Chapter 63

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Care of Patients with Malnutrition and Obesity
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1

USDA Older Adult recommendations

8 glasses of water, high fiber diet, calcium, vitamin D and B12 supplements, low-sodium and cholesterol-containing foods

2

Nutritional Screening

inspection, height and weight, weight history, eating habits, chew & swallow ability, changes in appetite or food intake?

3

Marasmus

calorie malnutrition where body fat and protein are wasted

4

Kwashiorkor

lack of protein quantity and quality regardless of adequate calories

5

Common cause of malnutrition in nursing home residents

dysphagia

6

Nasoduodenal tube (NDT) advantages

Smaller in size which reduces risk for nasal irritation, sinusitis, tissue erosion, and pulmonary compromise (aspiration)

7

Refeeding Syndrome

life-threatening issue that can occur when nutrition is initiated after a state of starvation

8

Most accurate confirmation of feeding tube placement

X Ray

9

Fat overload syndrome

fever, increased triglycerides, clotting issues, and multi-system organ failure

10

Complications of obesity

type 2 DM, hypertension, hyperlipidemia, CAD, stroke, PAD, sleep apnea, cholelithiasis (gallstones), gout, metabolic syndrome