Project #162481 - Discussion Question

Medicine Tutors

Subject Medicine
Due By (Pacific Time) 01/11/2017 12:00 pm

Nutrition and Hydration

 

Geriatric patients have many nutritional and hydration concerns that impact their health and ability to acquire sufficient nutrients. Advanced practice nurses evaluating these patients must be able to account for all barriers that prevent elders from obtaining adequate nutrition, including medical conditions, transportation, finances, physiologic changes, and functional abilities. When evaluating patients, it is important to consider how they eat, what their diet consists of, and whether they have any special dietary needs that are not being met. Assessment tools, such as the Lawton Instrumental Activities of Daily Living (IADL) Scale, are an integral part of this evaluation process as they help providers identify potential obstacles for patients. In this Discussion, you assess a patient at your current practicum site and consider strategies for improving any nutrition or hydration issues.

 

To prepare:

 

Review this week’s media presentation, as well as Chapters 28 and 29 of the Flaherty and Resnick text.

 

Assess a patient using tools for inpatient and long-term patient care, such as the Lawton IADL Scale. Note: You should coordinate this opportunity with the Preceptor at your practicum site.

 

Consider whether nutrition and/or hydration might be impacted by the patient’s functional abilities. Reflect on whether the patient is able to go out and get food to eat, cook meals, safely use the stove, etc.

 

Consider the patient’s diet and whether they have any special dietary needs due to medical conditions, such as congestive heart failure, end-stage kidney disease, diabetes, oral health issues, etc. Reflect on whether or not the patient is attempting to compensate for a medical issue and thus creating a deficiency or excess in his or her diet.

 

Based on your patient assessment, think about strategies for improving any nutrition issues that might have presented (e.g., nutritional supplements, community resources such as Meals on Wheels, referral to a nutritionist or dietician, etc.).

 

Post on or before Day 3 a description of the patient assessment you performed using a tool for inpatient and long-term patient care, such as the Lawton IADL Scale.

 

Explain whether nutrition and/or hydration might be impacted by the patient’s functional abilities. Then, describe the patient’s diet and whether he or she has any special dietary needs due to medical conditions. Address whether or not the patient is attempting to compensate for a medical issue and thus creating a deficiency or excess in his or her diet. Finally, explain strategies for improving any nutrition issues that might present during the patient assessment.

 

Read a selection of your colleagues’ responses.

 

Respond on or before Day 6 to at least two of your colleagues on two different days in one or more of the following ways:

 

Suggest additional strategies for improving nutrition issues for your colleagues’ patients.

 

Offer and support an alternative perspective based on your own experience and additional literature search.

 

 

Validate an idea with your own experience and additional literature search.

 

References:

 

Flaherty, E., & Resnick, B. (Eds.). (2014). Geriatric nursing review syllabus: A core curriculum in advanced practice geriatric nursing (4th ed.). New York, NY: American Geriatrics Society.

Graf, C. (2008). The Lawton Instrumental Activities of Daily Living Scale. By detecting early functional decline, the scale can help nurses with discharge planning.  AJN, 108(4), 52-62.

Holroyd-Leduc, J., & Reddy, M. (Eds.). (2012). Evidence-based geriatric medicine: A practical clinical guide. Hoboken, NJ: Blackwell Publishing.

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