Successful nutritional therapy at home for a patient with invasive breast carcinoma: A case report

• Published in: Asia-Pacific journal of oncology nursing Vol. 10; no. Suppl 1; p. 100250
• Main Authors: Putri, Gabriella Nurahmani, Mutu Manikam, Nurul Ratna, Andayani, Diyah Eka, Trismiyanti, Halim, Lukman
• Format: Journal Article
• Language: English
• Published: United States Elsevier 01.11.2023
• Subjects: Case Report; Home care; Carcinoma; Nutrient intake; Malnutrition
• ISSN: 2347-5625; 2349-6673
• DOI: 10.1016/j.apjon.2023.100250

Breast cancer is one of the most prevalent types of neoplasm in the world, amounting to 2.3 million cases in 2020. Physiological and metabolic changes in the body of a cancer patient potentially cause malnutrition and cachexia due to reduced appetite and side effects of treatments. Meanwhile, malnutrition can be prevented and treated through adequate nutritional therapy in the hospital coupled with follow-up nutritional treatments at home. The case presents a 46-year-old woman with invasive right breast cancer, which was treated with a mastectomy and split-thickness skin graft. The patient had severe malnutrition and cancer cachexia due to loss of appetite and untreated cancer for 3 years. Nutritional therapy was given in the hospital alongside customized therapy at home during visits. Nutrition significantly improved after three home visits within three weeks as indicated by her daily intake, increased weight, muscle mass, and handgrip strength. Home visits were proven to be useful for the maintenance of the nutritional status of patients with invasive cancer. It also provided long-term sustainable nutritional solutions customized according to the income and living situations of the patient.