Factors affecting fulfillment of Nutritional Needs - -taste
-smell
-digestive tract
-buccal cavity
-regulation of appetite
Which is a common age-related physical change that may affect digestion and food intake? - Decreased motility of the esophagus
Which age-related change contributes to anorexia and weight loss in older adults? - Fewer taste buds
The nurse is trying to improve the nutritional status of residents in the nursing home. Which recommendation should the nurse implement? - Provide nutritious food according to the residents expressed food preferences with liberal use of seasonings
Risk factors for dehydration - -changes in thirst mechanism
-decrease in total body water
-decrease kidney function
-thirst sensation diminishes
-medications
-functional deficits/illness
Which is a true statement regarding fluid balance and aging? - Multiple physiological changes of aging place elders at greater risk of dehydration than middle aged adults
Which of the following is untrue? - Urine specific gravity and skin turgor can be used to diagnose dehydration in old adults and in younger people
Hydration Management - -should consume 1500 ml fluid at minimum
-85% of 85 and older drink less than 1 liter a day
Assessment of dehydration - -prevention is essential
-typical signs may not be evident in older adult
-lab tests (BUN, sodium creatinine, glucose, bicarb)
-observe urine color
Dysphagia - -difficulty swallowing
-negative consequences include weight loss, malnutrition, dehydration, aspiration, pneumonia
-aspiration pneumonia is the leading cause of death and the second most common cause for hospitalization among nursing home residents
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