How can antioxidants be related to cataracts or AMD?
No effect on cataracts
Little to no benefit in patients with no AMD or little AMD
Patients with moderate or advanced AMD - zinc and antioxidants reduced risk to advanced AMD or loss of vision
What is the most common cause of blindness in the developed world?
Age related macular degeneration
Why is anemia a problem with poor nutrition?
Can lead to fatigue and depressive symptoms
Why is a nutrition important in elderly?
Poor nutrition (hypoalbuminemia) is a cardinal sign for higher morbidity and mortality Poor nutrition leads to dehydration and increased risk of hospital
Why is dehydration a risk for elderly?
Decreased thirst and decreased ability to concentrate urine
What is DETERMINE checklist?
What can be the results of a B12 deficiency and calcium deficiency associated with poor nutrition?
B12 - Cognitive effects and gait instability
Calcium - osteoperosis and osteopenia
What are some things that you can recommend to patients?
Protein shakes - take in between meals
Improve their environment
Communication with patient and family
Meals on wheels
What can a patient do to increase a patients colon health?
Unprocessed grains to max transit time
What can be the consequences of a Vitamin D deficiency?
What is the most common fluid disturbance in elderly?
What is undernutrition?
Syndrome characterized by weight loss and compromised protein status
What is the clinical approach to nutrition in the elderly?
What are some of the barriers to good nutrition?
What should you look for in a physical exam?
What is the importance of temporal wasting?
It shows that a patient may not be getting enough nutrition
What are some of the social barriers to good nutrition?
What are low disease risk fruits and veggies?
Fruit - Citrus, melon, and berries Veggies - dark green veggies, deep yellow and orange, tomatoes
What is the key to long life?
High HDL Higher vitamin A and E Low superoxide dismutase Fish oil!
What is considered bad weight loss?
10% over 6 months or 5% in one month
What are some good natural antiinflammatory agents to suggest?
Curry and turmeric - contain curcumin