A Soup Service for Advanced Digestive Cancer Patients with Severe Anorexia in Palliative Care

J Palliat Med. 2018 Mar;21(3):380-382. doi: 10.1089/jpm.2017.0369. Epub 2017 Nov 27.

Abstract

Background/aims: The palliative care team (PCT), nutrition support team (NST), and department of nutrition in our hospital developed a special soup service for patients with terminal cancer. We evaluated the usefulness of this soup service for improving the mood in patients with advanced digestive cancer with severe anorexia.

Material and methods: We retrospectively reviewed the clinical data of 18 patients with advanced cancer originating in digestive organs who received soup service at our institution between 2015 and 2016. Members of the PCT, NST, and a licensed cook visited the bedside of each patient and served them a cup of soup twice a week.

Results: Fifteen patients (83%) were able to taste the soup with no adverse events, and 11 (73%) of them enjoyed the taste of the soup. In the five patients who died in our hospital during the service, the time between their last soup intake and death ranged from two to seven days (median three days).

Conclusion: Even terminally ill patients suffering from advanced digestive cancer with severe anorexia were able to enjoy the taste of the soup served to them. The establishment of special meal service, such as this soup service, may not only relieve their stress but also support the strength of living and help improve their spiritual quality of life.

Keywords: anorexia; digestive cancer; palliative care; soup service; spiritual quality of life.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Anorexia / etiology*
  • Anorexia / prevention & control*
  • Female
  • Gastrointestinal Neoplasms / complications*
  • Humans
  • Male
  • Middle Aged
  • Nutritional Support / methods*
  • Palliative Care*
  • Retrospective Studies
  • Terminally Ill