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Evaluation of Pre-operative Status

Evaluation of Pre-operative Status. Hydration and Nutrition Before and After Surgery. Karen E. Hall, M.D., Ph.D. GRECC, Ann Arbor VA Health System University of Michigan Health System. Overview. Case. Malnutrition. Caloric requirements. Protein requirements.

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Evaluation of Pre-operative Status

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  1. Evaluation of Pre-operative Status Hydration and Nutrition Before and After Surgery Karen E. Hall, M.D., Ph.D. GRECC, Ann Arbor VA Health System University of Michigan Health System

  2. Overview

  3. Case

  4. Malnutrition

  5. Caloric requirements

  6. Protein requirements

  7. So, in practical terms…?

  8. Is Diet Adequate in Older Adults?

  9. Is Aged Diet Adequate?

  10. Some Aged are Malnourished Mode of Living Prevalence of Malnutrition Community 2-7 % Hospital 22-59 % Nursing Home 30-85 % *Cederholm and Hellerstrom. Gerontol 38:105, 1992

  11. Malnutrition Risks in Community-Dwelling Elders

  12. Other Indices of Malnutrition

  13. Nutrition Assessment Tools

  14. Nutrition Screening Initiative

  15. Mini Nutritional Assessment*

  16. Mini Nutritional Assessment

  17. MNA predicts outcome

  18. MNA vs MNA-Short Form

  19. Mini Nutritional Assessment-Short Form* MNA “impractical” due to length: 10-15 minutes MNA-SF: Very high correlation (r = 0.985) with MNA No anthropomorphic measurements except BMI Only 6 questions *Rubenstein et al. J Gerontol 56: M366, 2001

  20. MNA-SF

  21. MNA-Short Form

  22. Micronutrient Deficiencies in Aging

  23. Calcium Deficiency

  24. Vitamin D Deficiency

  25. Vitamin C Deficiency

  26. Case

  27. Pre-Operative Assessment in 5 Minutes

  28. FEED THEM!

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