Publications by authors named "Loraine Gillespie"

Article Synopsis
  • Pancreatic exocrine insufficiency (PEI) is commonly observed in patients with advanced pancreatic cancer (aPC), but there is no standard method for screening it effectively.
  • A study involved assessing patients with aPC through various dietary and nutritional tests, aiming to develop and validate a screening tool for PEI.
  • Results showed that 64% of patients had PEI, identified by the new screening tool, which was associated with shorter survival rates; the tool proved feasible for clinical use, with high patient satisfaction.*
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Background: Cancer patients are often malnourished pre-operatively. The present study aimed to establish whether current screening was appropriate for use in prehabilitation and investigate any association between nutritional risk, functionality and quality of life (QoL).

Methods: This cohort study used routinely collected data from September 2020 to August 2021 from patients in a Prehab4cancer programme.

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Objective: An algorithm was designed aiming to provide consistency of pancreatic enzyme replacement therapy (PERT) dosing/titration across healthcare professionals in pancreaticobiliary cancers (PBCs). This prospective observational study aimed to validate this algorithm.

Methods: Consecutive patients with inoperable or postoperative PBC with pancreatic exocrine insufficiency (PEI) symptoms, not taking PERT, or taking below the algorithm "starting dose," were eligible.

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Recent publications regarding nutrition highlight the importance of eating and drinking for patients and their family/carer. This article focuses on the importance of nutrition and early nutritional intervention, giving guidance for nurses when caring for patients with palliative and end-of-life care needs when the focus of nutrition centres around symptom control and quality of life. Clear, sensitive communication, with agreed nutritional goals set with the patient and their family/carer, and regular review and adaptation throughout any 'cancer journey' are paramount in order to minimise anxiety and distress.

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Nutritional support is one of the most fundamental aspects of nursing practice. Evidence suggests that many patients are malnourished when admitted to hospital and this is a particular problem for patients with cancer (Whitman, 2000).

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