Changes at the Dinner Table and Beyond: Nourishing Our Patients Throughout the Trajectory of Their Cancer Journey.

Patients with head and neck cancers (HNC) can experience significant distress from presentation of symptoms to surveillance/survivorship and end-of-life. It is of value to all members of the HNC team to practice patient-centered care in assessment and interventions with patients and their support systems to achieve the best possible outcome given patient health status. Early assessment and referral to ancillary support provide a strong foundation across the illness trajectory. Specific attention should be given to the psychosocial implications of changes in physiologic functioning. Support around these changes involves a strong multidisciplinary team familiar with the biopsychosocial effects of HNC and its treatment.