Evaluating Cachexia Assessment Scale (Cas) To Identify Cancer Cachexia In Dharmais National Cancer Hospital
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Date
2015-06-20
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Abstract
Cachexia is a common problem for cancer patient in end stage. It is devastating consequence of
cancer and it is associated with several negative outcomes including poorer response to cancer
treatment, increased treatment side effects lower quality of life and increased depression among
patients and family. The early identification of patients at risk for cachexia particularly during early
stages can be an important approach. Although literature stresses the need to asses cachexia, evidence
prove that no tool adequately has been accepted as gold standard. The aim of this study was to
develop and evaluating a simple tool for nurse which could identify patients with cancer cachexia
throughout all stages of diseases. Design of this study was qualitative study. Cachexia Assessment
Scale (CAS) from previous researcher was modified and translated into Indonesia language.
Purposive sampling methods established in this study involved 9 nurses. Semi structured interviews
were recorded digitally, transcribed, and analyzed using thematic and interpretative analysis. The
current study showed detail information about evaluating cachexia assessment scale tool within five
main themes, namely : 1) the language was understandable, 2) the checklist system was preferred, 3)
the diagnostic result was easy to be accessed 4) the scoring method was unfamiliar 5) the follow up
plan after the scoring need to be considered. Study results show that Cachexia Assessment scale (
CAS) is communicative tool, simple tool and easy tool for nurse. CAS can also discriminate the
symptoms that cause cachexia from the side effects of treatment. But the scoring systems need to be
informed among nurses.
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Keywords
Identificatio, cancer, Cachexia assessment scale