Table of Contents

Setting the Scene. The Need for a Specialized Interest in Food and Nutrition in Palliative Care. What do we Mean by Palliative Care? The World’s Major Religions’ View on End-of Life Issues. Why Surgeons are Ambivalent about Palliative Treatments. Sedation in Palliative Care and its Impact on Nutrition. Quality of Life Aspects of Diet and Nutrition in Dying Children. Nutrition and Quality of Life in Adults Receiving Palliative Care. Refractory Cancer Cachexia. Assisting Healthcare Facilities. Palliative Care Communications. Pain Control in Palliative Care. Cultural Aspects. Nutrition and Hydration: Japanese Perspectives. Nutrition Support in Palliative Care: Chinese Perspectives. Indian Perspectives. Cultural Aspects of Foregoing Tube Feeding. General Aspects. Stents in the GI Tract in Palliative Care. Artificial Nutrition. Support for Hydration at End of Life. Palliative Treatment of Dysphagia. Fatigue in Hospice Cancer patients. Constipation. Taste Alteration. Olfactory in Hospice Patients. Withholding Nutritional Support in European Countries. Cancer. Cachexia Related Suffering. GI Side Effects in Tumor Therapy. Upper GI symptoms. Palliative Surgery for Head and Neck Cancer. Total Parenteral Nutrition. Vitamin Deficiency. Appetite and Nausea. Palliative Gastrojejunostomy. Non-Cancer Conditions. Nutritional Support in the Vegetative State. Appetite Regulation in Renal Failure. Nutrition in End Stage Liver Disease. The Motor Disease. Nutritional Therapy in Amyotrophic Lateral Sclerosis. Pharmacological Aspects. Cannabinoids. Steroids. Stimulants in CF. Nutrition and Warfarin Interaction. Case Studies and Resources. Malnutrition in Esophageal Cancer. Nutrition in Advanced Dementia. Pain Control in Palliative Care. Research and Resources.

About the Author

Victor R. Preedy BSc, PhD, DSc, FRSB, FRSH, FRIPHH, FRSPH, FRCPath, FRSC is a senior member of King's College London (Professor of Nutritional Biochemistry). He is attached to the Department of Nutrition and Dietetics. He is also founding and current Director of the Genomics Centre and a member of the School of Medicine. Professor Preedy graduated in 1974 with an Honours Degree in Biology and Physiology with Pharmacology. He gained his University of London PhD in 1981. In 1992, he received his Membership of the Royal College of Pathologists and in 1993 he gained his second Doctoral degree, for his contribution to the science of protein metabolism in health and disease. Professor Preedy was elected as a Fellow of the Institute of Biology (Society of Biology) in 1995 and to the Royal College of Pathologists in 2000. He was then elected as a Fellow to the Royal Society for the Promotion of Health (2004) and The Royal Institute of Public Health and Hygiene (2004). In 2009, Professor Preedy became a Fellow of the Royal Society for Public Health and in 2012 a Fellow of the Royal Society of Chemistry. In 2015 the Society of Biology received its Royal Charter so Professor Preedy became a FRSB. In his career Professor Preedy worked at the National Heart Hospital (part of Imperial College London) and the MRC Centre at Northwick Park Hospital. He has collaborated with research groups in Finland, Japan, Australia, USA and Germany. He is a leading expert on biomedical sciences and has a long standing interest in nutrition, health and disease. He has lectured nationally and internationally. To his credit, Professor Preedy has published over five hundred articles, which includes peer-reviewed manuscripts based on original research, reviews, abstracts and numerous books and volumes.

Reviews

'This expanded and reorganized handbook addresses the educational needs of health professionals, family members, and caregivers regarding the value of nutrition in end-of-life care. [...] The handbook covers more than information about nutrition: for example, section 1 ("Setting the Scene") includes separate chapters on the meaning of palliative care, the role of religion and culture at end of life, quality of life, sedation, pain control, and communication. Users' understanding will be enhanced by the chapter summaries reviewing key facts, ethical issues, and important abbreviations. [...] The underrecognized importance of nutrition and sparsity of research make this a valuable resource to bridge the "intellectual divide [between] novices and experts" providing care to the terminally ill.'Summing Up: Highly recommended. All readers.-- L. K. Strodtman, emerita, University of Michigan, CHOICE Reviews.'In the preface, Preedy notes that, “Optimal terminal and palliative care requires consideration of the patient and family unit as well as cultural and religious sensitivities…and there is an increasing awareness that diet and nutritional support play an integral part in the patient’s holistic well-being.”The book has 35 chapters, presented in six sections, with contributions from 77 experts from around the world. Section I, “Setting the Scene,” describes palliative care in its bio-psychosocial context, nutrition and quality of life, refractory cancer cachexia, and the nutritional consequences of sedation in palliative care; whilst I am not certain they belong in a book about nutrition, there are two good chapters providing overviews of pain management and communication issues. Section II includes the cultural aspects of enteral feeding, and provides East Indian and Italian perspectives on nutrition in palliative care. Section III covers artificial nutrition and hydration, dysphagia, and anorexia. Section IV covers nutritional assessments, appetite and nausea, vitamin deficiency, and eating-related distress. Section V is about nutritional considerations in non-cancer palliative care patients, including those with HIV; there is a detailed chapter on the use of cannabinoids in palliative nutrition care. The last section includes an impressive list of resources for further information on diet and nutrition in palliative care.The book is well set out with a liberal use of headings and a list of contents at the beginning of each chapter, making the information accessible. Each chapter ends with a list of key points, followed by a summary in bullet-point form that seems well referenced.This is a book on nutrition in terminal and palliative care that considers the physical, cultural, and ethical aspects. If you work in palliative care, referring to this volume may help with difficult and complex problems, as well as provide factual information on topics — such as the medicinal use of cannabinoids — as part of palliative nutritional care.Professor Victor Preedy is a senior staff member of the Diabetes and Nutritional Sciences Research Division of the Faculty of Life Science and Medicine at King’s College, London.-- Roger Woodruff, July 2019 Description: This is a compendium of the unique nutrition needs in palliative care. Comprising a plethora of topics, it covers a lot of ground in concise chapters. Each chapter includes tables, textboxes, and figures to highlight key information. This is a much-needed update, given the original book was published in 2011.
Purpose: The purpose is to address the current lack of nutrition books that focus specifically on terminal and palliative care. There are none that cover the topic with the breadth and depth that this one does.
Audience: The book has a lofty goal of attempting to meet the needs of all readers: doctors, nursing staff, and ancillary staff, including registered dietitians, students, and lecturers. It does seem to meet the needs of healthcare professionals as a whole, and it can certainly be used for higher level registered dietitians and residents.
Features: Each of the 35 chapters is written by a different international healthcare professional. The chapters cover every topic that I could think of that is important to know in palliative care: deficiencies, supporting hydration at end of life, pain control and use of cannabinoids, just to name a few. Chapters begin with a table of contents and an introduction. They include key facts, which could be definitions of words found in the chapter or main conclusions in the topic area. They end with summary points and references. The last two chapters include a case study and an extensive listing of resources for palliative care. I was particularly interested in the summary points. I found it a great way to gain better insights into each chapter and then go back to find the key information I was looking for based on the summary. While I really liked the comprehensive list of resources, organizations, journals, books, and other online sources in the last chapter, I do see that becoming outdated very quickly.
Assessment: For healthcare professionals involved in palliative care, this book is a must read. Since it has been eight years since the original edition, this is a much-needed update.

-- Amy Hess Hess Fischl, MS RDN LDN BC-ADM CDE (University of Chicago Medical Center), Doody's Review Service