Question

A male client with cancer who has lost 10 pounds during the last months tells the nurse that beef, chicken, and eggs, which used to be his favorite foods, now they taste "bitter". He complains that he simply has no appetite. What action should the nurse implement?

Answer 1

The nurse should encourage the cancer patient to try fiber-rich and high-protein foods that might be more palatable, avoid high sodium intake, and consider the patient's emotional well-being with appropriate referrals to support services.

Step-by-step explanation:

The nurse should take a compassionate and proactive approach in addressing the client's changed taste perceptions and reduced appetite. A healthy diet is vital for a cancer patient, and the nurse should encourage the consumption of fiber-rich foods and high-protein foods that the client may still find palatable, like fish, dairy products, legumes, and nuts, instead of beef, chicken, and eggs that now taste bitter. The nurse might also suggest the client to avoid high sodium foods, as they could contribute to taste disturbances. Support with nutritional counseling and collaboration with a dietitian can also be beneficial, aligning with the general recommendations for cancer survivors in terms of cancer prevention and nutrition.

Furthermore, it's important to address the emotional and psychological factors, as loss of appetite can be linked to emotional distress. Nursing staff should be attentive to the possibility of the client experiencing depression or anxiety, which can significantly impact eating habits and overall well-being. If necessary, the nurse should refer the client to appropriate support services, such as a counselor or support group for individuals undergoing cancer treatment.