Nutrition challenges of the dementia patient
This presentation is the property of its rightful owner.
Sponsored Links
1 / 17

Nutrition Challenges of the Dementia Patient. PowerPoint PPT Presentation


  • 95 Views
  • Uploaded on
  • Presentation posted in: General

Nutrition Challenges of the Dementia Patient. Nutrition Challenges of the Dementia Patient. Why is this topic important Nutrition Challenges of the aging adult The added challenges with the dx . of dementia Recommendations What is the “state” looking for Hot research topics.

Download Presentation

Nutrition Challenges of the Dementia Patient.

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Nutrition challenges of the dementia patient

Nutrition Challenges of the Dementia Patient.


Nutrition challenges of the dementia patient1

Nutrition Challenges of the Dementia Patient

  • Why is this topic important

  • Nutrition Challenges of the aging adult

  • The added challenges with the dx. of dementia

  • Recommendations

  • What is the “state” looking for

  • Hot research topics


Why is this topic important

Why is this topic important?

  • Changes in nutritional requirements

  • Changes in caloric needs

  • Vitamin D, B12,B6 and calcium

  • The population is growing


Nutritional challenges of the aging adult

Nutritional challenges of the aging adult

  • Cytokine

  • Sarcopenia

  • Decreased saliva production

  • Changes in dentition

  • Absorption

  • Peristalsis slows down

  • Vision loss

  • Incontinence

  • Diminished taste and smell

  • Social isolation/ loneliness

  • Sedentary lifestyle

  • Depression

  • Poverty/ decreased income

  • Medications


Added challenges with the dx of dementia

Added challenges with the dx. of dementia.

Stages of dementia

  • Stage 1: No impairment

  • Stage 2: Very mild decline

  • Stage 3: Mild decline

  • Stage 4: Moderate decline

  • Stage 5 Moderately severe decline

  • Stage 6: Severe decline

  • Stage 7: Very severe decline


Added challenges with the dx of dementia1

Added challenges with the dx. of dementia.

  • Increased agitation or restlessness

  • Inability to verbally communicate

  • Problems visually distinguishing between food, plates and other items on the table.

  • Loose ability to use utensils, condiments, etc.

  • Unable to recognize food as something to eat.

  • Confusion about meal times and/or ifthey have already eaten.


Added challenges with the dx of dementia2

Added challenges with the dx. of dementia.

  • Increased problems dealing with distractions

    -Too many people-Too much clutter

    -Incorrect lighting-Feels rushed

  • Loss of brain signals

  • Activity level (high or low)

  • Spatial awareness

  • Overeating

  • Paranoid thoughts

  • Hoarding


Recommendations

Recommendations

  • Medical and dental exams prn

  • Artificial saliva

  • Medication reviews

  • Evaluate the full person


Recommendations1

Recommendations

  • Make sure the resident’s glasses are clean

  • Visually distinguish items at the table and review the plate

  • Talk “meal time” up

  • Omit unnecessary utensils and codimets

  • Give one food item at a time

  • Provide finger food

  • Provide foods in mugs

  • 6 small meals

  • Provide nutrient dense foods


Recommendations2

Recommendations

  • Adjust consistency

  • Use step-by-step instructions

  • Use hand over hand feeding

  • Proper positioning

  • Encourage self feeding ( even if they are messy)

  • Reapproach

  • Instead of the normal clothing protector use an apron they like

  • Try to make food moist

  • Post meal times


Recommendations3

Recommendations

  • Turn off the radio or TV

  • Provide calm unhurried atmosphere

  • Avoid loud and abrupt movements

  • Be conscience of other’s behaviors

  • Make sure lighting is adequate

  • Encourage family to bring in favorite foods

  • Music and books prior to meals


Nutrition challenges of the dementia patient

It is important to remember that a person with dementia is still an adult. They are not trying to be difficult. The resident often can not help a behavior and changes are not personal.

What works one day may not work the next.


What is the state looking for

What is the “state” looking for?

  • Small frequent meal

  • Noting wishes stated on MOLST

  • Encouraging not forcing

  • List of avenues tried

  • Feeding assistance

  • Maintaining food temps

  • Reassessment of nutritional needs

  • Changes in chewing and swallowing ability

  • Adaptive equipment

  • Attentiveness to meals


Hot research topics

Hot Research Topics

  • Could a “brain pacemaker” work for people with Alzheimer’s

  • Effect of high carbohydrate diets

  • Correlations between insulin resistance in the brain and early Alzheimer’s.

  • Could microwave popcorn cause Alzheimer’s

  • Alcohol – Bad for the brain?


Hot research topics1

Hot Research Topics

  • More women than men have Alzheimer’s: Could it be in our genes?

  • Can vitamins ward off Dementia?

  • Benefit in longer term use of Aricept?

  • Skin cancer drug shows possible benefit in Alzheimer’s.

  • Can coconut oil treat Alzheimer’s?

  • Is eating fish still good for your brain?


References

References

Allard J, Current Opinion in Clinical nutrition & Metabloic Care: (2001)Vol 4 Issue 4 , pp 293-294, Nutritional status and the elderly: the challenge ahead.

Alzheimer’s Association (2012) Seven stages of Alzheimer’s. www.alz.org

Alzheimer’s Society (2011) Food for Thought. www.alsheimers.org.uk

Amella,E.J. (2007). Assessing nutrition in older adults. Try this: Best Practices in Nursing Care to Older Adults. Retrieved form www.hartfordig.org/publications/trythis/issue_9.pdf.

Morley JE,Silver AJ. Nutritioal issues in nursing home care. Ann Inern Med 1995:123:850-859

Russell R, The Joural of Nutrition Vol131 no.4 2001. Factors in Aging that effect the Bioavailability of Nutrients.

Zagaria M, U.S. Pharmacist 2010: Nutrition in the Elderly


  • Login