The literature describes how a patient and his family may experience varying levels of emotional response to a terminal illness. These may include anger, denial, depression, and acceptance

How may this affect the patient's nutritional intake? How would you handle these components in your nutritional care? What questions might you have for Mr. Seyer or his family? List three.


• The emotional trauma experienced in response to a terminal illness may cause a lack of interest in food and a decreased appetite.
• It is important that the patient know the treatment team is doing everything necessary to improve quality of life and adequate nutrition is a major part of that.
• Adequate nutrition will also increase success of the other treatments such as chemotherapy and radiation therapy.
• A referral to a specialist such as a social worker, psychiatrist, and/or psychologist may help with emotional side effects.
• Questions the RD may want to ask include:
- Is there a caretaker in the home who can ensure Mr. Seyer is consuming an adequate diet?
- Does Mr. Seyer have a history of depression?
- Are there others outside the household who may be able to be part of a support group?

Nutritional Science

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