Holiday diet guide for oncology patients

I. Patients in the interval of chemotherapy For patients in the course of chemotherapy, but hospitalization has been completed, during the rest period at home need to pay attention to: 1. pay attention to rest, avoid staying up late, avoid excessive emotional fluctuations, pay attention to keep warm, avoid colds. 2. Review blood tests every 2-3 days. If the white blood cells are lower than 4.0×109 or neutrophils lower than 1.8×109 (ask the doctor at the place where the lab tests are performed if you can’t understand), granulocyte colony-stimulating factor needs to be given, contact the doctor in charge for the specific dose and time of use. 3. If you have a fever of 38.5 degrees or higher, you need to pay special attention to the possibility of white blood cell drop combined with bacterial infection or granulocyte deficiency fever, you need to check the blood routine urgently and give antibiotic treatment, you need to consult the doctor in charge of the specific situation. 4. Diarrhea, if the number of stools exceeds 4 times a day or watery stools appear, you need to give Simethicone or Flavopiridol treatment, and in serious cases, you need to give Emmentaler treatment and rehydration treatment (oral rehydration: homemade sugar saline; intravenous rehydration: inpatient or outpatient treatment). 5. Abdominal distension, can be given with gastric power drugs, liver metastasis patients, pay attention to whether ascites appears. 6. pain, general cancer pain patients often take oral pain medication, if there is pain aggravation, you can contact with the doctor in charge to adjust the dose. 7. In short, remember to contact your doctor in charge if there is any abnormal situation. II. Inpatients during holidays During statutory holidays, the ward is mainly handled medically by the doctor on duty. The doctor in charge will usually arrange treatment during holidays in advance, and if no special circumstances arise, the nurse will perform the treatment by the doctor in charge. If there is any discomfort, please inform the nurse at first, and the nurse will immediately contact the doctor on duty to deal with it. For patients taking oral medications such as molecular targeted drugs, please pay attention to the amount of medication you have left, and purchase or request in advance when the amount of medication is insufficient, as it may not be available during legal holidays. Patients with regular review and recuperation at home Most of these patients have completed their initial treatment and are resting outside the hospital for observation and recuperation. Patients during this period, generally the side effects of treatment have subsided and they need to be alert to signs and signals of tumor recurrence, such as pain gradually worsening, chest tightness gradually worsening, coughing up blood and so on. When this happens, please contact the competent doctor as soon as possible and have the relevant examination (some special examinations cannot be performed on holidays) to clarify the situation and provide timely treatment. Special reminder is that many examinations cannot be performed during legal holidays, except for emergency examinations, so regular reviews cannot be performed. Fourth, the diet is moderate chicken, duck, fish, meat, eggs, etc. rich in high-quality protein and vitamins and minerals, can be rich in nutrition, but the human physiological needs and digestive function is limited, the intake of too much, will increase the burden on the digestive system, can cause indigestion, diarrhea. Referring to the “Dietary Guidelines for Chinese Residents” formulated by the Chinese Nutrition Society, the normal adult intake of such foods can be 15-25 grams. If the digestive function allows, tumor patients in the treatment and recovery period can be increased by 10-15 grams, but too much is not beneficial to the disease. Food processing methods to light and easy to digest stew, boil, steam, less fried, barbecue. The diet of patients after gastric surgery should be fine and soft, small amount of meals, 5-6 meals/day, dry and thin food, lying down after meals, careful to eat sweets and milk, chicken, duck, fish, meat, etc. It is best to make a homogeneous paste, and pay attention to additional vitamin B and vitamin C, but also pay attention to the intake of animal liver, animal blood and other blood food to prevent anemia, the diet of patients with esophageal tumors should be fine and soft, reduce stimulation, preferably semi-liquid. The best diet for esophageal tumor patients should be semi-liquid, i.e. thin rice, noodle paste, wontons, dumplings, cakes, bread, cookies, steamed buns, buns, rolls, eggs except fried ones, minced meat, liver, blanched meatballs, fish paste, fish balls, soft roasted fish, tofu, soy milk, pig’s blood, milk, yogurt, soft fruits such as grapes, bananas, watermelon, fruit juices, chopped tender vegetables, etc. It is advisable to have a small number of meals, 5-6 meals/day, and pay attention to vitamin supplementation. Or homogenized diet (that is, the food to be eaten is cooked, add water and mash with a masher to make a paste diet, boil and add sugar or salt to taste to eat, easy to digest, the level of nutritional value depends on the ingredients.) The use of enteral nutrition preparations and dietary supplements, as appropriate. Early post-operative colon and rectal disease should eat less or no dietary fiber containing vegetables, fruits, coarse grains, large pieces of meat, etc., to reduce the amount and frequency of stool. According to the condition, a semi-liquid diet with less residue or a non-fiber enteral nutrition preparation can be used. During radiotherapy, food should be nutritious, easy to digest, enough water, less greasy, less stimulating, no strong seasonings such as chili, pepper, mustard, etc. For other matters, please consult your doctor in charge in advance.