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Malnutrition in the Elderly (new)

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Charlene Agustin

on 2 November 2012

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Transcript of Malnutrition in the Elderly (new)

Malnutrition in the Elderly Charlene Agustin, Lisa Ou, Vicky Du, Ngan Nguyen, Stephanie Lopez, Rob Renolo, Maria Mai, April Mactal Define the population and the problem
Discuss epidemiological theoretical concepts
Discuss rates and statistics related to malnutrition in the elderly population
Describe interventions and surveillance plan
State nursing diagnoses Objectives Introduction Definition Malnutrition: The condition that develops when the body does not get enough vitamins, minerals, and other nutrients that it needs to maintain healthy tissues and organ function. from the Medical Dictionary Elderly 65+ Aggregate Problem
Malnutrition r/t decreased interest in food
Results in poor health outcomes:
Increased mortality
Decreased QOL
Increased risk of respiratory and cardiac problems, infections, DVT’s, pressure ulcers, preoperative mortality, and multi-organ failure Agent: Malnutrition Theory Host: 65+ Environment:
Economy/income
Transportation/access
Disparities of resources Why is the problem important?
Prevalent in elderly population
Often goes undiagnosed /unrecognized globally
Effective management of malnutrition improves clinical outcomes for patients and reduces costs. Causative Factors Impaired intake
Altered or increase nutritional requirements as a consequence of disease
Impaired digestion or absorption
Increased loss of nutrients Rates & Statistics 5-10% of independently living older individuals
30-60% of institutionalized patients
Less than or equal to 35-65% of hospitalized patients
Greater than 85% in nursing homes
25%: < 60 years
27%: 60–79 years
34%: 80 years and over Dunne, A. (2008) Data Collection Mortality/Morbidity Impaired immune function
Weight loss
Malnutrition-related conditions
Impaired wound healing
Increased risk of pressure sores and skin breakdown
Apathy, depression
Altered sleep function
Water and electrolyte disturbances
Reduced muscle strength and fatigue
Impaired psychosocial functioning Surveillance Plan National
Malnutrition universal screening tool (MUST)
Mini nutritional assessment (MNA)
Local
Public health nurse consultation
Increase community awareness.
Hold health fairs and informational meetings at schools, community centers, etc.
Teach the signs and symptoms to look for with malnutrition cases. Significance to the Community Baby Boomers are getting older
Elderly population is expected to increase to 72 million by 2030
Under nutrition can precipitate chronic disability and is associated with poor QOL Interventions Oral supplements
Frequent accurate weighing
Nutrition programs to meet specific needs of each client
Food tasting activities:
Encourage clients to eat
Increase motivation to eat CHN Role Assess nutrition status
Provide resources (ex: Meals on Wheels, Brown bag, senior nutrition program)
Financial stability
Promote, encourage, and educate healthy diet Nursing Diagnoses Deficient knowledge related to misinformation about normal nutrition, social isolation, lack of food, and prep facilities.
Imbalanced nutrition: less than body requirements related to inability to ingest food, digest food or absorb nutrients.
Ineffective therapeutic regimen management related to economic difficulties. Summary
With the increase in the elderly population due to Baby Boomers, there is an increase in elderly malnutrition.
Malnutrition affects the elder's quality of life.
Nurses need to recognize the signs and symptoms of malnutrition. Conclusion Implement routine nutritional risk screening
Follow up nutritional care
Research on nutrition risk in older population
With increase awareness we can decrease the instances of elderly malnutrition. Nurs 137- IDKs Questions?
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