Heart disease remains the number one killer in the U.S. for both men and women. February is a great month to encourage your clients to renew their commitment to heart healthy habits
February’s focus on heart health is near and dear to me. My dear father had heart disease from the time I was 3 ... Views: 881
Richard is an 88 year old male who was hospitalized post myocardial infarction (MI) for placement of a stent and management of heart failure. Other than a diagnosis of hypertension which has been under control with medications since age 70, he had been healthy and living independently with his ... Views: 716
Richard is an 88 year old male who was hospitalized post myocardial infarction (MI) for placement of a stent and management of heart failure. Other than a diagnosis of hypertension which has been under control with medications since age 70, he had been healthy and living independently with his ... Views: 803
Have you ever swallowed and had food “go down the wrong way”? For an estimated 15-40% of adults over the age of 60 this is a constant concern. Dysphagia is simply defined as any difficulty or inability to swallow. It is not a disease, but a disruption of a normal process. Problems at any point ... Views: 1314
I do my best to stay positive in my communications however, I have to say that I was sadly disappointed in the meal service during a recent visit to a nursing facility. Was it because it was a Saturday evening meal and they had less staff? Is that an excuse for serving soggy, ground up pizza and ... Views: 1039
One of my RDNs posed this question recently related to BMI levels for older adults:
I've been seeing transfer notes from the hospital and other nursing homes with diet/nutrition histories where RDNs are charting that BMIs of less than 23 is underweight. For example, one note documented that a ... Views: 805
Most of us can say that our lives have been touched by Alzheimer’s Disease or dementia in some way, and with the aging of America, the number of people affected by this condition continues to increase. The term dementia describes a variety of diseases and conditions that develop when neurons in ... Views: 1192
Recently we have had a few questions about meal times and the 14 hour rule from CMS for nursing facilities. The concerns are related primarily to the requirements for spacing of the evening meal and the next day's breakfast especially in the context of person centered dining. Facilities are ... Views: 1386
In the older adult population, the consequences of malnutrition can have a major impact on health, such as unintended weight loss, sarcopenia, frailty, and delayed healing of pressure ulcers. Serving healthful, nourishing meals is not always an easy task in long-term care settings, where staff ... Views: 1124
We continue to receive questions from practitioners regarding whether it is appropriate to use serum albumin and/or prealbumin to determine nutritional status and/or nutritional repletion. To answer this question, I'll share some information from our book, The Complete Guide to Nutrition Care ... Views: 1893
Critical illness or chronic conditions like trauma, injury, burns, wounds, pressure ulcers, major surgery, or sepsis cause a stress response that can result in hypermetabolism, increased catabolism, and loss of lean body mass (LBM). As a result, patients under stress may experience unintended ... Views: 1351
Health care professionals who care for older adults can help prevent and treat Sarcopenia
Approximately 45% of the older adults in the U.S. are affected by sarcopenia, the progressive loss of muscle mass, function, quality, and strength driven by the aging process (1). Sarcopenia can lead to ... Views: 1237
The obesity epidemic challenges health care professionals who care for older adults.
Our next great challenge in working with the nutritional needs of older adults in health care communities will be one that we have not worried about in many years: obesity. In the U.S., the prevalence of ... Views: 1090
Health care communities are making person-centered dining programs the center of attraction!
Nursing homes and assisted living facilities alike are embracing the concept of changing their internal culture from institutional-based care to person-centered care where the individual is at the ... Views: 1122