Chapter 13 Health Aging- FINAL Flashcards by Ciera Gray

Aging:

-___, ___ process programmed into our __ at ___.

Inevitable
natural
genes
conception

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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)

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Why should we encourage adults to be well-nourished?

-Stay ___
Maintain ___
Avoid ___ a ___ ___
Maintain ___ ___

well
health
developing chronic disease
functional independence

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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

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The United States ranks __the in the world in life. expectancy.

-___ is highest with ___ years

38th
Japan
82.6

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Common Chronic Diseases in Older Adults:

____
___
___ __ ___
____

Diabetes
Arthritis
Congestive Heart Failure
Dementia

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Other Common Diseases:

___
___ ___ ___ ___
___ ___ ___
___
___

Cancer
Chronic obstructive pulmonary disease
Coronary heart disease
Hypertension
Osteoporosis

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Aging and Nutritional Status:

-Members of the ___ ___ vary greatly
___, ___, and ___ situations
____ capacity
____ condition

older population
Social, economic, and lifestyle
Functional
Physical

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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

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How Aging Affects Nutritional Status:

Altered ____ capacity
____
___
____
____
___
___

functional
sensory
endocrine
gastrointestinal
cardiovascular
renal
neuromuscular

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Nutrient Needs (in older people):
↑ \_\_\_\_
↑ \_\_\_ \_\_\_
↑ \_\_\_\_ \_\_\_
-\_\_\_-\_\_\_ \_\_\_ \_\_\_ diet

Calcium
vitamin D
vitamin B12
low-calorie, nutrient-rich -

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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

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Biochemical Assessment:

___ ___ ___
___-__
___-___
___
___ ___
__ ___

Total blood cholesterol
LDL-C
HDL-C
Hemoglobin
Serum Albumin 
blood glucose

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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

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Dietary Assessment:

___ ___
__ __ __
___-__ ___ ____

Food diary
Food frequency questionnaire
24-hour food recall

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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? 1. USDA - ____ food; - Supplies ___ for administrative costs. 2. State agencies - ___ the food - ___ to public/non-profit private ___ __ 3. 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? 1. ___, ___, and ___ with incomes between __% and ___% of the Federal Poverty Level (if not participating in WIC) 2. ____ 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: 1. ___ ___ ___ and ___ ___ ___(EFNEP) 2. DEAR – ___ ___ ___ 3. ___ ___ ___Program 4. __ ___-___ program 5. ___ ___ ___ ___ Program 6. 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 ```

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Chapter 13 Health Aging- FINAL Flashcards

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