Interdisciplinary Nutritional Management and Care for Older Adults : An Evidence-Based Practical Guide for Nurses.
| Main Author: | |
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| Other Authors: | |
| Format: | eBook |
| Language: | English |
| Published: |
Cham :
Springer International Publishing AG,
2021.
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| Edition: | 1st ed. |
| Series: | Perspectives in Nursing Management and Care for Older Adults Series
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| Subjects: | |
| Online Access: | Click to View |
Table of Contents:
- Intro
- Foreword
- Acknowledgements
- Contents
- Part I: Nutritional Care in Geriatrics
- 1: Overview of Nutrition Care in Geriatrics and Orthogeriatrics
- 1.1 Defining Malnutrition
- 1.2 Nutrition Care in Older Adults: A Complex and Necessary Challenge
- 1.3 Malnutrition: A Truly Wicked Problem
- 1.4 Building the Rationale for Integrated Nutrition Care
- 1.5 Managing the Wicked Nutrition Problems with a SIMPLE Approach (or Other Tailored Models)
- 1.5.1 Keep It SIMPLE When Appropriate
- 1.5.2 A SIMPLE Case Example
- 1.5.2.1 S-Screen for Malnutrition
- 1.5.2.2 I-Interdisciplinary Assessment
- 1.5.2.3 M-Make the Diagnosis (es)
- 1.5.2.4 P-Plan with the Older Adult
- 1.5.2.5 L-Implement Interventions
- 1.5.2.6 E-Evaluate Ongoing Care Requirements
- 1.6 Bringing It All Together: Integrated Nutrition Care Across the Four Pillars of (Ortho) Geriatric Care
- 1.7 Summary: Finishing Off with a List of New Questions
- References
- Recommended Reading
- 2: Nutritional Requirements in Geriatrics
- 2.1 Nutritional Recommendations for Older Adults, Geriatric and Orthogeriatric Patients
- 2.2 Nutritional Recommendations for Older Adults
- 2.2.1 Energy Requirement and Recommended Intake
- 2.2.2 Protein Requirement and Recommended Intake
- 2.2.3 Micronutrients and Dietary Fibers
- 2.3 Nutritional Risk Factors in Older Adults
- 2.4 Estimating Intake in Older Adults
- 2.5 Nutritional Status of Older Adults, Geriatric and Orthogeriatric Patients
- 2.6 Summary
- References
- Recommended Reading
- 3: Nutritional Assessment, Diagnosis, and Treatment in Geriatrics
- 3.1 The Nutrition Care Process
- 3.2 Nutritional Screening/Risk Detection
- 3.3 Nutritional Assessment and Diagnosis
- 3.3.1 Nutrition Impact Symptoms
- 3.3.2 Nutritional Diagnosis
- 3.3.3 Etiologic Criteria.
- 3.3.4 Estimating Requirements
- 3.3.5 Nutritional Diagnosis
- 3.4 The Nutrition Plan and Care Required
- 3.4.1 Nursing Care Required for Nutritional Therapy
- 3.5 Action and Monitoring
- 3.6 Evaluation and Adjustment of Nutrition Plan
- 3.7 Discharge from Hospital or Handover to Another Caretaker
- 3.8 End of Nutritional Therapy
- 3.9 Ethical Considerations
- 3.10 Summary
- References
- Recommended Reading
- 4: Malnutrition Prevention
- 4.1 Malnutrition and Its Risk Factors
- 4.2 Impact of Malnutrition on Older Adults, Healthcare Systems and the Community
- 4.3 General Nutritional Care and Prevention of Malnutrition
- 4.4 The Role of Physical Activity and Training in Malnutrition Prevention
- 4.5 Opportunities for Nurses and Other Healthcare Providers to Prevent Malnutrition
- 4.6 Additionally, Good to Know
- 4.7 Limits of Preventing Malnutrition
- 4.8 Implementation of Malnutrition Interventions
- References
- Recommended Reading
- Training Courses (Selection)
- 5: Nutrition Support in Older Adults
- 5.1 Nutrition Support in Older Adults: A Hard Edge Best Balanced by Shared Decision-Making, Informed Consent, and Ethical Insight
- 5.2 Applying a Systematic Approach to Nutrition Support in Older Adults
- 5.3 Protein- and Energy-Dense and/or Fortified Foods, Fluids, and Menus
- 5.4 Oral Nutrition Supplements
- 5.5 Artificial Tube Feeding
- 5.5.1 Enteral Nutrition
- 5.5.1.1 Feeding Tube Types
- 5.5.1.2 Tube Placement
- 5.5.1.3 Tube Considerations and Care Requirements
- 5.5.1.4 Checking Placement
- 5.5.1.5 Flushing Tubes
- 5.5.1.6 Feeding Regimens and Modality
- 5.5.1.7 Formula Handling and Management
- 5.5.2 Parenteral Nutrition (PN)
- 5.6 Preventing and/or Managing Nutrition Support Complications
- 5.6.1 Medications
- 5.6.2 Aspiration
- 5.6.3 Gastrointestinal Upset.
- 5.6.4 Delayed Gastric Emptying or Gastroparesis
- 5.6.5 Hyperglycemia
- 5.6.6 Refeeding Syndrome
- 5.7 Summary
- References
- Recommended Reading
- 6: Supporting Nutrition Care in Older Adults: An Essential Component of 'Best Practice' Nursing
- 6.1 What Is 'Best Practice' Nursing Nutrition Care?
- 6.2 Leading Supportive Nutrition Care for Older Adults with or at Risk of Malnutrition: An Example of Best Practice in Nursing Care
- References
- Recommended Reading
- 7: Preventing and Managing Hydration and Dehydration in Older People
- 7.1 Geriatric Orthopaedic Patients
- 7.2 Hydration in Geriatrics
- 7.2.1 Recommendations for Older Adults
- 7.2.2 Age-Related Changes Associated with Hydration
- 7.3 Dehydration and Other Hydration Disturbances
- 7.3.1 Screening and Assessment of Dehydration
- 7.3.1.1 Assessing Low-Intake Dehydration
- 7.3.1.2 Assessing Volume Depletion
- 7.3.2 Prevention and Treatment of Dehydration
- 7.3.2.1 Low-Intake Dehydration
- 7.3.2.2 Volume Depletion
- 7.3.3 Fluid Overload
- 7.3.4 Electrolyte Imbalances
- 7.4 Hospitalisation After Fall
- 7.4.1 Arriving at the Emergency Department
- 7.4.2 Preoperation Nursing at the Ward
- 7.4.3 Post-operation Nursing at the Ward
- 7.4.4 Best Practice at the Ward
- 7.5 Summary
- References
- Recommended Reading
- 8: Untangling Malnutrition, Physical Dysfunction, Sarcopenia, Frailty and Cachexia in Ageing
- 8.1 Preface
- 8.2 Definitions, Diagnosis, Prevalence and Relevance
- 8.2.1 Malnutrition
- 8.2.2 Low Muscle Mass, Physical Dysfunction and Sarcopenia
- 8.2.3 Frailty
- 8.2.4 Cachexia
- 8.3 Nutritional Treatment and Management Approaches
- 8.4 Key Levels to Implement Change
- 8.5 Conclusion
- References
- Recommended Videos
- 9: Bone Health, Fragility and Fractures
- 9.1 Introduction
- 9.1.1 Bone.
- 9.1.2 Normal Bone Metabolism
- 9.1.3 Peak Bone Mass (PBM)
- 9.2 Nutrients and Bone Health
- 9.2.1 Calcium
- 9.2.2 Vitamin D
- 9.2.3 Vitamin K
- 9.2.4 Protein
- 9.2.5 Other Nutrients
- 9.3 Other Factors Influencing Bone Health
- 9.4 Osteoporosis
- 9.4.1 Risk Factors for Osteoporosis
- 9.5 Fragility, Fractures and Falls
- 9.5.1 Frailty, Falls and Bone Health Assessment
- 9.5.1.1 Frailty Assessment
- 9.5.1.2 Falls Risk Assessment
- 9.5.1.3 Bone Health Assessment
- 9.6 Supporting Those with Frailty, Fragility, Fractures and Osteoporosis
- 9.6.1 Lifestyle Advice to Improve Bone Health
- 9.6.2 Supplementation and Medications
- 9.6.3 Education, Training and Sociopolitical Action
- 9.6.3.1 Coordinated Care Opportunities to Optimise Bone Health, Fragility and Fractures in Older Adults
- Example 1: Orthogeriatric Services
- Care Example 2: Fracture Liaison Services
- Example 3: Fracture Liaison Nurses
- Example 4: Audit and Feedback
- 9.6.3.2 End-of-Life Care
- 9.7 Summary
- References
- Further Reading
- 10: Increasing Patient Motivation and Adherence to Nutritional Care: The Importance to Overcome Psychological Barriers
- 10.1 Introduction
- 10.2 The Relationship Between Older Adults and Food as a First Step Toward Overcoming Psychological Barriers
- 10.2.1 Age: Younger and Older Adults
- 10.2.2 Biological Sex: Older Male and Female
- 10.2.3 Personal Health
- 10.2.3.1 Physical Health
- 10.2.3.2 Mental Health
- 10.2.4 Lifestyle Choices
- 10.2.5 Social Environment and Conditioning
- 10.3 The Older Adult Perspective and the Quality of Nutritional Care
- 10.3.1 The Role of Caregivers and Community
- 10.4 The Effectiveness of Multidisciplinary Nutritional Care to Increase Patient Motivation
- 10.5 Summary
- References
- Recommended Reading.
- 11: How to Sustain and Spread Nutritional Care Improvements
- 11.1 Getting Started
- 11.1.1 Definitions
- 11.2 Case Example: Improving Nutrition Care in Hospital
- 11.2.1 Initial Implementation and Considering Sustainability from the Beginning
- 11.2.2 Strategies for Sustainability and Spread
- 11.3 Tools for Sustainability and Spread
- 11.3.1 Sustainability Tools
- 11.4 Monitoring and Evaluation
- 11.5 Barriers and Facilitators
- 11.6 Considering Equity
- 11.7 Summary
- References
- Recommended Reading
- 12: Delivering Interprofessional Education to Embed Interdisciplinary Collaboration in Effective Nutritional Care
- 12.1 Introduction
- 12.2 The Role of Interdisciplinary Teams
- 12.3 Nutrition Education and Interdisciplinary Team Collaboration
- 12.4 Approaches to Interprofessional Education for Nutritional Care
- 12.4.1 Curriculum
- 12.4.2 Delivery
- 12.5 Interdisciplinary Collaboration for Nutritional Care in Action
- 12.6 Summary
- References
- Recommended Reading
- Part II: Special Topics in Geriatric Nutrition: Editorial: Specialised Versus Supportive Nutritional Care in Ageing: A Conundrum
- 1.1 Summary
- 13: Multidisciplinary Nutrition Care: Benefitting Patients with Malnutrition Across Healthcare Sectors
- 13.1 Malnutrition, Assessment, and Screening
- 13.2 Multidisciplinary Roles in Malnutrition Care
- 13.2.1 Dietitian Role
- 13.2.2 Physician Role
- 13.2.3 Role of the Speech-Language Pathologist
- 13.2.4 Other Health Professionals
- 13.2.5 The Nursing Role in Malnutrition
- 13.2.6 Management and Healthcare Leaders
- 13.3 Multidisciplinary Models of Malnutrition Care
- 13.4 Standards and Policy Promote Multidisciplinary Malnutrition Care
- 13.5 Examples of Multidisciplinary Malnutrition Care
- 13.6 Summary
- References
- Recommended Reading.
- 14: Physical Activity, Exercise, and Physical Rehabilitation.


