Oncology & Haematology Staff Nurse, Royal Free London NHS Foundation Trust
I felt provoked that you had mentioned professionals' inadequate and inappropriate response to cachexia. As nurses are at the clinical forefront of care, it could be argued that appropriate resources including the MUST tool need to be critiqued in order to gain an adequate nutritional assessment of patients needs.
I feel that such nutritional assessment tools are useful to identify weight loss, however many ignore the psychological and emotional effects of cancer diagnosis and how patients think and feel during a most difficult time.
Acknowledging a patients emotional state at the point in time they are in the hospital/community I feel is key to providing nutritional care based on patients individual needs. Although we as professionals can identify when a patient is malnourished, only they themselves can identify their emotional and physical needs and wishes, making nutritional care more patient focused; I am certain more research can be performed in this area.
Fantastic article, thoroughly enjoyed reading this!,
It is only through patient experience that we can truly make care more "patient focused", which is at the heart of everything we do in nursing. Working in Oncology has thought me that emotional response of patients is one we should not lose sight of in our nursing profession.