PACAH 2015 Goals for today A Examine Nutrition TRENDS among the elderly in America Think about SUPPLEMENT USAGE in the long term care setting Consider ideas to implement a ID: 602684
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Slide1
Improving Resident Nutrition and Reducing Supplement Needs
PACAH
2015Slide2
Goals for today
A. Examine Nutrition
TRENDS
among the elderly in America
Think about
SUPPLEMENT USAGE
in the
long term care setting
Consider ideas to implement a
FOOD FIRST
approachSlide3
Aging in America
The elderly population in the United States is growing. The
population 65 and over has increased from 35.9 million in 2003 to 44.7 million in 2013 (a 24.7% increase) and is projected to more than double to 98 million in 2060.
(Administration on Aging)Slide4
Facts about Older Americans
Persons
reaching age 65 have an average life expectancy of an additional 19.3 years (20.5 years for females and 17.9 years for males).
(Administration on Aging)Slide5
Nutrition Snapshot
It is estimated that more than 22% of the population over the age of 65 is malnourished. Malnutrition in the elderly is often not recognized or diagnosed.
(Nestle Nutrition Institute, MNA website)
Slide6
(
(Furman,, E.F. Journal of
Gerontological
Nursing.)
Elderly in the
Community:
5 – 10%
are malnourished.
Elderly in the
Hospital:
60%
are malnourished.
Elderly in Long
Term Care:
35 – 85%
are malnourishedSlide7
Causes of Malnutrition
Physical Aspects of aging
Social Situations
Depression
Medical Conditions
Financial ConcernsHospitalizationSlide8
What’s your Go-To approach?
Is it a Food First Approach?
VSSlide9
Are supplements evil?
Or are they good?Slide10
Step up
to a
Better
Dining
ExperienceSlide11
Assess the Individual
Upgrade the Dining Program
Implement Quality Food Programming
Steps to SuccessSlide12
Food
Preferences
Food
Texture
Personal
Schedule Eating Environment
Assess the IndividualSlide13
The Dining Room
Why is a Well Designed Dining Room Program so important?
Greater choice
Greater attention from staff
Socialization
Lighting & atmosphere
Staff observation and cues
Staff notices declines faster
Food can be served in “courses”
Seconds & alternates are more available
Better able to eat with family & visitors
“Copy - cat” : people eat more when they see others eating.
Positioning improvesSlide14
Need for
Assistance
Impact of
Medications
Medical
Conditions & Pain
Assess the IndividualSlide15
Borun Center for Gerontological Research Slide16
Isolation
Helplessness
Boredom
Grief & Loss
Assess the IndividualSlide17
Assess the Individual
Upgrade the Dining Program
Implement Quality Food Programming
Steps to SuccessSlide18
Upgrade your Dining Program
What’s HOT
What’s NOT!Slide19
Upgrade your Dining Program
Decentralization
Greater Food Availability
More Food Choices
Staff Crossover
Hot… Slide20
Upgrade your Dining Program
Medical Model
Assigned Seating
Limited Choices
Strict Meal times
Limited areas of access to foodSlide21
Assess the Individual
Upgrade the Dining Program
Implement Quality Food Programming
Steps to SuccessSlide22
Always Available Menu
For your dining pleasure…
Puree Program
Fortified
Foods
Program
Finger
Foods
Program
Menu
Alternates
Quality Food ProgrammingSlide23
Puree Food P
rogram
“We saw a dramatic increase in our resident’s food consumptions.
The nursing staff also really enjoyed telling the residents what they were eating
.”Slide24
Puree chocolate peanut butter delight
Puree lasagna, garlic bread and spinachSlide25
Fortified Foods
Regular
Mashed
Potatoes
120 calories,
2 g proteinFortified Mashed Potatoes
252 calories, 9 g protein
Regular Oatmeal
150 calories, 5 g protein
Fortified Oatmeal
534 calories, 9 g protein
Whole milk
150 calories, 8 g protein
Fortified Milk,
218 calories,
19 g protein
Slide26
VarietyEye Appeal
Soup to Nuts
Nutritional Density
Finger Foods Core ConceptsSlide27
Finger Foods make Eating EasierSlide28
Alternative Dining Selections MenuSlide29
Special Food Events
Slide30
Summer Crab Bake!Slide31
Summer Crab Bake!Slide32
Special Food-Related Events Like Cookouts and Farmer’s MarketsSlide33
Chef Displays, Dining Discoveries and Cooking Classes Slide34
Holidays, Special Events and Themed MealsSlide35
Taste Test Time!
Chicken Salad Sliders
Chocolate Peanut butter
Pudding