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Nutrition for the Older Adult

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Risk Factors Influencing Nutrition Status of Older Adults Socioeconomic Psychological Environmental Physiological Polypharmacy Nutrient needs Cycle of Malnutrition ... – PowerPoint PPT presentation

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Title: Nutrition for the Older Adult


1
Nutrition for the Older Adult
  • M. Burns
  • FCS 3151

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Healthy People 2010
  • Reduce the prevalence and overall number of
    people who suffer from chronic diseases
  • Increase the proportion of adults who are at a
    healthy weight
  • Increase the consumption of foods in accordance
    with the food guidance systems
  • Increase the proportion of dr. visits
  • Increase the proportion of adults engaging in
    physical activity daily
  • Increase the proportion of worksite wellness
    programs

5
Eating habits are affected by
6
Risk Factors Influencing Nutrition Status of
Older Adults
  • Socioeconomic
  • Psychological
  • Environmental
  • Physiological
  • Polypharmacy
  • Nutrient needs

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Cycle of Malnutrition
10
  • Joint effort to promote nutrition and improve
    nutritional care for the elderly.
  • ADA, American Academy of Family Physicians,
    National Council on Aging
  • Goals identify potential risk factors, identify
    indicators of malnutrition, and raise public
    awareness

11
Combating Malnutrition
  • Health Promotion
  • Worksite wellness
  • Nutrition education
  • Food Assistance Programs

12
Nutritional Risk Factors
  • lt8 main meals/week
  • lt 1 c milk daily
  • Little/no intake of F/V
  • Wastage of food
  • Long periods without food/beverage
  • Depression/loneliness
  • Unexpected weight change
  • Shopping difficulties
  • Low income
  • Presence of disabilities, including alcoholism

13
Assistance Programs
  • Adult Day Care
  • Meals/snacks to participating day care programs
  • Seniors Farmer Market Program
  • Food Stamp Nutrition Education
  • Food Stamp Program

14
Food Stamp Program
  • Food Stamp Act of 1977 (PL 95-113)
  • Objective is to improve the diets of low-income
    households by increasing their food purchasing
    ability
  • Eligibility and allotment based on Thrifty Food
    Plans

15
Critical Thinking Moment
  • Currently, about 9 of the FSP participants are
    older adults (60) with only 30 of the eligible
    participating.
  • WHY?

16
Barriers to Participation
  • Physical
  • Transportation, location, lack of services
  • Economic
  • Perceived unaffordability, poor but still dont
    qualify
  • Cultural
  • Language, distrust, discomfort with
    participating, pride
  • Limited funding at federal level

17
Assistance Programs
  • Medicare/medicaid
  • Elderly Nutrition Program (ENP)
  • AOA
  • Meals, transportation, shopping assistance,
    limited nutrition education, referral and
    attention to needs of the homebound elderly

18
Focus on Elderly Nutrition Program
  • Older Americans Act of 1965
  • Established AOA
  • 1972, established ENP
  • Congregate and home-delivered meals, therapeutic
    diets
  • Improve older persons nutritional status and
    enable them to avoid medical problems, continue
    living in communities of their own choice, and
    stay out of institutions.

19
Focus on ENP Goals
  • Low-cost, nutritious meals
  • Opportunities for social interaction
  • Nutrition screening and assessment
  • Nutrition education and shopping assistance
  • Counseling and referral to other social and rehab
    services
  • Transportation services

20
Focus on ENP Sample Meal Pattern
  • 3 oz meat/meat alternate
  • Two ½ c svg fruit and/or vege
  • 1 svg enriched white or whole grain bread
  • 1 tsp butter or margarine
  • 8 oz milk or calcium equivalent
  • 1 dessert

21
Focus on ENP Benefits
  • Based only on age, not on income
  • Cost effective
  • Funding covers more than food
  • Transportation, shopping assistance, etc
  • Nutrition and functional assessment
  • Nutrition education, albeit limited

22
Focus on ENP Limitations
  • Lack of regular provision of w/e and evening
    meals
  • Waiting lists for home-delivered meals
  • Cost of home-delivered meals
  • No therapeutic meals
  • Greater demand due to growing population

23
Private Sector
  • Provides leadership and professional training to
    those who provide congregate and home-delivered
    meals
  • Grant opportunities
  • Reaches out to communities not fully serviced by
    ENP
  • Provides weekend and holiday meals in addition to
    ENPs typical 5 meals/week

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