1. Nutrition Assessment, Services, and Programs
Healthy Aging
Nutrition Assessment, Services, and Programs
© 2013 Cengage-Wadsworth

2. Demographic Trends and Aging
Americans are living longer than ever before
Good nutrition can retard and ease the aging process in many significant ways
Proportion of elderly is increasing dramatically
Health care demands will increase
© 2013 Cengage-Wadsworth

3. Healthy Adults National Goals for Health Promotion
Healthy People 2020 focus areas for older adults –
Reduce prevalence and number of people suffering from chronic diseases
Increase number receiving pneumonia and influenza vaccinations and colorectal screening
Increase daily physical activity and cardiovascular health
HP 2010 final report – there was little or no progress in most objectives
© 2013 Cengage-Wadsworth

4. Healthy Adults Understanding baby boomers Born between 1946 and 1964
Almost one-third of U.S. population
General characteristics:
Have the power to change the marketplace
Make decisions based on personal beliefs
Are constantly pressed for time
Look for value and quality in their investments
Will not age gracefully
Like nostalgia
© 2013 Cengage-Wadsworth

5. Healthy Adults Nutrition education programs
Found in both public and private sectors
Nutritional goals:
To help consumers select diets providing enough energy to maintain healthful weight
Meet recommended intakes for all nutrients
Low in solid and trans fat, added sugars, sodium, cholesterol, and alcohol
Adequate in whole grains and fiber
© 2013 Cengage-Wadsworth

6. Healthy Adults Public programs:
Expanded Food and Nutrition Program (EFNP)
FDA and USDA public education campaign on food labels and food safety
Family Nutrition Program
National Cholesterol Education Program
DASH - High Blood Pressure Education Program
Fruits and Veggies: More Matters
The WOMAN Challenge
© 2013 Cengage-Wadsworth

7. Healthy Adults Health promotion programs
Classified under four main areas:
Policies
Screenings
Information or activities
Facilities or services
New Healthy People 2020 objectives address the need for community programs
© 2013 Cengage-Wadsworth

8. Aging and Nutritional Status
Primary nutrition-related problems of aging
Functional capacity declines in almost every organ system
Changes in absorption of nutrients
Chronic diseases
Physiological, psychological, environmental, socioeconomic factors
© 2013 Cengage-Wadsworth

9. Aging and Nutritional Status
The Academy nutrition policy recommendations for health promotion for older adults
Several major recommendations are related to the value of nutrition services
Strategies to improve care and broaden access to nutrition services for older adults are supported
Recommend that nutrition services and nutrition counseling and education be included throughout health care services
© 2013 Cengage-Wadsworth

10. Evaluation of Nutritional Status
Malnutrition
Poverty
Living alone
Medications interfering with nutrient absorption
Daily Activities
Increasing difficulty with daily activities
Activities of daily living (ADLs) – self-care functions
Instrumental activities of daily living (IADLs) – require higher level of functioning
© 2013 Cengage-Wadsworth

11. National Nutrition Screening Initiative
Developed by the Academy of Nutrition and Dietetics, American Academy of Family Physicians, and National Council on Aging
Primary products of this cooperative effort were screening tools designed to be used by the older person and health professionals
© 2013 Cengage-Wadsworth

12. National Nutrition Screening Initiative
“Determine Your Nutritional Health” checklist – for older person or care provider to determine need for services
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13. National Nutrition Screening Initiative
© 2013 Cengage-Wadsworth

14. National Nutrition Screening Initiative
Those identified at risk should be followed up with more in-depth screening and assessment of nutritional status
© 2013 Cengage-Wadsworth

15. Nutrition Assessment Components: Anthropometric measures
Clinical assessment
Biochemical assessment
Dietary assessment
Functional assessment
Medication assessment
Social assessment
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16. Risk Factors
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17. Home and Community-Based Programs and Services
General assistance programs
Nutrition programs of USDA
Nutrition programs of DHHS
The Older Americans Act Nutrition Program
Private-sector nutrition assistance programs
Nutrition education and health promotion programs for older adults
© 2013 Cengage-Wadsworth

18. Looking Ahead: Successful Aging
Prepare for old age early in life
Learn to reach out to others to forestall loneliness
Develop skills or activities that can continue in later years
Develop the habit of adjusting to change
Arrive at maturity with as healthy a mind and body as possible
© 2013 Cengage-Wadsworth