Overview of Nutrition Care in Geriatrics and Orthogeriatrics

Mapping Intimacies ◽

10.1007/978-3-030-63892-4_1 ◽

2021 ◽

pp. 3-18

Author(s):

Ólöf G. Geirsdóttir ◽

Karen Hertz ◽

Julie Santy-Tomlinson ◽

Antony Johansen ◽

Jack J. Bell

Keyword(s):

Older Adults ◽

At Risk ◽

Primary Prevention ◽

Secondary Prevention ◽

Interdisciplinary Team ◽

Focal Points ◽

Community Settings ◽

Team Members ◽

Nutrition Care ◽

Care Approach

AbstractEngaging older adults, and all those who care for them, is pivotal to providing high-value nutrition care for older adults. Nurses and other interdisciplinary team members are essential to this process. The aim of this chapter is to provide an overview of the rationale and evidence for interdisciplinary and systematised nutrition care as an effective nutrition care approach for older adults with or at risk of malnutrition. This chapter also serves as a guide to detailed chapters across this book to provide focal points on different aspects of nutrition care that should be considered across primary prevention, acute care, rehabilitation, secondary prevention and community settings (Dreinhöfer et al., Injury 49(8):1393–1397, 2018).

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454 ASSOCIATION BETWEEN STATINS AND MAJOR ADVERSE CARDIAC EVENTS AMONG OLDER ADULTS WITH FRAILTY: A SYSTEMATIC REVIEW

Age and Ageing ◽

10.1093/ageing/afab118.03 ◽

2021 ◽

Vol 50 (Supplement_2) ◽

pp. ii5-ii7

Author(s):

M Hale ◽

H Zaman ◽

D Mehdizadeh ◽

O Todd ◽

H Callaghan ◽

...

Keyword(s):

Systematic Review ◽

Older Adults ◽

Primary Prevention ◽

Secondary Prevention ◽

Randomised Trial ◽

Risk Of Bias ◽

Cochrane Library ◽

Major Adverse Cardiovascular Events ◽

Primary And Secondary Prevention ◽

Cardiac Events

Abstract Background Statins reduce the risk of major adverse cardiovascular events (MACE), however, their clinical benefit for primary and secondary prevention among older adults with frailty is uncertain. This review investigates whether statins prescribed for primary and secondary prevention are associated with reduced MACE among adults aged ≥65 years with frailty. Methods Systematic review of studies published between 01.01.1952 and 01.01.2019 in MEDLINE, Embase, Scopus, Web of Science, Cochrane Library and the International Pharmaceutical Abstracts. Studies that investigated the effect of statins on MACE among adults ≥65 years with a validated frailty assessment were included. Data were extracted from the papers as per a pre-published protocol, PROSPERO: CRD42019127486. Risk of bias was assessed using the Cochrane Risk of Bias in non-randomised studies of interventions. Finding 18794 abstracts were identified for screening. From these, six cohort studies fulfilled the inclusion criteria. There were no randomised clinical trials. Of studies involving statins for primary and secondary prevention (n = 6), one found statins were associated with reduced mortality (hazard ratio (HR) 0.58, 95% confidence interval (CI) 0.37–0.93) and another found they were not (p = 0.73). One study of statins used for secondary prevention found they were associated with reduced mortality (HR 0.28, 95%CI 0.21–0.39). No studies investigated the effect of statins for primary prevention or the effect of statins on the frequency of MACE. Discussion This review summarizes the existing available evidence for decision making for statin prescribing for older adults with frailty. This study identified only observational evidence that, among older people with frailty, statins are associated with reduced mortality when prescribed for secondary prevention, and an absence of evidence evaluating statin therapy for primary prevention. The findings of this study highlight that randomised trial data are urgently needed to better inform the use of statins among older adults living with frailty.

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Delivering Interprofessional Education to Embed Interdisciplinary Collaboration in Effective Nutritional Care

10.1007/978-3-030-63892-4_12 ◽

2021 ◽

pp. 159-169

Author(s):

Julie Santy-Tomlinson ◽

Celia V. Laur ◽

Sumantra Ray

Keyword(s):

Older Adults ◽

Capacity Building ◽

Interprofessional Education ◽

Interdisciplinary Collaboration ◽

Interdisciplinary Team ◽

Evidence Based ◽

Nutritional Care ◽

Nutrition Care ◽

Interdisciplinary Approaches

AbstractPrevious and forthcoming chapters describe how to improve nutrition care with an emphasis on interdisciplinary approaches. Developing and improving the skills and knowledge of the interdisciplinary team through interprofessional education are essential for embedding evidence-based, collaborative, nutritional care. This capacity building in turn supports delivery of effective nutritional care for older adults.

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Hip Protectors for Community-Dwelling Older Adults

Canadian Journal of Health Technologies ◽

10.51731/cjht.2021.141 ◽

2021 ◽

Vol 1 (9) ◽

Author(s):

Keeley Farrell ◽

Melissa Walter

Keyword(s):

Older Adults ◽

At Risk ◽

Hip Fracture ◽

Hip Fractures ◽

Pelvic Fractures ◽

Community Dwelling ◽

Community Settings ◽

Hip Protectors ◽

Frail Older Adults ◽

Community Dwelling Older Adults

In community-dwelling older adults who wore hip protectors there was no difference in the risk of hip fractures or pelvic fractures, compared to those who did not wear hip protectors. Three guidelines were identified that include recommendations around the use of hip protectors in older adults. One guideline suggests that hip protectors should be considered in adults at risk for falls and hip fracture. One guideline conditionally recommends hip protectors for frail older adults in the appropriate environment. One guideline suggests that hip protectors should not be considered in older adults in community settings.

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Interdisciplinary Team for MEDSReM-2 and Decision Support Through Pharmacology of Aging Principles

Innovation in Aging ◽

10.1093/geroni/igab046.881 ◽

2021 ◽

Vol 5 (Supplement_1) ◽

pp. 230-230

Author(s):

Kathie Insel ◽

J Nicholas ◽

Amani Albadawi ◽

Jeannie Lee

Keyword(s):

Older Adults ◽

Decision Making ◽

Decision Support ◽

Cognitive Aging ◽

Technology Development ◽

Interdisciplinary Collaboration ◽

Interdisciplinary Team ◽

Team Members ◽

Peer Reviews ◽

Older Users

Abstract The interdisciplinary team members with distinct and complementary expertise working collaboratively to advance MEDSReM to MEDSReM-2 will be introduced. The decision support functionality in MEDSReM-2 application (app) is to guide older users on making decisions about missed doses. MEDSReM-2 medication formulary was created to include safe hypertension medications for older adults. Pharmacology of aging, including Pharmacokinetic and Pharmacodynamic principles, along with published studies and expert peer reviews, were used to create an algorithm for safe window of time to take the missed medications. We will present the processes for developing the decision support algorithm for the MEDSReM-2 App and how this guide will be communicated to the users to inform their decision making about missed doses. Interdisciplinary collaboration including pharmacy, nursing, cognitive aging, and technology development that was crucial for designing and implementing decision support within the MEDSReM-2 app for older users will be shared.

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Influence of a sedentary lifestyle on self-reported mental health status among community-dwelling older adults with depression: Implications for secondary prevention efforts

Ageing Research ◽

10.4081/ar.2011.e6 ◽

2011 ◽

Vol 2 (1) ◽

pp. 6

Author(s):

Justin B. Dickerson ◽

Matthew Lee Smith ◽

Marcia G. Ory

Keyword(s):

Mental Health ◽

Physical Activity ◽

Older Adults ◽

Primary Prevention ◽

Secondary Prevention ◽

Negative Binomial ◽

Community Dwelling ◽

Mental Illnesses ◽

Moderate Physical Activity ◽

Sedentary Behaviors

The relationship between sedentary behavior and mental health is documented in the primary prevention literature in the context of mental illnesses such as depression. However, these relationships have not been studied to the same extent for secondary prevention efforts, especially among at risk communitydwelling older adults. The Brazos Valley Health Assessment was administered to nearly 4000 adults. Respondents self-reported disease status, lifestyle behaviors such as physical activity and nutrition habits, perceptions of physical and mental health, and socio-demographics. The selection criteria for inclusion in our study sample were being at least 55 years old and having been diagnosed with depression by a healthcare provider. This criterion resulted in a sample of 545. Negative binomial regression was used to examine the association between number of the past 30 days where mental health days were not good and sedentary behaviors such as time spent watching television and time spent using a computer. For each day per week respondents did not engage in at least 10 min of moderate physical activity (such as fast walking) relative to their peers, they were 5% less likely to report positive mental health (IRR=0.95, P=0.036). For each additional hour per day respondents spent watching television relative to their peers, they were 12% more likely to report poorer mental health (IRR=1.12, P=0.033). Secondary prevention efforts should recognize the influence of sedentary behaviors and emphasize similar interventions used for primary prevention of depression.

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Nutritional Assessment, Diagnosis, and Treatment in Geriatrics

10.1007/978-3-030-63892-4_3 ◽

2021 ◽

pp. 31-50

Author(s):

Mette Holst ◽

Anne Marie Beck

Keyword(s):

Older Adults ◽

At Risk ◽

Best Practice ◽

Nutritional Assessment ◽

Diagnosis And Treatment ◽

Care Process ◽

Nutritional Screening ◽

Nutrition Care ◽

Screening Assessment ◽

Nutrition Care Process

AbstractThe purpose of this chapter is to share knowledge about terminology and best practice approaches for the nutrition care process, including nutritional screening, assessment, diagnosis, intervention, and monitoring. This will focus on nutrition care for older adults with or at risk of malnutrition, in their own home, hospital, or caring facilities.

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Attitudes of Interdisciplinary Team Members Toward Speech-Language Services in Public Schools

Language Speech and Hearing Services in Schools ◽

10.1044/0161-1461.1703.230 ◽

1986 ◽

Vol 17 (3) ◽

pp. 230-240 ◽

Cited By ~ 10

Author(s):

Lou Tomes ◽

Dixie D. Sanger

Keyword(s):

Public Schools ◽

School Psychologists ◽

Elementary School Principals ◽

Team Member ◽

Interdisciplinary Team ◽

Survey Study ◽

Language Programs ◽

Team Members ◽

Positive Attitudes ◽

State Area

A survey study examined the attitudes of interdisciplinary team members toward public school speech-language programs. Perceptions of clinicians' communication skills and of the clarity of team member roles were also explored. Relationships between educators' attitudes toward our services and various variables relating to professional interactions were investigated. A 64-item questionnaire was completed by 346 randomly selected respondents from a two-state area. Classroom teachers of grades kindergarten through 3, teachers of grades 4 through 6, elementary school principals, school psychologists, and learning disabilities teachers comprised five professional categories which were sampled randomly. Analysis of the results revealed that educators generally had positive attitudes toward our services; however, there was some confusion regarding team member roles and clinicians' ability to provide management suggestions. Implications for school clinicians were discussed.

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