Malnutrition Flashcards
1
Q
What % of geriatric inpatients are malnourished
A
50%
2
Q
What % of gerries are deficient in Fe/B12/folate
A
20%
3
Q
What % of gerries are vit C deficient
A
50%
4
Q
What % of gerries are vit D deficient
A
70%
5
Q
Key causes of weight loss in older people (8)
A
Depression MCI/Dementia Delirium/psychosis Alcohol uuse Medications Dysphagia Malabsorption Any lt condition
6
Q
Assessment of nutritional status (8)
A
MUST/MNA Dietary Hx + W changes Clinical exam - evidence nutritional disease Functional assessment Swallowing assessment Biochemistry tests BMI Skinfold thickness/mm power
7
Q
What is the MUST tool step 1
A
Measure w + h –> BMI
8
Q
MUST tool step 2
A
Note % unplanned W loss
9
Q
MUST tool step 3
A
Establish acute disease effect + score
10
Q
MUST tool step 4
A
Add scores step 1-3
11
Q
MUST tool step 5
A
Develop appropriate care plan
12
Q
MUST score > 2 (high risk)…
A
Immediate intervention + close monitoring
13
Q
MUST score 1 (med risk) Mx
A
Monitor w/ food charts for 3 days
Then decision made on further intervention
14
Q
Tx approaches malnutrition - MEALS ON WHEELS
A
Medication Emotions (depression) Anorexia/alcoholism Late life paranoia Swallowing problems Oral/dental disorders No money Wandering (dementia) Hyperthyroidism/hyperparathyroidism Enteric problems (malabsorption) Eating problems Low salt/low cholesterol diet Social problems - shopping, food prep
