Nutritional Assistance to Cancer Outpatients during the COVID-19 Pandemic in Specialized Hospital Care

Abstract

Introduction: The coronavirus disease 2019 (COVID-19) pandemic is responsible for thousands of cases and deaths in Brazil and cancer patients are more vulnerable to the disease. The need for social isolation determined the restructuring of flows and routines at the Cancer Hospital II of the National Cancer Institute José Alencar Gomes da Silva (HCII-INCA). Objective: To describe the experience of the HCII-INCA nutrition clinic in patients remote care during the pandemic. Method: The experiences of the nutritionists responsible for outpatient care and the head of the Nutrition and Dietetics Section of the HCII (SND-HCII) between April and June 2020 were compiled and discussed. Results: Some SND-HCII adaptation measures were carried out, such as the restriction of in-person assistance and the beginning of remote assistance, via telephone; the suspension of group activities and the extension of the interval for scheduling patients’ return. Between April and June 2020, 192 patients were seen at the nutrition clinic, a 56% drop compared to the first quarter of 2020. Despite the drop in the number of visits, the absenteeism rate decreased considerably when the two quarters are compared. The reduction in this index was considered the main advantage of remote service, allowing a greater number of services to be carried out, in proportion to the hours available. Conclusion: Remote nutritional care for outpatients at HCII-INCA may be considered for incorporation into the institution’s routine.