Liberalizing Diets: Nourishing Tenants with Dignity and Individuality. Denice Nycz, RD,CD, CSG, EP-C
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1 Liberalizing Diets: Nourishing Tenants with Dignity and Individuality Denice Nycz, RD,CD, CSG, EP-C
2 Have you ever wanted to be a SUPER HERO! Oivind Hovland/Getty Images; Healthy Mind by Verywell; Kendra Cherry; May 2016.
3 Super Heroes... Are competent and confident Are concerned with the well-being of others See things from the perspective of others. Healthy Mind; VeryWell; Kendra Cherry; May retrieved from
4 Super Heroes of Healthcare Lifelong heroes are caregivers who care for and comfort the sick, depressed and dying. Their acts of heroism come in the form of empathy, nurturance and value for human dignity.
5 Our tenants rely on their Super Heroes. So they can reach their full potential with... Dignity Independence Individuality
6 Some Tenants Health and Individuality is in Jeopardy. Restrictive diets could rob some tenants of their independence, health and happiness.
7 Affects of Heavily Restricted Diets Loss of independence Dissatisfaction and anxiety Poor intakes Weight loss Muscle breakdown Malnutrition Pressure wounds Lethargy Immune disfunction Delay in recovery from illness Overall decline of quality of life
8 Effects of Aging on Diet and Appetitie Nothing wrong with aging, everyone is doing it! TM Sensory losses Decline in oral health Changes in gastrointestinal physiology Body composition changes Age related injuries (falls) Medications
9 The Power of Good Nutrition Impacts the quality of life Delays or prevents chronic disease Can add additional years of life Increases functionality
10 Position of the Academy of Nutrition and Dietetics... the quality of life and nutritional status of older adults residing in health care communities can be enhanced by individualization to less-restrictive diets. J AmDiet Assoc
11 Risks vs. Benefits of Least Restrictive Diets For many older adults residing in health care communities, the benefits of less restrictive diets outweigh the risks... J Am Diet Assoc
12 CMS Recognizes Liberalized Diets... It is often beneficial to minimize restrictions consistent with a resident s condition, prognosis and choices. State Operations Manual: Appendix PP- Guidance to surveyors for long term care facilities.
13 Considering a Liberalized Diet Is the tenant being deprived of familiar, wellliked foods for reasons that are vaguely defined? Has the diet approach emphasized tenant choice and dignity? Does the tenant s diet contribute to overall health and quality of life?
14 Specific Disease Conditions to Consider when Liberalizing Diets Diabetes Mellitus Cardiovascular Disease Chronic Kidney Disease Obesity/weight loss Alzheimer s Disease/dementia Palliative Care
15 Specific Disease Conditions to Consider when Liberalizing Diets Diabetes Mellitus Cardiovascular Disease Chronic Kidney Disease Obesity/weight loss Alzheimer s Disease/dementia Palliative Care
16 Common Modified Diets in Health Care Communities There is no evidence to support prescribing diets such as no concentrated sweets or no sugar added for older adults living in health care communities, and these restricted diets are no longer considered appropriate. J Am Diet Assoc General No Added Salt Consistent Carbohydrate Renal (resident specific) Consistency Modifications; General Texture Mechanical Soft Puree
17 The Role of the Care Team Individualized plan of care should be developed consistent with needs based on nutritional status, medical condition and personal preferences. J Am Diet Assoc Collaboration among the tenant, family and care team. Recommended that a Registered Dietitian assess for nutrition intervention. Physician approval for change in diet order.
18 AMDA Clinical Practice Guideline for Alteration in Nutritional Status.2010, 20. ADA Position Paper Individualized Nutrition Approaches for Older Adults in Health Care Communities ADA Position Paper Liberalization of Diet Prescription Improves Quality of Life for Older Adults in Long Term Care CD-HCF Dining Skills: Practical Interventions for the Caregivers of Older Adults with Eating Problems. American Dietetic Association Chernoff, R Geriatric Nutrition. Jones and Bartell. Boston, Ma. New Dining Practices Pioneer Network Food and Dining Clinical Standards Task Force Niedert, K. and Becky Dorner.2004 Nutrition Care of the Older Adult.American Dietetic Association. Mahan, K. and S. Escott-Stump Krause s Food and Nutrition Therapy. Saunders. St. Louis, Mo.
19 Oivind Hovland/Getty Images; Healthy Mind by Verywell; Kendra Cherry; May 2016.
20
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