Chapter 13 Health Aging- FINAL Flashcards
Aging:
-___, ___ process programmed into our __ at ___.
Inevitable
natural
genes
conception
Does good nutrition prolong life?
Yes and No!
-Yes, as it helps to ___ the life expectancy (average at ___)
No, it does not help increase the __ __ __( ___ ___ at which people ___ ~ ___ years)
increase
life expectancy (Average at death)
maximum life span(max age at which people die appx. 114)
Why should we encourage adults to be well-nourished?
-Stay ___
Maintain ___
Avoid ___ a ___ ___
Maintain ___ ___
well
health
developing chronic disease
functional independence
Demographic Trends:
- % of ___ ___ ___ population will increase.
- __%of the population in 2010 & __% of the population in 2030 will be >___ years old
older adult minority
14%
20%
65
The United States ranks __the in the world in life. expectancy.
-___ is highest with ___ years
38th
Japan
82.6
Common Chronic Diseases in Older Adults:
- ____
- ___
- ___ __ ___
- ____
Diabetes
Arthritis
Congestive Heart Failure
Dementia
Other Common Diseases:
- ___
- ___ ___ ___ ___
- ___ ___ ___
- ___
- ___
Cancer Chronic obstructive pulmonary disease Coronary heart disease Hypertension Osteoporosis
Aging and Nutritional Status:
-Members of the ___ ___ vary greatly
___, ___, and ___ situations
____ capacity
____ condition
older population
Social, economic, and lifestyle
Functional
Physical
Most of the population older than 65 yrs of age:
- Live at ___
- Only ___% of older population live in nursing homes
- Are fully ___
- Have lives of ___ ___
home
4.4%
independent
good quality
How Aging Affects Nutritional Status:
- Altered ____ capacity
- ____
- ___
- ____
- ____
- ___
- ___
functional sensory endocrine gastrointestinal cardiovascular renal neuromuscular
Nutrient Needs (in older people): ↑ \_\_\_\_ ↑ \_\_\_ \_\_\_ ↑ \_\_\_\_ \_\_\_ -\_\_\_-\_\_\_ \_\_\_ \_\_\_ diet
Calcium
vitamin D
vitamin B12
low-calorie, nutrient-rich -
Anthropometric Assessment:
- Height
- loss of height associated with ___ - Weight/BMI
___ = BMI ≥ 25.0 ___ inches for men
> ___ inches for women
osteoporosis Overweight Obesity android obesity 40 inches 35 inches
Biochemical Assessment:
- ___ ___ ___
- ___-__
- ___-___
- ___
- ___ ___
- __ ___
Total blood cholesterol LDL-C HDL-C Hemoglobin Serum Albumin blood glucose
Clinical Assessment:
Individual/family medical history
- Polypharmacy
- Use of ___ or more prescribed medications
- ___ ___of over-the-counter medications
- ____ quackery
- ___-___ interactions
__ ___ exam
-___ exam
___ ___
Hypertension = > __/__ mmHg
3 daily use Nutrition Drug-nutrient Oral cavity physical blood pressure 140/90
Dietary Assessment:
- ___ ___
- __ __ __
- ___-__ ___ ____
Food diary
Food frequency questionnaire
24-hour food recall
Mini Nutritional Assessment:
- Sponsored by ___
- ___ and more ___ than the Nutrition Screening Initiative
Nestle
Longer and more detailed
** How is functional independence defined?
- ___ of ____ ___ (ADL) Scale
___ activities involved with ___ ___.
Based upon ___ criteria
A __ ___ means that a person is more able to take care of him/herself.
Activities of Daily Living Everyday personal care 6 high score
6 ADL Criteria:
- Bathing with ___, __, or ___
- ___
- ___ Use
- ___ (in and out of __ or ___)
- ___ and ___Continence
- ___
sponge, bath, or shower dressing toilet transferring (in and out of bed or chair) urine and bowel continence eating
Scoring:
-Each criteria is graded on level of _____
Performs ____
Performs with ___
__ to ___ (assigned 1 point each)
dependence
independently
assisstance
able, perform
ADL Interpretation:
-Level of ADL Dependence graded via ____
Dependence in ADLs suggested by score of __ to ___
Independent in ADLs increases as score approaches ___
score
0 to 1
6
How is functional independence defined?
- ___ __ of ___ ___ (IADL) Scale
- Activities related to ____ living
- Based upon __ criteria
- A ___ ___ indicates that the person is better able to live independently
Instrumental Activities of Daily Living
independent
7
higher score
7 IADL Criteria:
- Use of the ____ (look up numbers, dial, answer)
- ___ via __ or ___ ___
- ___ or ___ ___ (regardless of transport)
- ___ preparation
- ____
- ____ use (Preparing and taking correct dose)
- ___ of money (write checks, pays bills)
telephone traveling, car, public transportation food, clothes shopping meal housework medication management
IADL Scoring:
Independent: ___ points
Assistance needed: ___ points
Dependent: ___ point
3
2
1
IADL Interpretation:
-A higher score means that the person is more ___ ___.
higher score
functionally independent
USDA Sponsored Programs:
- ___ ___ ___ Program
- ___ __ ___ ___ Program
- ___ ____ ___ ___ Program
- ___ ___ ___ Program (CSFP) (Food for Families Program in LA)
Supplemental Nutrition Assistance
Adult Day Care Food
Senior Farmers’ Market Nutrition
Commodities Supplemental Food
The Commodities Supplemental Food Program:
Works to improve the health of:
- ___-___ ___ ___ ≥ __ years of age
- ___ and ___ women
- Other new mothers up to __ __ postpartum
- Infants and children up to __ yrs
Low-income elderly people 60 Pregnant and breastfeeding one year 6
How Does the CFDP Work?
- USDA
- ____ food;
- Supplies ___ for administrative costs. - State agencies
- ___ the food
- ___ to public/non-profit private ___ __ - Local agencies
- Determine ____
- ___ the ___
- Provide ___ ___
- Provide ____
- ___
- ___
- ___
Purchases funds Store distribute local agencies eligibility distribute, foods nutrition education referrals SNAP Medicaid Medicare
Who is Eligible to Participate in the CFDP?
- ___, ___, and ___ with incomes between __% and ___% of the Federal Poverty Level (if not participating in WIC)
- ____
With incomes ≤ ___% of the Federal Poverty Level
Women, infants, children
100-185%
Elderly
130%
In 2011, Louisiana had the___ highest level of participation of any state in the nation in the CSFP program.
third
___ ___ ___ ___ Program (___ ___ Program or ___) provides grants that pay for local congregate and home-delivered meals (AoA)
Older Americans Act Nutrition
Elderly, Nutrition, ENP
Elderly Nutrition Program:
Provide meals at least __ times per week
1 meal = __/__rd of DRIs
2 meals = __/__rd of DRIs
3 meals = __% of DRIs
5
1/3rd
2/3rd
100%
Elderly Nutrition Program (DHHS, AoA):
- __-__, ___ meals
- Opportunities for ___ ____
- Nutrition ___ and ___
- Nutrition ___ and ____ assistance
- ___ and ___ to other social and rehabilitation services
- ____ services
Low-cost, nutritious social interaction screening and assessment education, shopping Counseling referral, Transportation
Private-Sector Nutrition Assistance:
- ___ ___
- ___ ___ (St. Vincent de Paul)
- ___ on ___ ___ ___ (MOWAA)
Food Banks
soup kitchens
meals on wheels Association, America
Nutrition Education Programs:
-Goals are to raise the overall level of ____ ___.
Healthy ___ ___
Benefits of ___ ___
___ ___ ___ to provide access to nutrition, low-cost meals for the entire family
nutrition knowledge
food choices
physical activity
Budget food dollars
Nutrition Education Programs:
-Teach ___ ___ and ___ __.
-Use ___ ___ ___ practices
Food ___, ___, and ___
-Make ___ ___ for preventing ___ ___
shopping management, consumer skills safe food handling preparation, preservation, storage lifestyle changes, chronic diseases
Louisiana Nutrition Education Programs:
- ___ ___ ___ and ___ ___ ___(EFNEP)
- DEAR – ___ ___ ___
- ___ ___ ___Program
- __ ___-___ program
- ___ ___ ___ ___ Program
- NCI 5-A-Day Program (___ __ to ___ a ___)
LA Expanded Food & Nutrition Education Program Diabetes Education Awareness Portions Healthy Weight LA SNAP-ED NHLBI National Cholesterol Education Now 5-to-9 A Day
