Cancer Educational Handout Assignment

Ashley Albin, Rob Fancher, Joslyn Mecteau

NUTR 4630 Adv. Medical Nutrition Therapy
Section: HA
Prof. Emily LaRose
4/25/16
 Getting More Calories and Protein in Your
Daily Diet
Due to the side-effects that may come along with radiation therapy, it is important to
eat enough calories and protein daily. Maintaining your weight and good nutrition
while receiving treatment can be very beneficial to your health.

High Calorie Foods and High Protein

Ways to get more calories and protein Foods:
during the day: Bananas, cherries, and canned fruits
Pasta, rice, and barley
Use whole milk in coffee, cereal, or shakes Corn, beans, and peas
Try adding cheese to meals when appropriate Nuts and seeds
Use hard boiled eggs in pasta, salads, or casseroles
Add dried fruits to cereal, puddings, and other desserts
Incorporate Boost, Carnation Instant Breakfast powder, or Scandishake powder with meals
or shakes
Spread nut butters on bread, waffles, fruit slices and crackers for a great boost of protein
and calories
Including shakes into your diet can help increase your daily calories, and can be a fun and
creative activity as you experiment with different flavors that you like. Try these two
delicious recipes at home!
Banana Crme Shake Twisted Peanut Butter Cup Shake
Makes 10 ounces Makes 10 ounces
8 ounces of Whole Milk 8 ounces of Vanilla Boost
1 Packet of Scandishake 1 teaspoons of Creamy Peanut Butter
1 Small Banana 1 teaspoons of Chocolate Syrup
teaspoon of Vanilla Extract 1 tablespoon of Shredded Coconut
teaspoon of Cinnamon 1 tablespoon of Chopped Peanuts
3 Ice Cubes 3 Ice Cubes
Place all ingredients in a blender and blend Place all ingredients in a blender except for
until very smooth. Top with 1 tablespoon the chopped peanuts and blend until very
of crushed vanilla cookies if desired, and smooth. Top with chopped peanuts and
enjoy! enjoy!
Total: 697 calories, 14g protein Total: 602 calories, 20g protein

Sources:
- Cancer Treatment Centers of America (2015). Nutritional Support. Retrieved April 24, 2016, from
http://www.cancercenter.com/community/nutritional-support/tab/benefits-of-good-nutrition/
- National Cancer Institute (2011, January). Eating Hints: Before, During and After Cancer Treatment. Retrieved from
www.cancer.gov: http://www.cancer.gov/publications/patient-education/eating-hints
- UCSF Medical Center. Nutrition Tips for Patients Receiving Head and Neck Radiation Therapy. (2016). Retrieved April 22,
2016, from https://www.ucsfhealth.org/education/nutrition_tips_for_patients_receiving_head_and_neck_radiation_therapy/
 Calorie and Protein Values for Shakes

Banana Crme Shake

8 oz whole milk 146 kcal 7.9g pro
1 Scandishake packet 440 kcal 5g pro
1 Small Banana 90 kcal 1.1g pro
tsp vanilla 3 kcal 0g pro
tsp cinnamon 0 kcal 0g pro
1 vanilla wafer 18 kcal .2g pro

Total: 697 kcal 14.2g pro

Twisted Peanut Butter Cup Shake

8 oz of Vanilla Boost 360kcal 15g pro
tablespoon Creamy peanut butter 48kcal 1.8g pro
tablespoon Chocolate syrup 109kcal 0.8g pro
1 tablespoon Shredded coconut 33kcal 0g pro
1 tablespoon Chopped peanuts 53kcal 2.5g pro

Total: 602kcal 20.1g/pro

 Why does your taste and sense of smell change?
The changes in your taste and sense of smell are common side effects of chemo and radiation
therapy. These therapies can cause damage to the taste buds, dry mouth, infection, and some
dental problems.

Taste Changes:
Sense of Smell Changes:
Your taste buds may change and make some
Your sense of smell can change as well. You
foods seem tasteless. This happens most
may experience that some smells you enjoyed
commonly with meats. Some foods may also
before chemo or radiation therapy may no
have a metallic taste.
longer be pleasant at times.
Use more seasonings when foods are
Avoid foods that do not smell good to
bland. Herbs, spices, salt, pepper, butter
you.
or oil, and sauces can improve the flavor of
Ways to reduce the smells of foods:
foods
Eat your food at room
Marinade foods. Marinades can be used
temperature
for meats and can be made with juices,
Cover the food
wine, salad dressings, or bought pre-made
Try tart foods and drinks such as Use a cup with a lid and drink
oranges and lemonade, but only if you do through a straw
not have a sore mouth or throat Turn on the kitchen fan when
Make foods sweeter. If the food you are cooking.
eating is too salty, bitter, or tart, add some Cooking outdoors
sugar Lift lids away from your face to
Use plastic utensils instead of metal ones avoid the smell directly.

Sources:
-Cancer Council Australia. Understanding Taste and Smell Changes. (2015). Retrieved April 22, 2016, from
http://www.cancercouncil.com.au/wp-content/uploads/2015/09/UC-pub-Taste-and-Smell-Changes-CAN4976-lo-res-
September-2015.pdf
-National Cancer Institute (2011, January). Eating Hints: Before, During and After Cancer Treatment. Retrieved April 23, from
http://www.cancer.gov/publications/patient-education/eating-hints
-National Cancer Institute (2016, January). Changes in Taste (dysguesia) are common during Chemotherapy and Radiation Therapy.
Retrieved Aril 23, 2016, from www.cancer.: http://www.cancer.gov/about-cancer/treatment/side-effects/mouth-throat/oral-
complications-pdq
-Rehwaldt, M., Wickham, R., Purl, S., Tariman, J., Blendowski, C., Shott, S., & Lappe, M. (2010, June 29). Self-Care Strategies to
Cope With Taste Changes After Chemotherapy. Retrieved April 22, 2016, from
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2893729/
-Sense of Smell and Taste Pictures. Digital Image] (n.d.). Retrieved from
http://3.bp.blogspot.com/j8nYzTuydr8/UQ0FwufrPlI/AAAAAAAAAug/d2YSAMKxus/s1600/smellandtaste.jpg
 Managing Swallowing Difficulty and
Dry Mouth
Swallowing Difficulty

Choose soft foods that dont need a lot of chewing

Cook foods until they are very soft and tender
Change your posture when eating
o Sit upright while eating
o Tilt your head forward to help the food go down easily
Hold your breath when swallowing
Gently bite your tongue to keep it in place when swallowing
Eat smaller, more frequent meals throughout the day
Use food thickeners as needed for liquids

Tips for Patients on a Blenderized Diet

Avoid nuts, seeds, and whole grains

these may not be blended all the way
and could get caught in your throat
Cook foods completely before
blending
Plan meals ahead of time
Try different combinations of foods
Dry Mouth to give a flavor boost

Choose moist foods or add gravies or sauces to foods that are drier
Take a sip of a beverage after each bite of food
Chew gum or suck on hard candies to encourage saliva production
Have tart or sweet foods with your meal
Use over-the-counter mouthwashes made for dealing with dry mouth
Avoid alcohol including beer, wine, and liquor these may make your mouth more dry
Sources:
-Granell, J., Garrido, L., Millas, T., & Gutierrez-Fonseca, R. (2012, December 31). Management of Oropharyngeal Dysphagia in
Laryngeal and Hypopharyngeal Cancer. Retrieved April 22, 2016, from
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3549351/
-National Cancer Institute (2011, January). Eating Hints: Before, During and After Cancer Treatment. Retrieved from
www.cancer.gov: http://www.cancer.gov/publications/patient-education/eating-hints
-Kahn, S. T., & Johnstone, P. A. (2005, December 1). Management of Xerostomia Related to Radiotherapy for Head and Neck
Cancer. Retrieved April 23, 2016, from http://www.cancernetwork.com/oncology-journal/management-xerostomia-related-
radiotherapy-head-and-neck-cancer
-Photo of Woman Holding Throat [Digital Image]. (2015). Retrieved April 24, 2016, from
https://img.webmd.com/dtmcms/live/webmd/consumer_assets/site_images/articles/health_tools/cold_or_flu_slideshow/getty_rf
_photo_of_woman_holding_throat.jpg (Originally photographed 2015)
-Dry Mouth [Digital image]. (2016). Retrieved April 24, 2016, from
http://www.dentalstudio101.com/wp-content/uploads/dry-mouth.jpg