Interdisciplinary Nutritional Management and Care for Older Adults

An Evidence-Based Practical Guide for Nurses
1. Auflage 2021
ISBN: 978-3-030-63891-7
Verlag: Springer International Publishing

Buch, Englisch, 271 Seiten, Format (B × H): 160 mm x 241 mm, Gewicht: 646 g

Reihe: Perspectives in Nursing Management and Care for Older Adults

This open access book aims to primarily support nurses as leaders and champions of multimodal, Interdisciplinary nutrition care for older adults.  A structured approach to fundamentals of nutrition care across Interdisciplinary settings is combined with additional short chapters about special topics in geriatric nutrition. The book is designed to provide highly accessible information on evidence-based management and care for older adults, with a focus on practical guidance and advice across acute, rehabilitation, and primary and secondary malnutrition prevention settings.The cost of malnutrition in England alone has been estimated to be £19.6 billion per year, or more than 15% of the total public expenditure on health and social care. ^65 years. The importance and benefit of specialised nutrition care, delivered by experts in field, is well established for those with complex nutrition care needs. However, despite the substantial adverse impact of malnutrition on patient and healthcare outcomes, specialised management of this condition is often under-resourced, overlooked and under-prioritised by both older adults and their treating teams.
 As an alternative, timely, efficient, and effective supportive nutrition care opportunities may be appropriately implemented by nurses and non-specialist Interdisciplinary healthcare team members, working together with nutrition specialists and the older adults they care for. Practical, low-risk opportunities should be considered across nutrition screening, assessment, intervention, and monitoring domains for many patients with, or at risk of malnutrition.  Whilst a variety of team members may contribute to supportive nutrition care, the nursing profession provide a clear focal point. Nurses across diverse settings provide the backbone for Interdisciplinary teamwork and essential patient care. The nursing profession should consequently be considered best placed to administer Interdisciplinary, multimodal nutrition care, wherever specialist nutrition care referrals are unlikely to add value or are simply not available. As such, the book is a valuable resource for all healthcare providers dedicated to working with older patients to improve nutrition care.

Zielgruppe

Professional/practitioner

Autoren/Hrsg.

Bell, Jack J.

Geirsdóttir, Ólöf G.

Fachgebiete

• Technische Wissenschaften Verfahrenstechnik | Chemieingenieurwesen | Biotechnologie Lebensmitteltechnologie und Getränketechnologie
• Naturwissenschaften Chemie Analytische Chemie Umweltchemie, Lebensmittelchemie
• Interdisziplinäres Wissenschaften Wissenschaften Interdisziplinär Ökotrophologie (Ernährungs- und Haushaltswissenschaften)
• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Pflege Krankenpflege

Inhaltsverzeichnis

Overview of nutrition care in geriatrics and orthogeriatrics.- Nutritional requirements in geriatrics.- Nutritional assessment, diagnosis and treatment in geriatrics.- Best practice in nursing care; role of nutrition.- Hydration in orthogeriatrics.- Untangling aging, malnutrition, frailty, sarcopenia and function decline.- Bone health, fragility and fractures.- How to increase patient motivation and adherence to nutritional care? Overcoming psychological barrier.- How to engage treating teams to spread and sustain nutritional care.- Interdisciplinary team and education of professionals.- Special topics in geriatric nutrition (1000 words).- Specialist versus generalist nutritional care in aging.- Key opportunities for multidisciplinary nutritional care.- Physical activity, exercise and physical rehabilitation.- Pressure ulcer prevention and management.- Obesity, Body composition & BMI.- Fundamentals of nutritional physiology.-Nutrition in oropharyngeal dysphagia.- Delirium.- Drug-food & food-drug interaction - supplements.- Food services and systems.- End of life, food and water – ethical standards of care.

Über Autor(innen)

Dr Ólöf Guðný Geirsdóttir. Dr Geirsdóttir has developed a strong interdisciplinary research focused on gerontological research in several core areas, including nutritional status, physical function, physical activity and active ageing. Dr Geirsdóttir has background broad experience as a clinical nutritionist at several units at the National University of Iceland. She has contributed to clinical guidelines for patient care, a handbook of food and nutrition for older people, and guidelines in prevention of falls for the Landspítali University Hospital. Dr Geirsdóttir led the work, with the Director of Health, on the Icelandic nutritional recommendations (2018) for older adults and healthy and a nutritional recommendation for sick and frail older people. Recent research works have focussed on associations between nutrition and physical activity among community-dwelling older adults, the nutritional status of sick and frail older adults and how to improve outcomes with nutritional care. In addition to contributing to clinical care and peer reviewed international literature, Dr Geirsdóttir advocates for multidisciplinary nutrition care education across administrative, academic leadership, and educational positions promoting ageing research, for example as the Secretary General of the 25th Nordic Congress of Gerontology.   

Dr Jack Bell is a conjoint Principal Research Fellow and Advanced Accredited Practicing Dietitian at The University of Queensland and The Prince Charles Hospital, and is longstanding member of the Queensland Clinical Senate. He has over 20 years’ clinical experience working with older adults and teams to deliver multidisciplinary nutritional care across a variety of settings. Dr Bell is a strong advocate for engaging patients in co-design and shared decision making, and clinicians as co-researchers. As a clinical academic and implementation practitioner, Dr Bell works with patients and diverse players the development, implementation, and evaluation of new models of care directing how malnutrition should be managed in diverse, contemporary settings both in Australia and internationally. Published works are challenging international norms and perceptions regarding how malnutrition care is provided in hospitals, have highlighted the need to adopt systematized, multidisciplinary nutrition care across the continuum to improve outcomes for older adults and those who care for them.