Malnutrition In The Elderly

Author : W.O. Seiler,H.B. Stähelin
Publisher : Springer Science & Business Media
Page : 132 pages
File Size : 53,7 Mb
Release : 2012-12-06
Category : Medical
ISBN : 9783642470738

Get Book

Malnutrition in the Elderly by W.O. Seiler,H.B. Stähelin Pdf

H. B. Stahelin "Under-or malnutrition is a frequent and serious problem in geriatric patients" (8). Today there is no doubt that malnutrition contributes significantly to morbidity and mortality in the aged. The immune function is impaired, the risk for falls and fractures increases, in acute illness, recovery is delayed, and complications are frequent. Acute and chronic illnesses lead to a catabolic metabolism and hence increase the signs and symptoms of malnutrition. Cytokines related to inflamma tion block the synthesis of albumin and shift protein synthesis to acute phase pro teins. The activation of the ubiquitine-proteasome pathway leads to a degradation of muscle protein, which leads to an additional loss of muscle mass which occurs as age-dependent sarcopenia, and adds to the already existing frailty (2, 4). It is often difficult to decide to what extent the metabolic alterations result from malnutrition or concomitant illness. Psychological factors contribute as a circulus vitiosus significantly to anorexia and, thus, aggravate the condition. They are the most important causes of failure to thrive in old age (7). It is evident that next to the therapy of the underlying illness, an adequate support with calorie and nutrient intake over weeks becomes essen tial under these conditions. Clear-cut improvements are often only seen after 6 or more weeks. Besides a clinical, clearly visible malnutrition, selective nutrient deficits are much more frequent. Numerous and highly different mechanisms may lead to a marginal or insufficient supply with micronutrients.

Author : Institute of Medicine,Food and Nutrition Board,Food Forum
Publisher : National Academies Press
Page : 192 pages
File Size : 48,9 Mb
Release : 2010-11-29
Category : Medical
ISBN : 9780309158831

Get Book

Providing Healthy and Safe Foods As We Age by Institute of Medicine,Food and Nutrition Board,Food Forum Pdf

Does a longer life mean a healthier life? The number of adults over 65 in the United States is growing, but many may not be aware that they are at greater risk from foodborne diseases and their nutritional needs change as they age. The IOM's Food Forum held a workshop October 29-30, 2009, to discuss food safety and nutrition concerns for older adults.

Author : Institute of Medicine,Food and Nutrition Board,Committee on Nutrition Services for Medicare Beneficiaries
Publisher : National Academies Press
Page : 383 pages
File Size : 53,8 Mb
Release : 2000-06-09
Category : Medical
ISBN : 9780309068468

Get Book

The Role of Nutrition in Maintaining Health in the Nation's Elderly by Institute of Medicine,Food and Nutrition Board,Committee on Nutrition Services for Medicare Beneficiaries Pdf

Malnutrition and obesity are both common among Americans over age 65. There are also a host of other medical conditions from which older people and other Medicare beneficiaries suffer that could be improved with appropriate nutritional intervention. Despite that, access to a nutrition professional is very limited. Do nutrition services benefit older people in terms of morbidity, mortality, or quality of life? Which health professionals are best qualified to provide such services? What would be the cost to Medicare of such services? Would the cost be offset by reduced illness in this population? This book addresses these questions, provides recommendations for nutrition services for the elderly, and considers how the coverage policy should be approached and practiced. The book discusses the role of nutrition therapy in the management of a number of diseases. It also examines what the elderly receive in the way of nutrition services along the continuum of care settings and addresses the areas of expertise needed by health professionals to provide appropriate nutrition services and therapy.

Author : Yannis Dionyssiotis
Publisher : BoD – Books on Demand
Page : 256 pages
File Size : 48,6 Mb
Release : 2017-08-30
Category : Medical
ISBN : 9789535134831

Get Book

Frailty and Sarcopenia by Yannis Dionyssiotis Pdf

Frailty is considered a multisystem impairment that makes an individual vulnerable to external or internal stressors. Sarcopenia, the age-dependent loss of muscle mass and function, is proposed as the biological substrate and the pathway whereby the consequences of physical frailty develop. These syndromes are associated with a negative impact in quality of life and can lead to the occurrence of disability, institutionalization, and even mortality. The book focuses upon all the related aspects of frailty and sarcopenia and the new advancements in the related treatments including complex issues and research. It includes high-quality chapters in all related aspects for the syndromes of sarcopenia and frailty, which adversely affect the function and overall effectiveness of the musculoskeletal system and interventions to promote rehabilitation.

Author : Ólöf G. Geirsdóttir,Jack J. Bell
Publisher : Springer Nature
Page : 274 pages
File Size : 48,5 Mb
Release : 2021
Category : Geriatric nursing
ISBN : 9783030638924

Get Book

Interdisciplinary Nutritional Management and Care for Older Adults by Ólöf G. Geirsdóttir,Jack J. Bell Pdf

This open access book aims to primarily support nurses as leaders and champions of multimodal, Interdisciplinary nutrition care for older adults. A structured approach to fundamentals of nutrition care across Interdisciplinary settings is combined with additional short chapters about special topics in geriatric nutrition. The book is designed to provide highly accessible information on evidence-based management and care for older adults, with a focus on practical guidance and advice across acute, rehabilitation, and primary and secondary malnutrition prevention settings.The cost of malnutrition in England alone has been estimated to be £19.6 billion per year, or more than 15% of the total public expenditure on health and social care. ^65 years). The importance and benefit of specialised nutrition care, delivered by experts in field, is well established for those with complex nutrition care needs. However, despite the substantial adverse impact of malnutrition on patient and healthcare outcomes, specialised management of this condition is often under-resourced, overlooked and under-prioritised by both older adults and their treating teams. As an alternative, timely, efficient, and effective supportive nutrition care opportunities may be appropriately implemented by nurses and non-specialist Interdisciplinary healthcare team members, working together with nutrition specialists and the older adults they care for. Practical, low-risk opportunities should be considered across nutrition screening, assessment, intervention, and monitoring domains for many patients with, or at risk of malnutrition. Whilst a variety of team members may contribute to supportive nutrition care, the nursing profession provide a clear focal point. Nurses across diverse settings provide the backbone for Interdisciplinary teamwork and essential patient care. The nursing profession should consequently be considered best placed to administer Interdisciplinary, multimodal nutrition care, wherever specialist nutrition care referrals are unlikely to add value or are simply not available. As such, the book is a valuable resource for all healthcare providers dedicated to working with older patients to improve nutrition care. .

Author : Kathy Cope
Publisher : DIANE Publishing
Page : 94 pages
File Size : 42,9 Mb
Release : 1998-04
Category : Electronic
ISBN : 9780788148149

Get Book

Malnutrition in the Elderly by Kathy Cope Pdf

Malnutrition in the elderly is linked directly to disability, dysfunction, & morbidity, as well as the loss of life & independent living, & skyrocketing health care costs. This manual combines basic principles & concepts with a simple approach & nutrition screening instruments to improve the nutritional status of the elderly & provide a higher quality of life. Covers: the problem of malnutrition, the causes & consequences of malnutrition, as well as implementing the solution, & the continuum of care. Numerous checklists, tables, & graphics. Extensive bibliography. Resource listing.

Author : Bruno J. Vellas,Philip J. Garry,Yves Guigoz,Nestlé Nutrition Services
Publisher : Karger Medical and Scientific Publishers
Page : 202 pages
File Size : 51,5 Mb
Release : 1999
Category : Medical
ISBN : 9783805568036

Get Book

Mini Nutritional Assessment (MNA) by Bruno J. Vellas,Philip J. Garry,Yves Guigoz,Nestlé Nutrition Services Pdf

This book is the first of a new series which will present the proceedings of the newly established Nestlé Nutrition Workshop Series: Clinical & Performance Programme aimed at adult nutrition. Undernutrition is a common phenomenon in elderly people, and malnutrition reaches significant levels in those being in hospital, nursing homes or home care programs. Consequences of malnutrition often go unrecognised owing to the lack of specific validated instruments to assess nutritional status in frail elderly persons. The Mini Nutritional Assessment (MNA) provides a single, rapid assessment of nutritional status in the elderly of different degrees of independence, allowing the prevalence of protein-energy malnutrition to be determined and to evaluate the efficacy of nutritional intervention and strategies. Easy, quick and economical to perform, it enables staff to check the nutritional status of elderly people when they enter hospitals or institutions and to monitor changes occurring during their stay. Moreover, the MNA is predictive of the cost of care and length of stay in hospital. This publication will be of immense assistance to heads of geriatric teaching units, teachers in nutrition, clinicians general practitioners and dieticians, enabling them to better detect, recognise and start treatment of malnutrition in the elderly.

Author : Katsunori Kondo
Publisher : Springer
Page : 328 pages
File Size : 53,7 Mb
Release : 2021-11-04
Category : Business & Economics
ISBN : 9811518335

Get Book

Social Determinants of Health in Non-communicable Diseases by Katsunori Kondo Pdf

This book is open access under a CC BY-NC-ND 4.0 license. This open access book is the first compilation that reviews a wide range of social determinants of health (SDHs) for non-communicable diseases (NCDs) and healthy ageing in Japan. With the highest life expectancy and the largest elderly population in the world, Japan has witnessed health inequality by region and social class becoming more prevalent since the 2000s. The first half of this volume describes in detail major NCDs, such as cancers, heart and kidney diseases, diabetes, stroke, and metabolic syndrome. The second half, on the other hand, explores various SDHs relating to healthy ageing. All chapters review and focus on SDHs, particularly health inequality associated with socio-economic status and social capital, which are widely addressed in the field of social epidemiology. The book makes the argument that “Health for All” advocated by the WHO should be implemented based on social justice and benefits for the greater society. Public health researchers and policymakers, both in Japan and other nations, will gain scientific evidence from this book to prepare for the coming era as ageing becomes a global issue.

Author : United States. Congress. Senate. Committee on Labor and Human Resources. Subcommittee on Aging
Publisher : Unknown
Page : 52 pages
File Size : 52,6 Mb
Release : 1992
Category : Medical
ISBN : LOC:00039095427

Get Book

Finding and Fighting Malnutrition in the Elderly by United States. Congress. Senate. Committee on Labor and Human Resources. Subcommittee on Aging Pdf

Author : Nages Nagaratnam,Kujan Nagaratnam,Gary Cheuk
Publisher : Springer
Page : 324 pages
File Size : 40,8 Mb
Release : 2018-11-26
Category : Medical
ISBN : 9783319969985

Get Book

Advanced Age Geriatric Care by Nages Nagaratnam,Kujan Nagaratnam,Gary Cheuk Pdf

As the Baby Boomers age, concerns over healthcare systems' abilities to accommodate geriatric patients grow increasingly challenging. This is especially true with the population deemed to be “the oldest of the old,” specifically those over the age of 85. Unlike any other time in history, this demographic is the fastest growing segment of most developed countries. In the United States the oldest old is projected to double from 4.3 million to 9.6 million by 2030. The increased life expectancy of the population since the early 1900s has been built on the improvement of living conditions, diet, public health and advancement in medical care. With this we have seen a steady decline in the age-specific prevalence of vascular and heart diseases, stroke and even dementia. Older persons are healthier today than their counterparts decades ago. More importantly than in any other age group, the care of the oldest old must be individualized; management decisions should be made taking into consideration the older persons’ expressed wishes, quality of life, function and mental capacity. The inevitable consequence is that there will be an increase in the prevalence of older persons with chronic diseases, multiple co-existing pathologies and neuro-degenerative diseases. The oldest of the aging population are often excluded from drug trials and their treatments are largely based on findings extrapolated from that of the younger old. Furthermore, among the oldest old, physiologically they are more diverse than other segments of the population. Their demographic characteristics are unparalleled and different compared to that of the younger old. Several studies have drawn attention to the differing attitudes among health professionals towards elderly people and many show prejudice because they are old. As a result, the use of age as a criteria in determining the appropriateness of treatment is of very limited validity, yet there are limited resources that guide physicians through these challenges. This book creates a greater awareness of these challenges and offers practical guidelines for working within the infrastructures vital to this demographic. This book is designed for geriatricians, primary care physicians, junior medical officers, specialty geriatrics nurses, and gerontologists. It is divided into 3 sections: General Considerations, Chronic diseases and Geriatric Syndromes. Each chapter provides a summary of important and essential information under the heading of Key Points. Case studies are included in some of the chapters to highlight the principles of management.

Author : Kathleen C. Niedert,Becky Dorner
Publisher : American Dietetic Associati
Page : 337 pages
File Size : 51,8 Mb
Release : 2004
Category : Diet Therapy for Older People
ISBN : 9780880913324

Get Book

Nutrition Care of the Older Adult: a Handbook for Dietetics Professionals Working Throughout the Continuum of Care by Kathleen C. Niedert,Becky Dorner Pdf

Completely revised with new chapters and sections covering everything the health-care provider needs to know when working with the older adult either at home or in nursing and long-term care facilities. Chapters cover factors affecting nutrition, nutrition and disease, nutritional assessment, dining challenges and regulatory compliance. This scientifically sound and practical resource for new and experienced nutrition professionals includes new forms, resources, the food guide pyramid for older adults and an index of tales.

Author : Rebecca J. Stratton,Ceri J. Green,Marinos Elia
Publisher : CABI
Page : 445 pages
File Size : 47,9 Mb
Release : 2003-01-01
Category : Medical
ISBN : 9780851996486

Get Book

Disease-related Malnutrition by Rebecca J. Stratton,Ceri J. Green,Marinos Elia Pdf

Disease-related malnutrition is a global public health problem. The consequences of disease-related malnutrition are numerous, and include shorter survival rates, lower functional capacity, longer hospital stays, greater complication rates, and higher prescription rates. Nutritional support, in the form of oral nutritional supplements or tube feeding, has proven to lead to an improvement in patient outcome. This book is unique in that it draws together the results of numerous different studies that demonstrate the benefits of nutritional support and provides an evidence base for it. It also discusses the causes, consequences, and prevalence of disease-related malnutrition, and provides insights into the best possible use of enteral nutritional support.

Author : Shamsuddin Akhtar,Stanley Rosenbaum
Publisher : Cambridge University Press
Page : 245 pages
File Size : 49,6 Mb
Release : 2018-10-25
Category : Medical
ISBN : 9781316613894

Get Book

Principles of Geriatric Critical Care by Shamsuddin Akhtar,Stanley Rosenbaum Pdf

Provides coverage of the issues surrounding geriatric critical care, emphasising assessment and treatment.

Author : Melissa Bernstein,Nancy Munoz
Publisher : Jones & Bartlett Learning
Page : 592 pages
File Size : 53,7 Mb
Release : 2019-01-02
Category : Health & Fitness
ISBN : 9781284149005

Get Book

Nutrition for the Older Adult by Melissa Bernstein,Nancy Munoz Pdf

Updated to the latest data and expert information, the Third Edition of Nutrition for the Older Adult introduces students to the unique nutritional needs of this growing population. Designed for the undergraduate, the text begins by covering the basics, including the demographics of aging, physiology of aging, and vitamin and mineral requirements for older adults. It then delves into clinical considerations, including the nutritional implications of diseases and conditions common among older adult. Additional coverage includes: nutritional assessment, pharmacology, nutritional support, and much more. With new pedagogical features along with revamped end-of-chapter activities and questions, Nutrition for the Older Adult is an essential resource for students in the fields of nutrition, nursing, public health and gerontology.

Author : Paolo Falaschi
Publisher : Springer Nature
Page : 355 pages
File Size : 50,6 Mb
Release : 2021
Category : Anesthesiology
ISBN : 9783030481261

Get Book

Orthogeriatrics by Paolo Falaschi Pdf

This new open access edition supported by the Fragility Fracture Network aims at giving the widest possible dissemination on fragility fracture (especially hip fracture) management and notably in countries where this expertise is sorely needed. It has been extensively revised and updated by the experts of this network to provide a unique and reliable content in one single volume. Throughout the book, attention is given to the difficult question of how to provide best practice in countries where the discipline of geriatric medicine is not well established and resources for secondary prevention are scarce. The revised and updated chapters on the epidemiology of hip fractures, osteoporosis, sarcopenia, surgery, anaesthesia, medical management of frailty, peri-operative complications, rehabilitation and nursing are supplemented by six new chapters. These include an overview of the multidisciplinary approach to fragility fractures and new contributions on pre-hospital care, treatment in the emergency room, falls prevention, nutrition and systems for audit. The reader will have an exhaustive overview and will gain essential, practical knowledge on how best to manage fractures in elderly patients and how to develop clinical systems that do so reliably.