NutriCare 5A's Model Pocket Guide
Leveraging the close bonds between patients and their oncology providers, we propose to assess the efficacy of an innovative intervention strategy to integrate nutrition into standard oncology care using the 5As model (Ask, Advise, Assess, Assist, and Arrange), an evidence-based behavioral counseling framework with proven application in other areas of clinical practice. The oncology care provider will ask the patient to complete a nutrition assessment at outpatient visits (Ask), and advise the patient to follow evidence-based nutrition recommendations using a Nutrition Prescription (Advise). The provider will further refer the patient to a nutritionist to assess the patient’s individual nutritional needs (Assess). The provider will distribute the Nutrition Toolkit to the patient, and the nutritionist will assist the patient to set up personalized nutritional goals (Assist). The provider will refer the patient to receive home delivery of medically tailored meals and to a nutritionist for nutritional counseling (Arrange).
NutriCare Prescription Pad
The Nutrition Prescription aims to enhance providers’ role in communicating basic nutrition advice to patients with lung cancer. It contains seven recommendations, adapted from the newly released Cancer Prevention Recommendations by WCRF/AICR with strong evidence-base. Providers can advise patients to follow evidence-based nutrition recommendations using a Nutrition Prescription. Cancer patients undergoing treatment often experience treatment-related side effects that could impact nutrition. Oncology providers will refer patients to nutritionists who will assess patients’ individual nutritional needs during each treatment phase and assist patients in establishing personalized nutritional goals as part of the Nutrition Prescription.
Provider Training Webinar
The NutriCare team will be presenting a training webinar on how a medically tailored meal intervention plus nutrition counseling can be integrated into oncology care to improve the outcomes of vulnerable patients with lung cancer. The webinar will describe the prevalence of malnutrition and common nutrition impact symptoms in patients with lung cancer and its impact on cancer treatment and survival outcomes, particularly for low-income and minority patients. It will also explain the role of oncology care providers can play in addressing malnutrition of cancer patients at outpatient oncology clinics. Oncology care providers will develop a good understanding of how malnutrition is assessed and strategies that they can utilize to improve the nutritional status of patients with lung cancer.
Resources for Nutrition Recommendations Designed for Cancer Survivors
AMERICAN CANCER SOCIETY
NATIONAL CANCER INSTITUTE
AMERICAN INSTITUTE FOR CANCER RESEARCHAmerican Institute for Cancer Research: Heal Well: Free Resource for Cancer Patients.
American Institute for Cancer Research: 10 Cancer Prevention Recommendations
American Institute for Cancer Research: Take Control of Your Health
National Comprehensive Cancer Network: Survivorship: Nutrition and Weight Management
National Comprehensive Cancer Network: NCCN Guidelines for Patients: Nausea and Vomiting
National Comprehensive Cancer Network: Patient and Caregiver Resources. Life After Cancer