Barriers to adequate nutrition

Question 1

Poor dentition- poorly fitted dentures, dental cavities

Answer 1

Adults who lost teeth or have bad teeth will have impaired chewing
Or having new dentures will make it harder to eat/chew with them

Question 2

Interventions for poor dentition

Answer 2

do a dental screening when elder pt is admitted to see what can affect their eating
Work with a dietitian or nutritionist to assist with meal planning
cut food uo

Question 3

Being poor( not having the money to follow a certain diet or buy healthy options) and a lack of access

Answer 3

Lack of money to get healthy foods lead to malnutrition or obesity
Not being able to drive to the store
Food desserts in low-income areas

Question 4

Interventions for lack of access and being poor

Answer 4

Collab with a dietitian to find alter options
Teach about frozen fruits and veggies
Teach how to read food labels
Talk with social services for food stamps

Question 5

Cognitive disorders

Answer 5

Dementia, Alzheimer’s can impact nutritional status.

Shopping for food, and selecting foods, and preparing foods are harder
AS cognitive disorders progress refusal to eat or only eat a small group of foods that might not give proper nutrition

Question 6

Nursing care for cognitive disorders

Answer 6

have pt shop with a friend or have a shopping list
monitor for nutritional deficiencies(vitamins and minerals)
Social worker to have food delivery for pt
Give a small food menu with healthy options
give snacks
cut into small pieces

Question 7

Altered sensory perception

Answer 7

Poor/altered vision, smell and taste can make it harder for them to eat or feed themselves

Pt might need assistance with shopping and food prep
altered smell= altered taste
Smoking pt will have altered sense of smell
chemo pt will have altered taste

Question 8

Nursing care for sensory perception

Answer 8

Shop with a friend or have grocery delivered to the house
meal delivery
if they have food aversion eat food cold
eat more spicy or tangy food for pt with altered taste
suck on candies to rid nasty taste in mouth
Have pt avoid eating empty calories

Question 9

Impaired swallowing

Answer 9

Neuro disorders such as Parkinson’s, cerebral palsy and stroke or surgery on mouth, throat, epiglottis or larynx. Makes it harder to manage food and swallow without choking

At risk for aspiration
oral cancer pt have hard time chewing and making bolus of food before swallowing
partial or total removal of larynx and epiglottis make it easier to aspirate on food and fluid

Question 10

Nursing care impaired swallowing

Answer 10

always monitor these pt
thicken the foods