Explain whether nutrition and/or hydration might be impacted by the patient’s functional abilities.
NUTRITION AND HYDRATION
Geriatric patients have many nutritional and hydration concerns
that impact their health and ability to acquire sufficient
nutrients.
Advanced practice nurses evaluating these patients must be
able to account for all barriers that prevent elders from obtaining
adequate nutrition, including medical conditions, transportation,
finances, physiologic changes, and functional abilities.
When evaluating patients, it is important to consider how
they eat, what their diet consists of, and whether they have any
special dietary needs that are not being met.
Assessment tools such as the Lawton Instrumental Activities
of Daily Living (IADL) Scale are an integral part of this
evaluation process as they help providers identify potential
obstacles for patients. In this Discussion, you assess a patient at
your current practicum site and consider strategies for improving
any nutrition or hydration issues.
To prepare:
•Review this week’s media presentation, as well as Chapters
26 and 27 of the
Flaherty and Resnick text.
•Assess a patient using tools for inpatient and long-term
patient care such as the Lawton (IADL) Scale.
•Consider whether nutrition and/or hydration might be
impacted by the patient’s functional abilities.
Reflect on whether the patient is able to go out and get food
to eat, cook meals, safely use the stove, etc.
•Consider the patient’s diet and whether they have any
special dietary needs due to medical conditions such as congestive
heart failure, end-stage kidney disease, diabetes, oral health
issues, etc.
Reflect on whether or not the patient is attempting to
compensate for a medical issue and thus creating a deficiency or
excess in his or her diet.
•Based on your patient assessment, think about strategies for
improving any nutrition issues that might have presented (e.g.,
nutritional supplements, community resources such as Meals on
Wheels, referral to a nutritionist or dietician, etc.).
FOR MORE INFORMATION ON THIS PAPER VISIT……
Write a description of the patient assessment you performed
using a tool for inpatient and long-term patient care such as the
Lawton IADL Scale.
Explain whether nutrition and/or hydration might be impacted
by the patient’s functional abilities.
Then, describe the patient’s diet and whether he or she has
any special dietary needs due to medical conditions.
Address whether or not the patient is attempting to
compensate for a medical issue and thus creating a deficiency or
excess in his or her diet.
Finally, explain strategies for improving any nutrition
issues that might present during the patient assessment.
Readings
•Flaherty, E., & Resnick, B. (Eds.). (2011). Geriatric
nursing review syllabus: A core curriculum in advanced practice
geriatric nursing (3rd ed.). New York, NY: American Geriatrics
Society.
?Chapter 26, “Malnutrition” (pp. 195–202)
This chapter describes age-related changes that affect
nutrition in older adults. It also examines nutrition screening and
assessment, nutrition syndromes, nutritional interventions, and
legal and ethical issues related to older adult nutrition.
?Chapter 27, “Eating and Feeding Problems” (pp. 203–206)
This chapter examines age-related changes that cause
swallowing and feeding problems. It also examines strategies for
assessing patients with swallowing and feeding problems.
•Holroyd-Leduc, J., & Reddy, M. (Eds.). (2012).
Evidence-based geriatric medicine: A practical clinical guide.
Hoboken, NJ: Blackwell Publishing Ltd.
?Chapter 11, “Keeping things moving: preventing and managing
constipation” (pp. 140–154)
This chapter defines chronic constipation and describes
strategies for diagnosing, preventing, treating, and managing
constipation. It also examines pharmacological treatments,
identifying adverse effects of these treatments, as well as
contraindications.
•American Geriatrics Society. (2012). American Geriatrics
Society updated Beers Criteria for potentially inappropriate
medication use in older adults. Retrieved from
https://allaplusessays.com/order
This article examines three categories of medications that
impact older adults: those that are potentially inappropriate and
must be avoided, those that are potentially inappropriate and must
be avoided in older adults with certain diseases, and those that
must be used with caution.
•Chalé, A., Unanski, A. G., & Liang, R. Y. (2012).
Nutrition initiatives in the context of population aging: Where
does the United States stand? Journal of Nutrition in Gerontology
& Geriatrics, 31(1), 1–15. Retrieved from the Walden Library
databases.
This article examines existing nutrition-focused federal
programs and nutrition initiatives for older adults. It also
proposes a physician-based model of nutrition education for
maximizing nutrition outcomes for older adults.
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