Food And Drugs Affecting Elderly Patients

In order to determine the nutritional care of Mrs Gale the nursing process will be used. Nursing was described as a problem-solving process with 4 stages termed; assessment, planning, implementation and evaluation by Yura & Walsh (1967) (cited Aggleton & Chalmers 2000). This principle is still used in clinical practice today and is considered to be best practice (Bloomfield & Pegram 2012).

The influences of underlying health conditions can result in the need for specific nutrients as well as influencing what people are or aren’t able to eat.

In recent years, there has been research involving the causes and consequences of poor nutrition among the elderly. Researchers continually work to distinguish risk factors of inadequate nutrition; the factors of most concern are “poor appetite, functional limitations, limited income, and social isolation” (Lirette, Podovennikoff, Wismer, Tondu, Klatt, 2007). Individuals at highest risk are those who live at home with a lack of family support (Krondl, Coleman, Lau, 2008). The diets of many elderly people are often low in calories and lacking important nutrients. All of these factors can affect the health and quality of life in the older adult. Nutrition plays a significant role in the health of

Aging is inevitable, with age comes certain conditions, and diagnoses that affect healthy aging in Canadians. In Canada, and across the world, there are institutions that help care for people with these diagnoses. Nurses are one of the members of the health care team, and they help to try and reduce risks that can exist in aging Canadians. The purpose of this paper is to explore the risks of malnutrition in aging Canadians living in institutions who have vascular dementia.

The patient decrease the number frequent snacks and now she eat only one snack in addition she didn’t put sager in her tea cup also as mother of children she decrease the cariogenic food in the home and do for her children healthy meal like she do vegetable salad and fruit salad more she stop the juices that only contain flavor and sager in the home , more over the patient use xylitol gum three time a day and she keep use fluoride toothpaste twice a day and she receive office topical fluoride also the patient use chlorhexidine for one week and she go to take dental appointment for dentist for the cavity treatment and also she go to take appointment for dental hygienist and that increase the protective factors and that is good and patient

18. Which item would be most beneficial when providing oral care to a patient with metastatic cancer who is at risk for oral tissue injury secondary to chemotherapy?

Of the many reasons why older adults are not able to meet their nutriotional requirements acute mental and physical diseases are main factors. Improvised medical conditions impair the absorption of nutrients from ingested food. Patient on medication of antibiotics and chemotherapy complain loss of appetite and killing the natural flora of the intestine which help in nutrients absorption. Physiological changes related to growing old

Omnicare Pharmacy is a provider of pharmaceutical care to long-term nursing homes and facilities. The services are focused on the residents we serve and improving their quality of life, along with reducing the cost of the pharmacy bill. As a result, our vision as a pharmacy provider is to provide the right drug, right dose, and to the right patient (Omnicare 2010). In order to achieve the vision we have set for ourselves we need to implement a system that will help us achieve our goals.

It is known that in some residential homes the use of covert drugs has become common practice. In 2001 the regulatory body, the United Kingdom Central Council for Nursing, Midwifery, said drugs could be given covertly if it was in the patient's best interests. This statement has created a lot of debate among some human right defenders as they might enter in direct conflict to the Code of Conduct of Nursing and Midwifery where clearly states nurses must “Ensure to gain consent before beginning any treatment or care.”

Older adults are at high risk for adverse effects of medication error more than their counteract younger adults. This is because they depend on more than one medication in order to treat or prevent disease, syndromes and sickness (Lindenberg, 2010). It is inevitable that the elderly face adverse effects of drugs while on medication especially when they still live independently. However, chances of errors in hospitals and care homes are more frequent when the medication process connects several departments (Belen et. al., 2009). Therefore, tactical measures are required in the provision of drug therapy in order to optimize safe medication in older adults. This paper discusses the issue by analyzing the existing structure of administering medication, reviewing the occurrence of medication errors; evaluating systems developed to advance safe medication administration. Finally, addressing the implication for professional nursing practice.

The cost of medical care continues to increase, and for retired individuals on limited budgets the cost of medical care, especially prescription cost, can be staggering. I interviewed my hospital’s case manager, Nelda Peacock, to discuss the issues and concerns with this population, specifically in regards to medication costs. In addition, we explored resources and assistance available to the elderly.

According to the Health Care Finance Administration (HCFA), on July 1, 1999, established a quality indicator that residents taking nine or more medications will be used to identify long-term facilities where medications potentially are overused and residents may be at increased risk for adverse drug reactions (ADR). However, this approach can be controversial because the medication is essential for older people health safety. There are many factors on the overuse of medication which can include age, health and the number health care visits. Especially on home care and long-term facilities, most of the elderly in this facilities are forced to take these medications due to facility policies (Hanlon, 2001). Another

A long term care pharmacist basically means a long term care pharmacy for patients specifically in areas where patients are admitted or treated over longer periods of time than during regular office visits. This may include skilled nursing centers, rehabilitation facilities, long-term care pharmacies, and nursing homes .Long term care pharmacists take over many of the roles of a general physician in case of monitoring patients and regulating drug protocols. That might include elderly patients, but can also consist of patients who have been diagnosed with chronic blood conditions, autoimmune diseases, and cancers. However, the benefits are generally similar. Long term care pharmacists

Other factors that play a role in poor oral care is being disabled and homebound because this also leads to not seeking any oral care. There is Medicaid for individuals 65 and above to get insurance for dental care, however the reimbursements for care are very low and does not cover the entire cost of the treatment. According to the Division of Oral health (2013), “About 25 percent of adults 60 years old and older no longer have any natural teeth.’’ The elderly being toothless indicates a problem with nutrition because being toothless affects mechanical digestion of food. Toothlessness causes the elderly to prefer soft chewable foods and might not prefer to eat essential foods such as fruits, lean meats, poultry, fish, and legumes. Additionally, according to the Division of Oral health (2013), “Oral and pharyngeal cancers, which are diagnosed in some 31,000 Americans each year, result in about 7,400 deaths each year.” The elderly make up the majority of these diagnosed cancers, and these cases are related to smoking and the use of alcohol. The prognosis for this type of cancer is low, with a five-year survival rate for whites being about 56% and African americans being only about 34%. In addition, many older Americans are have polypharmacy therapy, and medication can cause dry mouth. “The reduction of the flow

Another problem that arises in head and neck patients is that of malnutrition and weight loss. They are particularly at risk of developing nutritional problems. Many patients with head and neck cancer have histories of high alcohol intake, tobacco use and poor dietary habits. Malnutrition often when alcohol is involved. Patients nutritional needs should be assessed and patients at high risk of