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!
Deadly Japan quake and tsunami spurred global warming, ozone loss
26.03.2015 | American Geophysical Union
When clocks are set forward, life satisfaction declines
26.03.2015 | Sozio-oekonomisches Panel (SOEP)
In an experiment at the Department of Energy's SLAC National Accelerator Laboratory, scientists precisely measured the temperature and structure of aluminum as...
The IPH presents a solution at HANNOVER MESSE 2015 to make ship traffic more reliable while decreasing the maintenance costs at the same time. In cooperation with project partners, the research institute from Hannover, Germany, has developed a sensor system which continuously monitors the condition of the marine gearbox, thus preventing breakdowns. Special feature: the monitoring system works wirelessly and energy-autonomously. The required electrical power is generated where it is needed – directly at the sensor.
As well as cars need to be certified regularly (in Germany by the TÜV – Technical Inspection Association), ships need to be inspected – if the powertrain stops...
When an earthquake hits, the faster first responders can get to an impacted area, the more likely infrastructure--and lives--can be saved.
The Atlantic overturning is one of Earth’s most important heat transport systems, pumping warm water northwards and cold water southwards. Also known as the Gulf Stream system, it is responsible for the mild climate in northwestern Europe.
Scientists now found evidence for a slowdown of the overturning – multiple lines of observation suggest that in recent decades, the current system has been...
Because they are regularly subjected to heavy vehicle traffic, emissions, moisture and salt, above- and underground parking garages, as well as bridges, frequently experience large areas of corrosion. Most inspection systems to date have only been capable of inspecting smaller surface areas.
From April 13 to April 17 at the Hannover Messe (hall 2, exhibit booth C16), engineers from the Fraunhofer Institute for Nondestructive Testing IZFP will be...
25.03.2015 | Event News
19.03.2015 | Event News
17.03.2015 | Event News
27.03.2015 | Agricultural and Forestry Science
27.03.2015 | Materials Sciences
27.03.2015 | Ecology, The Environment and Conservation