Nutritional Needs
Hydration Needs
Threats to Good Nutrition
Nursing Diagnosis & Nursing Interventions
100

Gradually decrease throughout adulthood as a result of age-related changes

Caloric Needs

100

Minimal required fluid intake

1.5 Liters

100

Sitting in high Fowler position while eating and for 30 minutes afterwards is helpful because it decrease what?

Indigestion

100

Name this Nursing Diagnosis:

Weaker gag reflex; decreased esophageal peristalsis; relaxation of lower esophageal sphincter; reduced stomach motility

Risk for Aspiration

200

Limiting this dietary intake to less than 30% of total calories consumed is a good practice for older adults.

Fat Intake

200

Water makes up how much of the body weight for older adults

50% or less

200

related to a variety of conditions, including medication side effects, inactivity, physical illness, or age-related changes, such as decreased taste and smell sensations, reduced production of the hormone leptin, and gastric changes that cause satiation with smaller volumes of food intake

Anorexia

200

Mouthwashes with high alcohol content can be too harsh for older mouths. How should the nurse intervene?

Dilute the commercial mouthwash with water (half and half)

300

Postmenopausal women should have a daily intake of at least 1,000 mg of.....

Calcium

300

Lost of this specific fluid results in decreased total body fluid.

Intracellular fluid

300

The incidence of this increases with age and can take several forms, such as difficulty moving food from the mouth to the esophagus, down the esophagus, or from the esophagus into the stomach.

Dysphagia

300

1) Maintain a strict record of intake and output. 

2) Closely monitor vital signs, urine specific gravity, skin turgor, mental status.

These are nursing interventions to improve what condition in the older adult client


Fluid volume deficit or overload

400

Reducing this substance is advised, NOT mandatory for women

Alcohol 

400

Encourage fluids in older adults patients to prevent...

Dehydration or fluid volume deficit 

400

Common problem among older persons because of slower peristalsis, inactivity, side effects of drugs, and a tendency toward less fiber and fluid in the diet.

Constipation

400

Educating older adult clients about proper supplement and vitamin intake reduces what

Possible adverse effects due to high doses

500
Calcium deposits in the kidneys and arteries is possible with high doses of this vitamin
Vitamin D
500

Factors that may cause older adults to consume less fluid

  • Age-related reductions in thirst sensations 

  • Fear of incontinence (physical condition and lack of toileting opportunities

  • Lack of accessible fluids 

  • Inability to obtain or drink fluids independently 

  • Lack of motivation 

  • Altered mood or cognition 

  • Nausea, vomiting, and gastrointestinal distress

500
  • Weight loss greater than 5% in the past month or 10% in the past 6 months
  • Weight 10% below or 20% above ideal range
  • Serum albumin level lower than 3.5 g/100 mL
  • Hemoglobin level below 12 g/dL
  • Hematocrit value below 35%

The above are all signs of what in a older adult patient

Malnutrition

500

Decreased colonic peristalsis reduced sensation for signal to defecate

Risk for infection related to the risk of gallstone formation

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