Finding and Fighting Malnutrition in the Elderly: Hearing Before the Subcommittee on Aging of the Committee on Labor and Human Resources, United States Senate, One Hundred Second Congress, Second Session, Examining the Nutritional Status of Older Americans, Focusing on Nutrition Screening Services, February 20, 1992, Volume 4U.S. Government Printing Office, 1992 - 38 pages |
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Academy of Family acute medical American Dietetic Association American Nurses Association approach to screening attention to nutrition balanced meal bedsores Bill Moyer BROCK ADAMS cancer Chairman committee congregate and home-delivered congregate clients delivered meal Determine Your Nutritional diet dietician director dollars Elaine White elderly nutrition Family Physicians Florida International University health problems hearing high nutritional risk identify important improve initiative's John Wren Kathleen Cope Kerschner lives malnutrition meal a day Meals-on-Wheels clients Medicare nursing homes nutrients nutrition and aging nutrition and health nutrition education nutrition intervention Nutrition Screening Initiative nutrition services nutrition sites nutrition support nutrition-related Nutritional Health Checklist nutritional needs nutritional well-being older adults older Ameri Older Americans Act older person osteoporosis panel patients percent poor nutritional status Posner prepared statement preventive health professionals reimbursement screening and nutrition Senator ADAMS seniors served service providers staff subcommittee THAD COCHRAN tion tional trition warning signs Wren
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Page 12 - Read the statements below. Circle the number in the yes column for those that apply to you or someone you know. For each yes answer, score the number in the box. Total your nutritional score. DETERMINE YOUR NUTRITIONAL HEALTH YES I have an illness or condition that made me change the kind and/or amount of food I eat.
Page 12 - You are at moderate nutritional risk. See what can be done to improve your eating habits and lifestyle. Your office on aging, senior nutrition program, senior citizens center or health department can help. Recheck your nutritional score in 3 months. 6 or more You are at high nutritional risk. Bring this checklist the next time you see your doctor, dietitian or other qualified health or social service professional. Talk with them about any problems you may have. Ask for help to improve your nutritional...
Page 13 - Any disease, illness or chronic condition which causes you to change the way you eat. or makes it hard for you to eat, puts your nutritional health at risk. Four out of five adults have chronic diseases that are affected by diet. Confusion or memory loss that keeps getting worse is estimated to affect one out of five older adults This can make it hard to remember what, when or if you've eaten.
Page 13 - POORLY Eating too little and eating too much both lead to poor health. Eating the same foods day after day or not eating fruit, vegetables, and milk products daily will also cause poor nutritional health. One in five adults skip meals daily. Only 13% of adults eat the minimum amount of fruit and vegetables needed. One in four older adults drink too much alcohol. Many health problems become worse if you drink more than one or two alcoholic beverages per day.
Page 13 - WEIGHT LOSS/GAIN Losing or gaining a lot of weight when you are not trying to do so is an important warning sign that must not be ignored. Being overweight or underweight also increases your chance of poor health. NEEDS ASSISTANCE...
Page 13 - Losing or gaining a lot of weight when you are not trying to do so is an important warning sign that must not be ignored. Being overweight or underweight also increases your chance of poor health. NEEDS ASSISTANCE IN SELF CARE Although most older people are able to eat, one of every five have trouble walking, shopping, buying and cooking food, especially as they get older. ELDER YEARS ABOVE AGE so Most older people lead full and productive lives. But as age increases, risk of frailty and health problems...
Page 36 - Many elderly persons do not eat adequately because (1) they cannot afford to do so ; (2) they lack the skills to select and prepare nourishing and well-balanced meals; (3) they have limited mobility which may impair their capacity to shop and cook for themselves; and (4) they have feelings of rejection and loneliness which obliterate the incentive necessary to prepare and eat a meal alone.
Page 12 - I have tooth or mouth problems that make it hard for me to eat. I don't always have enough money to buy the food I need. I eat alone most of the time. I take 3 or more different prescribed or over-the-counter drugs a day. Without wanting to, I have lost or gained 10 pounds in the last 6 months. I am not always physically able to shop, cook and/or feed myself. TOTAL Total Your Nutritional Score.
Page 13 - MEDICINES Many older Americans must take medicines for health problems. Almost half of older Americans take multiple medicines daily. Growing old may change the way we respond to drugs. The more medicines you take, the greater the chance for side effects such as increased or decreased appetite, change in taste, constipation, weakness, drowsiness, diarrhea, nausea, and others. Vitamins or minerals when taken in large doses act like drugs and can cause harm.
Page 13 - One-third of all older people live alone. Being with people daily has a positive effect on morale, wellbeing and eating. MULTIPLE MEDICINES Many older Americans must take medicines for health problems. Almost half of older Americans take multiple medicines daily. Growing old may change the way we respond to drugs. The more medicines you take, the greater the chance for side effects such as increased or decreased appetite, change in taste, constipation, weakness, drowsiness, diarhea, nausea, and others.