1 / 22

Nutrition and the Older Adult

Nutrition and the Older Adult. Conditions and interventions Angie stiegemeyer , MA,rD,LD , BSN,RN Southeast Missouri State University. Health-sense of well-being Quality of Life-measure of life satisfaction Medical Nutrition Therapy-treatment of nutritional aspects of disease.

felice
Télécharger la présentation

Nutrition and the Older Adult

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Nutrition and the Older Adult Conditions and interventions Angie stiegemeyer, MA,rD,LD, BSN,RN Southeast Missouri State University

  2. Health-sense of well-being Quality of Life-measure of life satisfaction Medical Nutrition Therapy-treatment of nutritional aspects of disease

  3. Topics Covered Cardiovascular Disease (CVD)/Heart Disease Stroke Hypertention Diabetes/DM Osteoporosis Constipation Osteoarthritis Alzheimer’s Disease Underweight Elder Abuse End of Life Care

  4. Nutrition for CVD Decrease amount of fat Reduce cholesterol intake Increase fiber, F & V Limit Sodium Exercise Maintain Healthy Weight Reduce Stress Smoking Cessation

  5. Stroke • Reduced blood flow to brain • Etiology • Blocked arteries • Easily clotting blood cells • Effects • Deprive brain of oxygen-nerve cells die • Differing levels of paralysis

  6. Stroke • Risk Factors • Hypertension, high chol., DM, smoking, family hx, obesity • S/S: FAST • F-Facial weakness • A-Arm & Leg Problems • S-Speech Problems • T-Time to call 911 • Nutrition • Normalize blood pressure

  7. Hypertension • Systolic 140mm Hg or higher AND/OR Diastolic 90 mm Hg or higher • Effects- excess tension on vessels & organs • Wears them out before normal aging process • Kidney damage • Risk Factors • Excess alcohol intake, high sat. fat intake, overweight & obesity, low calcium intake, smoking

  8. Nutrition for Hypertension DASH Diet Weight management Moderate alcohol intake Limit sodium Adequate calcium, potassium, magnesium

  9. DM • 1/5 over 65 • Greater risk for CVD • Effects • Amputations • Macular degeneration • Vision loss • Neuropathies • Increased platelet aggregation • Increased infection • Decreased healing

  10. Nutrition for DM • Diagnosis and criteria for mgmt same as younger adult • If kidney disease, limit protein (0.8-1.0 g/kg) • MVI • Assess cognitive function and create appropriate care plan • Asses Hemoglobin A1C • Below 7% is goal

  11. 1 135---------6% 170---------7% 205--------8% 240--------9% 275--------10% 310--------11% 345-------12%

  12. Osteoporosis • Porous bones • 80% women • Bone density greatly declines after menopause • Effects-falls & fractures • Wrist, spine, hips • Kyphosis

  13. Osteoporosis • Nutrition • Calcium • Vitamin D • Exercise • Limit caffeine • F & V • Limit sodium • Limit SSRIs

  14. Chronic Constipation • 2 or less BM Q Week • Etiology • Medications • Diseases-Parkinson’s, cancer, DM,IBS • Risk Factors • Dehydration • Medications • Mineral supplements

  15. Chronic Constipation • Treatment • Exercise • Fluid • Fiber • Foods • psyllium • Avoid laxatives if possible • Bowel Retraining

  16. Osteoarthritis Etiology-cartilage loss, hardening of soft tissue, inflammation, changes in synovial membrane Pain in joints-most common in knees & hips

  17. Osteoarthritis • Treatment • Control pain • Weight loss • Antioxidants • Flavanoids • Vitamin D • Chondrotin & Glucosamine-cartilage repair • Fatty acids & Oils

  18. Alzheimer's Disease • Dementia-memory impairment • Plaques & Tangles in brain • Effects • Confusion • anxiety • agitation • loss of oral muscular control • impairment of hunger & thirst mechanisms • chewing & swallowing difficulties

  19. Alzheimer's Disease • Treatment • Safety • Maintain nutrient dense diet • Plenty of time • Focus on eating • Serve finger foods • Encourage drinks

  20. Nutrition forUnderweight & Unintentional Weight Loss Adequate kcals 1-1.5 g/kg protein 1 mL/kcal fluid Nutrient dense foods Added fats Added kcals Boost, Ensure

  21. Elder Abuse Abuse, neglect, exploitation 1-800-392-0210 (For suspected elder mistreatment in the home and in long-term care facilities)

  22. End of Life Care • Respect patient & family’s wishes • Collaborate & Refer • Palliative care, Hospice • Compassion & Empathy

More Related