Interdisciplinary Nutritional Management and Care for Older Adults : An Evidence-Based Practical Guide for Nurses.

Bibliographic Details
Main Author: Geirsdóttir, Ólöf G.
Other Authors: Bell, Jack J.
Format: eBook
Language:English
Published: Cham : Springer International Publishing AG, 2021.
Edition:1st ed.
Series:Perspectives in Nursing Management and Care for Older Adults Series
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.