pronounced damage of the liver; the loading test making possible an extension of the range of recognizable damages. Furthermore, the behaviour of dehydroepiandrosterone (II/III), of androsterone (IV), and of aetiocholanolone (V) lends itself to this differentiation. In advanced cancer of the breast the values of II/III are invariably low, whilst IV and V often increase temporarily. The relation of IV to V may be altered in a different way. The excretion of not transformed testosterone is less in patients than in normal women and especially low in patients with liver damage.


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