Loss of appetite
Losing your appetite, and not wanting to drink are common symptoms and occur for different reasons. Pain, constipation, nausea and vomiting can have an effect on your appetite, as well as the side-effects of medications. Some treatments such as chemotherapy and radiotherapy can contribute to a loss of interest in eating and drinking and can cause additional concerns, such as a sore mouth, persistent diarrhoea or changes to your sense of taste.
Loss of appetite suggestions
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- Dehydration is a complication of loss of appetite, so it is important to ensure adequate fluid intake. Fluids can be in the form of drinks, or fluid-based “foods” such as ice-cream, custard or jelly.
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- Try eating several small meals throughout the day.
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- Avoid fatty, heavy foods.
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- Try eating small tubs of mousse, yoghurt, ready to use custard, jelly or smoothies which provide fluids as well as energy so will assist with hydration.
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- Try having finger-food accessible, as “grazing” (eating small amounts all day) will help.
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- High calorie protein supplements such as Sustagen, Ensure or Resource (if able to tolerate) are easy to consume and beneficial.
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- Ensure good ventilation when preparing foods as some smells can negatively affect your interest in food.
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- Consider both cold food and hot food options.
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- Let your family and/or carer know what foods you prefer – your taste may have changed recently.
Constipation
Constipation is a reduction in the frequency of bowel motions or increased difficulty in passing stools and is very common in palliative care clients. Numerous factors can lead to constipation, such as changes in your diet, inadequate amount of fluids, stress, reduced activity and the use of some medications. Even though your body may seem different, it is important that your bowels work regularly. Constipation, if untreated, can lead to hospitalisation.
Constipation suggestions
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- Introduce a fibre supplement into your diet, or eat high-fibre foods if your condition will allow.
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- Try to increase the amount of water you drink. This keeps you hydrated which helps with constipation.
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- Medications or enemas can be used to manage constipation if needed. Please speak with our nurses about these as options.
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- Gentle activity daily may help.
Although it can feel embarrassing, we recommend you record the details of your bowel movements. It is important that you let us know how your bowels are going so we can help you manage this.

Client Self-Assessment Tool
During our visits we use an assessment tool known as Symptom Assessment Scale which we have further developed into a Client Self-Assessment Tool, this helps us to determine whether our responses and actions are effective in addressing your care needs.
We encourage you to use this tool to identify any symptoms or concerns you might be experiencing, and decide where they fit on the tool.
If your symptoms rate 4 or above, please contact us on 9455 0822.
