Malnutrition and obesity are both common among Americans over age 65. There are also a host of other medical conditions from which older people and other Medicare beneficiaries suffer that could be improved with appropriate nutritional intervention. Despite that, access to a nutrition professional is very limited. Do nutrition services benefit older people in terms of morbidity, mortality, or quality of life? Which health professionals are best qualified to provide such services? What would be the cost to Medicare of such services? Would the cost be offset by reduced illness in this population? This book addresses these questions, provides recommendations for nutrition services for the elderly, and considers how the coverage policy should be approached and practiced. The book discusses the role of nutrition therapy in the management of a number of diseases. It also examines what the elderly receive in the way of nutrition services along the continuum of care settings and addresses the areas of expertise needed by health professionals to provide appropriate nutrition services and therapy.

Nutrition, defined by Merriam-Webster, is the process of eating the right kind of food so you can grow properly and be healthy. However, making the right food and nutrition choices and finding the best and most accurate nutrition information can be a challenge, especially when a disease or injury is present. There are a wide range of ways that nutrition can be healing, from a simple broth that provides fluids and electrolytes to therapeutic nutrition for diabetes, irritable bowel syndrome, or osteoporosis. Registered Dietitian Nutritionists (RDN) have expertise in disease management and translation of nutrition requirements to foods to consume. However, nutrition care often does not receive the attention in the out-patient setting that is needed to achieve nutrition goals. The purpose of this book is to provide pertinent and concise nutrition care information for Registered Dietitian Nutritionists and other professionals working with individuals outside of the hospital including nurses, pharmacists, and physicians. This book covers screening, assessing, and treating malnutrition; out-patient nutrition care in diabetes, cardiovascular disease, gastrointestinal disease, osteoporosis; and home enteral and parenteral nutrition. In each chapter the reader will learn more about the disease process as well as the management of the disease or therapy. As the number of patients receiving home care nutrition support increases, proper assessment and management of this therapy is crucial, and clinicians need to practice at an advanced level. This book presents advanced and readily applicable information on proper nutrition care of individuals in the outpatient setting and those receiving home nutrition support.

Intro -- Foreword -- Acknowledgements -- Contents -- Part I: Nutritional Care in Geriatrics -- 1: Overview of Nutrition Care in Geriatrics and Orthogeriatrics -- 1.1 Defining Malnutrition -- 1.2 Nutrition Care in Older Adults: A Complex and Necessary Challenge -- 1.3 Malnutrition: A Truly Wicked Problem -- 1.4 Building the Rationale for Integrated Nutrition Care -- 1.5 Managing the Wicked Nutrition Problems with a SIMPLE Approach (or Other Tailored Models) -- 1.5.1 Keep It SIMPLE When Appropriate -- 1.5.2 A SIMPLE Case Example -- 1.5.2.1 S-Screen for Malnutrition -- 1.5.2.2 I-Interdisciplinary Assessment -- 1.5.2.3 M-Make the Diagnosis (es) -- 1.5.2.4 P-Plan with the Older Adult -- 1.5.2.5 L-Implement Interventions -- 1.5.2.6 E-Evaluate Ongoing Care Requirements -- 1.6 Bringing It All Together: Integrated Nutrition Care Across the Four Pillars of (Ortho) Geriatric Care -- 1.7 Summary: Finishing Off with a List of New Questions -- References -- Recommended Reading -- 2: Nutritional Requirements in Geriatrics -- 2.1 Nutritional Recommendations for Older Adults, Geriatric and Orthogeriatric Patients -- 2.2 Nutritional Recommendations for Older Adults -- 2.2.1 Energy Requirement and Recommended Intake -- 2.2.2 Protein Requirement and Recommended Intake -- 2.2.3 Micronutrients and Dietary Fibers -- 2.3 Nutritional Risk Factors in Older Adults -- 2.4 Estimating Intake in Older Adults -- 2.5 Nutritional Status of Older Adults, Geriatric and Orthogeriatric Patients -- 2.6 Summary -- References -- Recommended Reading -- 3: Nutritional Assessment, Diagnosis, and Treatment in Geriatrics -- 3.1 The Nutrition Care Process -- 3.2 Nutritional Screening/Risk Detection -- 3.3 Nutritional Assessment and Diagnosis -- 3.3.1 Nutrition Impact Symptoms -- 3.3.2 Nutritional Diagnosis -- 3.3.3 Etiologic Criteria.

As the number of patients receiving home care nutrition support increases, proper assessment and management of this therapy is crucial, and clinicians need to practice at an advanced level. This second edition provides practical nutrition care information for professionals working with individuals outside of the hospital including registered dietitians, nurses, pharmacists, and physicians. It covers screening, assessing, and treating malnutrition; outpatient nutrition care in diabetes, cardiovascular disease, gastrointestinal disease, and home enteral and parenteral nutrition. Each chapter describes the disease process as well as the management of the disease or therapy. Key Features Presents practical information on proper nutrition care of individuals in the outpatient setting and those receiving home nutrition support New information on GI tests and procedures; gastroparesis/pancreatitis, parenteral lipids, and bariatric surgery Expanded chapter on short bowel syndrome and malabsorptive disorders Additional information on feeding options including an overview of oral, oral supplements, and enteral and parenteral nutrition Teaches the user additional information on disease processes as well as the management of the disease or therapy