chapter 10 slides & notes – Flashcards
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_____ - uncontrolled growth of abnormal cells that form a mass of tissue known as a tumor.
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Cancer
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_____- impairs body function and takes nourishment away form the normal tissue to the tumor. ( Cancer needs nourishment.)
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Malignant Tumor
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study of cancer
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Oncology
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medical doctor who specializes in the treatment of cancer.
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oncologist
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Chronic inflammation is induced by _____, ____, & ______.
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obesity diet inactivity
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Patients with Chronic inflammation need ____ minutes of activity.
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30
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_____ _____ induce chromosomal changes (DNA)
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Free radicals
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Hyperinsulinemia promotes- insulin like growth factor, insulin resistance, & Hyperinsulinemia found with: _______ cancer _______ cancer _______ cancer _______ cancer _______ cancer _______ cancer
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Gynecologic digestive tract bladder prostatic leukemia Non Hodgkins lymphoma
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____- associated with correlates of the metabolic syndrome.
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Genetics
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High intake of ______ & ______fats are associated with non diet risk factors of cancer
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Polyunsaturated Saturated
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High ____levels are associated with inflammation & risk of cancer.
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IRON
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Low level of ____ _____ is associated with Non-Diet Risk factors of some cancers.
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Physical Activity
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____ are particles and chemicals found in the air and is associated with risk factors of cancer
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Carcinogens
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smoking/chewing ____ is a risk factor to cancer.
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Tobacco
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excess ___(____) intake is associated with the cause of some cancers.
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CHO (SUGAR)
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low ___ is associated with the cause of some cancers.
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Fiber
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Low intake of ___- ___ foods/ ____ is associated with the cause of some cancers.
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plant based antioxidants
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Excess _____ is associated with the cause of some cancers.
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salt
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Low intake of ____ __ Fatty acids like- ___ ___ is associated with the cause of some cancers.
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omega 3 fatty fish
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possible excess of ____ intake is associated with the cause of some cancers.
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Iron
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Low Vitamin __ Status is associated with the cause of some cancers.
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D
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____ intake,especially excessive amounts is associated with Non-Diet Risk factors of some cancers.
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alcohol
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exposure to __ light ( _____) is associated with Risk factors of some cancers.
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UV
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____ in processed meats & all deli meats is associated with Risk factors of some cancers. ( eat ___ ____ meat)
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Nitrates Roast Beef
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inorganic _____ in water supplies is associated with Risk factors of some cancers.
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arsenic
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American Institute for Cancer Research studies show ___% to ___% reduction in cancer risk with Diet Rich in a variety of plant- based foods, especially ___ & ____.
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30 40 fruit vegetables
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_____-rich foods ( ____ &____) lower inflammation & reduce cancer risk.
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Magnesium beans greens
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Maintenance of a healthy ____ & _____ activity; foods ____ & ____ safely reduce cancer risk.
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Weight physical prepared stored
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Diet low in ____; Diet low in _____& ____fats & ____, reduce cancer risks
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fat polyunsaturated saturated salt
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____ & omega 3 fats have neutral/protective effects on cancers.
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Monounsaturated Omega 3 fats
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emphasize nuts as a natural source of _______ fats & ____ _, for preventive measures of cancer.
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monounsaturated E
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To avoid production of _____, use aluminum foil under meat on the BBQ grill & Avoid exposing meat to the smoke of meat drip pins on hot coals.
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Nitrosamines
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_____ is the 4th leading type of cancer for men in the united states and 9th worldwide.
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Bladder Cancer
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Bladder cancer is associated with obesity;
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...
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To lower risk of bladder cancer, increase intake of: ____ & ____ ___ Vitamins Retinol- ( ___ ___ ___ & ___ ___ =_______ ) _____ Vegetables - ( ____, ____, ____, ____ )
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Fruits vegetables B Dark leafy green deep orange vegetables Cruciferous Broccoli cauliflower brussel sprouts cabbage
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______ - 2nd leading cause of cancer death among women in the United States.
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Breast Cancer
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Breast cancer risk: Central _____ in _____ section.
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obesity middle
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To Lower Risk of Breast Cancer: Normalize _____: follow TLC diet & Increase _____.
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Hyperinsulemia exercise
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Avoid excess ___. ______ fat. In particular Emphasize _________ fat like ____ ___ & ____ ____ to lower risk of breast cancer.
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fat saturated monounsaturated olive oil fatty fish
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Increase of ____ & ____ especially _____ sources to lower risk of breast cancer
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Fruits Vegetables folate
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Avoid ____ or if moderate amounts are used, increase _____ to help offset risk of breast cancer.
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alcohol folate
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_____ Is the major cause of death and illness in adults over age 50.
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Colorectal Cancer
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Risk factors associated with Colorectal Cancer: ________, Central _______, Excess ______ & ______, & Low intake of _____ & _____ ____ _____.
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hyperinsulinemia obesity alcohol smoking folate Amino acid methionine
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All Individuals on insulin therapy for type 2 diabetes should be screened initially for colorectal cancer every ____ years
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5
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To lower risk of colorectal cancer, follow TLC diet to reduce reliance on ______ use and production. Limit ____ intake
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Insulin salt
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to lower risk of colorectal cancer include vitamin __ supplementation, _______ IU. this is associated with ___% reduced risk of cancer.
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D 1000 50
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_____, ______, & ______, excess _____ levels is linked to endometrial & ovarian cancer.
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OBESITY hyperinsulinemia inflammation estrogen
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Reduce risk of Endometrial & Ovarian Cancer by: Increasing _____ & ______. Avoiding excess ______ intake, & _____ found in _____ foods prepared at high temperatures, ( _____ foods.)
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Folate Carotenoids coffee acrylamide starchy fried
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esophageal cancer is on the rise. Precursor: ______ is a premalignant lesion and strictures of the lower esophageal section related to ulceration & reflux
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Barrett's Esophagus
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_____ deficiency may contribute to Barrett's Esophagus
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Zinc
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____ & high _____ intake is implicated in esophageal cancer.
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obesity sugar
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To lower risk of esophageal cancer: increase intake of omega-3 fats = ____ ____ or _______. Include ______ sources = _______ __ & __. Avoid _____ & ______. Slow down pace of ______ & decrease ____ ( may be due, in part, to increased _____ production with increased _____.
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fatty fish supplements antioxidants Vitamin C E Alcohol smoking eating salt salvia chewing
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To minimize risk of lung cancer: Increase intake of _______ to promote DNA repair capacity.
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Magnesium
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To minimize risk of lung cancer: Increase intake of ______ _________. - this may be due to magnesium content or other phytochemicals.
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Cruciferous Vegetables
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To minimize risk of lung cancer: Increase omega __ and reduce omega __ fatty acids.
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3 6
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To minimize risk of lung cancer: Increase ____ Increase dietary intake of ____ Increase ___, _____, & ______.
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Fruits boron copper zinc iron
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_____ is the most common form & leading cause of death among men in the United States. this cancer is screened with ____ levels.
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Prostate Cancer PSA
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High risk factors in prostate cancer include: ____ Heritage ____ History _____ taller ____ high ____ low ____ ____ & male ___ ___ is linked to prostate cancer.
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african family smoking height BMI physical activity breast cancer
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To Reduce risk factors of Prostate Cancer: Follow TLC diet to lower ____ levels. Vitamin __ = ( ____) supplement with Vitamin __ Increase ______ product intake Increase _____ intake
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Insulin E Nuts D Tomato zinc
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Increased risk of ______ _____ among persons living near or downwind europe of 1986 chernobyl nuclear power plant accident in russia and ukraine region. Such individuals ( especially children) should receive lifetime screenings due to rate of secondary cancers such as _______. these individuals should avoid _____.
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Thyroid Cancer Leukemia iodine
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Deficiency with ____ supplementation to reduce risk of thyroid cancer, leukemia, & breast cancer.
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Iodine
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Cancer Impacts on food choices: ____ Changes (_____) reduce threshold for ______ taste increased threshold for ______ Increased threshold for ____ & ____ flavors
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Taste dysgeusia bitter sweetness salt sour
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Cancer Patients need ____-_____ kcal to prevent weight loss.
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3,000 4,0000
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Cancer alters ______ with _______ state. > Requires some form of nutrition support ____ or ___ (speeds it up since cancer cells reproduce so fast)
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metabolism hypermetabolic enteral parenteral
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_____ & _____ from chemotherapy or toxins generated from cancer cells. if ____ are damaged, ______ enzymes are diminished and _____ occurs. ___-___ ___ products or alternatives are advised.
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Nausea vomiting villi digestive diarrhea low lactose milk
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Side effects of cancer consist of: ______ ( impaired ______) Dry _____ ( with greatly increased risk of _____ _____) Sore _____/_____ from radiation or surgery of the neck area. _____ from radiation or surgery in the abdominal area
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dysphagia swallowing mouth dental decay mouth esophagitis diarrhea
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Nutrition goals for cancer treatment: Maintain body weight - ___ foods may be best accepted. Include adequate _______ for goal of normal _______. ensure adequate ______ intake. Replace ______/______ lost from diarrhea and vomiting
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sweet protein albumin fluid minerals electrolytes
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meat alternatives: ______, ______, _______, & _______
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eggs cheese yogurt milkshakes
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Nutritional goals for replacement of diarrhea & vomiting: replace ____ & _____ use ______ products Include: _____-based _____ for potassium, magnesium, & sodium _____ fruits for potassium other _____ for sodium ____ _____ for magnesium & potassium.
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electrolytes minerals commercial bean soups Citrus potassium soups sodium whole grains
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Nutritional goals for replacement of diarrhea & vomiting: include bean based soups for _____, _____, & ______. Citrus fruits for ________. other soups for ________. whole grains for _______ & _______.
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potassium magnesium sodium potassium sodium magnesium potassium
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Maintain as good of a nutritional status as possible with a variety of foods or reliance on _____ _____ _____.
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commercial liquid supplements
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Cancer survivors have an increased risk for: ____ & ____ due to weight gain. ______ with estrogen/androgen deficiency. ______ tumors
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CVD Diabetes osteoporosis secondary
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Cancer survivors have an increased risk for: CVD & Diabetes due to _____ _____. Osteoporosis with ______/______ deficiency secondary ________.
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weight gain estrogen androgen tumors
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Rule out osteoporosis in cancer patient survivors with _____ ______.
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DXA Scans
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DXA Scans are used to rule out _____ in cancer patient survivors.
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osteoporosis
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Promote Increased exercise for ____ ____ & ____ goals, promote my pyramid dietary guidelines for ___ prevention in cancer patient survivors.
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bone health weight CA
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______ resections increase risk for variety of nutrient deficiencies
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Intestinal
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Monitor signs & symptoms of _____ in cancer patient survivors with gastric surgery.
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Pellagra
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With _____ surgery pellagra may develop, monitor ____ &_____ of pellagra which are _____, _____, _____, ______, possible _____ changes and prevent & treat with vitamin __ _.
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gastric signs symptoms dermatitis diarrhea delirium dementia neurologic B3
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Encourage high-____ diet & emphasis on ______ fats for prevention of recurrence or cancer remission patients.
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fiber monounsaturated
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Encourage moderate ______ intake to manage weight, avoid excess ____, & a ____-____ diet per the my pyramid food guidance system for prevention of recurrence & cancer remission patients.
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kilocalorie salt high qualitly
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For Prevention of recurrence & cancer remission patients, promote positive life-long lifestyle _____ behaviors. Encourage regular ____ _____, avoidance of _____ & excess ______.
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Nutritional physical activity tobacco alcohol
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Cancer cachexia includes: _____ from chemotherapy, ____, _____, _____, _______, ____, _____, _____, _______, Decreased ____ intake
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anorexia pain surgery radiation depression dysphagia nausea vomiting diarrhea nutrient
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The Diet of the person with cancer must supply enough _____, _____, _____, ______, ______, & ______ to meet the increased energy demands of a high metabolic rate to prevent weight loss, to rebuild body tissue, and to promote a sense of well being during treatment. ______ ______ ______ _____in addition to meals are often needed to ensure adequate nutritional intake.
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Protein fat carbohydrates vitamins minerals fluids Nutritionally complete liquid supplements