Appetite Loss: Understanding Appetite Loss and Weight Loss During End of Life Care

 
It is not uncommon for people suffering from terminal illness to lose their appetites. It is so common that many patients complain of an inability to eat that is more frustrating than pain.
 
The important thing to note here is the phrasing. We are talking about an “inability” to eat. There is a loss of appetite so severe that eating becomes a disgusting chore, especially for people suffering from late-stage cancers.
 
This can come as frustrating to the families of patients. Instead of getting upset, here is some information to help you understand what your loved one is experiencing and how you can help them cope.
 

Anorexia / Cachexia Syndrome (ACS)

 
This term combines two dietary issues that are very different to create a syndrome that covers much of what people experience with appetite loss and weight loss at the end of their lives. The first is anorexia and the second is cachexia.
 
This type of anorexia is not the same at the well-known mental illness anorexia nervosa. It is most common in advanced cancers and is defined as “the lack or loss of appetite, resulting in the inability to eat.” It usually ends up causing the loss of muscle and fat weight. If caught early enough by a hospice nurse Las Vegas residents trust, it can be treated.
 
Cachexia has a much more deep definition. It is the “state of general ill health and malnutrition, marked by weakness and emaciation.” It is most common in late-stage cancers and AIDS patients. It causes the loss of fat, muscle and bone. It also can’t usually be treated with vitamins or more food intake. It is so severe that it actually causes about 20 percent of the people who get the illness to die from it.
 

Causes

 
It is most common to see this condition in a patient suffering from AIDS or various late-stage cancers. These diseases release chemicals that interfere with the way a person is able to digest nutrients.
 
It can also be the side effect of the medication a patient is taking. There is even a chance that the ACS is caused by a number of different psychological emotional, or spiritual stressors.
 
Regardless of the cause, ACS can manifest with any of the following symptoms. If you notice any of these in your loved one, it may be time to seek the help of Las Vegas hospice services that know how to handle these sort of things.
 

  • Pain
  • A change in taste preferences
  • Loss of taste
  • Increased sensitivity to smells that usually makes the food unappealing
  • Difficulty swallowing
  • Shortness of breath
  • Nausea
  • Vomiting
  • Constipation
  • Diarrhea

 
Of course, the list can go on an on. It just depends on the patient and the state of their appetite before the ACS set in. Some people will have symptoms that are worse than others.
 
At the end of the day, you may just need the help of people experienced with dealing in end of life treatment to help your loved one to eat. ProCare Hospice of Nevada may be the right choice to find the comfort and support your loved one deserves. For more information about the hospice nurse Las Vegas loves, contact 702.380.8300.

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Dr. Iryna Kobita, MD

Iryna Kobita recently completed her Internal Medicine Residency at The Valley Health System in Las Vegas and is pleased to continue her medical training in Hospice and Palliative Medicine. Prior to relocating to the United States, she practiced medicine in Ukraine, bringing valuable international clinical experience to her work. Iryna looks forward to contributing to the program, building strong professional relationships, and continuing to grow as a physician. Outside of medicine, she enjoys traveling, spending time outdoors, and being with family and friends.

Dr. Diana Lee, MD

Dr. Diana Lee graduated from Capital Medical University in Beijing, China, in 1991. Following graduation, she completed five years of pediatric residency training at Beijing Children's Hospital, one of the largest and most prestigious pediatric hospitals in China.

After relocating to the United States, she completed her second residency training program in Internal Medicine at Greater Baltimore Medical Center in 2004. She then worked as a hospitalist with Mercy Medical Group in Sacramento, California, for 10 years, before moving to Las Vegas to join Platinum Hospitalist Group, where she currently practices.

After earning her ABIM board certification in Hospice and Palliative Medicine in 2012, Dr. Lee focused her career on this specialty. In 2017, she established the first hospital-based inpatient palliative care consultation service in Las Vegas at St. Rose Dominican Siena Hospital. Under her leadership, this initiative expanded from a single-physician service into a multidisciplinary team of four palliative care physicians and 12 nurse practitioners, providing consultations across eight hospitals in Las Vegas. She has also served as the program director for the OPTI-West Hospice and Palliative Medicine Fellowship since 2021.

Dr. Lee is dedicated to advancing patient-centered palliative care through clinical excellence, program development, education, and collaboration. As the founder of one of the region's largest inpatient palliative care programs, she continues to expand access to specialty services and improve care for patients with serious illnesses throughout Southern Nevada.

Dr. Dan Miulli, DO, MS, FACOS

Graduate of Midwestern University-CCOM and completed Neurosurgical Residency Training at Allegheny General Hospitals receiving diploma from Philadelphia College of Osteopathic Medicine. Board certified in Neurological Surgery and Neurocritical Care. Practices Neurosurgery in Southern California. Is the Designated Institutional Official, Chief Academic Officer, and CEO of OPTI-West Educational Consortium and Sponsoring Institution.