Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

Nutrition screenings should be regular part of geriatric health assessment

03.07.2014

As older adults typically have one or more chronic health conditions that can affect dietary intake, malnutrition has been identified as a serious problem in older adults. This has given rise to the recommendation that nutrition screenings be a mandatory part of the comprehensive geriatric analysis (CGA).

The CGA, first developed in the 1930s, is a multidimensional diagnostic process that looks at a frail elderly person's medical, psychosocial, and functional capabilities in order to develop an overall plan for treatment and follow-up. While it has been used across health settings, the CGA is typically used in a geriatric specialty unit by a team that includes physicians, nurses, dietitians, pharmacists, therapists, and social workers.

In a special review article published today in the American Society for Parenteral and Enteral Nutrition's (A.S.P.E.N.) Nutrition in Clinical Practice journal, Dr. Rose Ann DiMaria-Ghalili, an Associate Professor of Nursing at Drexel University, examines each component of the CGA and outlines how nutrition screenings would fit into each individual domain: physical/medical, mental, functional, and social.

Dr. DiMaria-Ghalili notes that healthcare providers should look for signs of malnutrition, such as including loss of subcutaneous fat, muscle loss, and fluid accumulation, as part of the physical examination portion of the CGA. In regards to mental health status, she identifies how changes in cognition and dementia can affect nutrition.

In the examination of the functioning of older adults, Dr. DiMaria-Ghalili highlights that malnutrition leads to a loss of muscle strength and mass, which will affect a patient's functional status. As for older adults' social domains (social networks and economic status), she points out that older adults on fixed and limited incomes often need to make decisions regarding paying for medications, housing costs, and food purchases, leading them to purchase food that is cheaper, less nutritious, and less healthy or skip meals altogether.

Beyond identifying potential nutrition problems, Dr. DiMaria-Ghalili stresses that any problems identified should be addressed and interventions implemented in a timely fashion. For this to be successful, she encourages the delivery and management of nutrition interventions be undertaken using a team approach, involving all of the patient's healthcare providers, including doctors, nurses, dietitians, pharmacists and social workers.

###

Nutrition in Clinical Practice (NCP) is a peer-reviewed, interdisciplinary journal that publishes articles about the scientific basis and clinical application of nutrition and nutrition support. NCP contains comprehensive reviews, clinical research, case observations, and other types of papers written by experts in the field of nutrition and healthcare practitioners involved in the delivery of specialized nutrition support. NCP is an official journal of the American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.). This journal is also a member of the Committee on Publication Ethics (COPE).

The American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.) is dedicated to improving patient care by advancing the science and practice of nutrition support therapy and metabolism. Founded in 1976, A.S.P.E.N. is an interdisciplinary organization whose members are involved in the provision of clinical nutrition therapies, including parenteral and enteral nutrition. With more than 6,000 members from around the world, A.S.P.E.N. is a community of dietitians, nurses, nurse practitioners, pharmacists, physicians, scientists, students, and other health professionals from every facet of nutrition support clinical practice, research, and education. For more information about A.S.P.E.N., please visit http://www.nutritioncare.org.

Troy Petenbrink | Eurek Alert!

Further reports about: NCP Nutrition Society dementia healthy malnutrition metabolism

More articles from Studies and Analyses:

nachricht Risk Perception: Social Exchange Can Amplify Subjective Fears
21.04.2015 | Max-Planck-Institut für Bildungsforschung

nachricht Mental Disorders and Physical Diseases Co-occur in Teenagers
08.04.2015 | Universität Basel

All articles from Studies and Analyses >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: Fast and Accurate 3-D Imaging Technique to Track Optically-Trapped Particles

KAIST researchers published an article on the development of a novel technique to precisely track the 3-D positions of optically-trapped particles having complicated geometry in high speed in the April 2015 issue of Optica.

Daejeon, Republic of Korea, April 23, 2015--Optical tweezers have been used as an invaluable tool for exerting micro-scale force on microscopic particles and...

Im Focus: NOAA, Tulane identify second possible specimen of 'pocket shark' ever found

Pocket sharks are among the world's rarest finds

A very small and rare species of shark is swimming its way through scientific literature. But don't worry, the chances of this inches-long vertebrate biting...

Im Focus: Drexel materials scientists putting a new spin on computing memory

Ever since computers have been small enough to be fixtures on desks and laps, their central processing has functioned something like an atomic Etch A Sketch, with electromagnetic fields pushing data bits into place to encode data.

Unfortunately, the same drawbacks and perils of the mechanical sketch board have been just as pervasive in computing: making a change often requires starting...

Im Focus: Exploding stars help to understand thunderclouds on Earth

How is lightning initiated in thunderclouds? This is difficult to answer - how do you measure electric fields inside large, dangerously charged clouds? It was discovered, more or less by coincidence, that cosmic rays provide suitable probes to measure electric fields within thunderclouds. This surprising finding is published in Physical Review Letters on April 24th. The measurements were performed with the LOFAR radio telescope located in the Netherlands.

How is lightning initiated in thunderclouds? This is difficult to answer - how do you measure electric fields inside large, dangerously charged clouds? It was...

Im Focus: On the trail of a trace gas

Max Planck researcher Buhalqem Mamtimin determines how much nitrogen oxide is released into the atmosphere from agriculturally used oases.

In order to make statements about current and future air pollution, scientists use models which simulate the Earth’s atmosphere. A lot of information such as...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

Event News

HHL Energy Conference on May 11/12, 2015: Students Discuss about Decentralized Energy

23.04.2015 | Event News

“Developing our cities, preserving our planet”: Nobel Laureates gather for the first time in Asia

23.04.2015 | Event News

HHL's Entrepreneurship Conference on FinTech

13.04.2015 | Event News

 
Latest News

Electrons Move Like Light in Three-Dimensional Solid

24.04.2015 | Materials Sciences

Connecting Three Atomic Layers Puts Semiconducting Science on Its Edge

24.04.2015 | Materials Sciences

Understanding the Body’s Response to Worms and Allergies

24.04.2015 | Health and Medicine

VideoLinks
B2B-VideoLinks
More VideoLinks >>>