Geriatrics 2

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Geriatrics 2
2013-11-05 20:12:51

Geriatrics 2
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  1. Nutrition intervention for xerostomia
    • additional gravy /sauces
    • increase fluids if due to dehydration
  2. Significant weight loss in 1, 3, 6 months?
    • 5%
    • 7.5%
    • 10%
  3. Nutrients needed for wound healing
    • protein, kcal, fluid
    • vit a, vit c, zinc
  4. What type of formula would u recommend for someone with DMII
    glucerna (diabetic formula)
  5. Nutrition recommendations for someone losing weights & on tube feeding & PO at same time?
    • Weekly weights
    • Nocturnal tube feedings (& type of formula & how much)
    • Fluids (for flushes & add more if dehydrated)
    • Nursing assistance at meals if needed
  6. How to word care plan "problem" if someone is on EN with or w/out PO?
    I'm dependent on a feeding tube to meet my nutritional needs.
  7. How to word care plan "goal" if someone is on EN with or without PO?
    My PO intake will increase to 50-75% of meals and snacks, and the rest of my nutrition needs will be provided via EN
  8. How to word care plan "problem" and "goal" if someone is losing weight?
    • Prob: I've had recent weight loss
    • Goal: My weight will increase to be w/in range of my IBW
  9. How to word care plan "approach" if someone is on EN with or w/out PO? (3)
    • I want my care partners to:  provide my diet as ordered, as well as Magic Cup and Pro-stat for snacks, and provide TF as ordered.
    • I want my care partners to:  cue to encourage me to eat more.
    • I want my care partners to: take weekly weights
  10. Iron RDA
    • Women (ages 19-50): 18 mg 
    • Women (50+):  8 mg
    • Men (19+):  8 mg
  11. Calcium RDA
    • Women (ages 19-50):  1000 mg
    • Women (51+):  1200 mg
    • Men (ages 19-70):  1000 mg
    • Men (71+):  1200 mg
  12. mandates federal standards of care for SNFs
    to participate in Medicare or Medicaid, which includes addressing the role of nutrition, quality of life, and rights of residents. Requires first assessing nutritional status, then achieving and maintaining the best possible. Eating ability and self-feeding abilities are assessed. Quarterly, nutritional status is monitored & assessed & includes weight loss, lab data, and clinical observations. nutritional status for each resident.
    OBRA (Omnibus Budget Reconciliation Act)
  13. guidelines recommend nutritional screening within 24 hours of hospital admission, with full nutrition assessment if at-risk.
    -JCAHO (JointCommission for Accreditation of Health Care Organizations)
  14. labs increased in dehydration
    • BUN
    • Na
  15. how do you know if a person is dehydrated vs kidney disease per the labs?
    BUN will be elevated with both; but creatitine will be elevated in kidney damage, not in dehydration
  16. Chronic diseases that can cause cognitive impairement
    • Huntington's
    • Parkinson's
    • MS
    • Neurotrauma
    • ALS
  17. describes a state of decline that is multifactorial and may be caused by chronic concurrent diseases and functional impairments. Manifestations of this condition include weight loss, decreased appetite, poor nutrition, and inactivity.
    failure to thrive
  18. Four syndromes are prevalent and predictive of adverse outcomes in patients with failure to thrive:
    impaired physical function, malnutrition, depression, and cognitive impairment.
  19. exist to better meet dementia residents' needs and to protect residents without dementia in nursing homes and residential care facilities.
    dementia special care units