Part 1.
THE ELDERLY
Food requirements for the elderly
Calorie needs- The age increase of the elderly means that their activity level is minimum, this leads to the elderly needing to consume less calories than before. Depending on the physical active level of the senior, The National Policy and Resource Centre on Nutrition and Ageing from Florida University suggests that males aged 50 to 70 need approximately 2,220 calories per day. While females aged 50 to 70 require 1,980 calories per day. After the age of 70 calorie intake decreases due to rates of movement, metabolism and energy requirements. You can also determine the number of calories required by noticing the shifts in body shape and the nutrient requirements. This is a list that includes five high-calorie foods:
Nut butters
Avocados
Coconut products
Full-fat dairy products
Potatoes and whole-grain starches
Carbohydrates- Carbohydrate intake depends on the activity level of an elderly person. The elderly are advised to reach 45% to 65% of calories from carbohydrates. If an elderly person is quite active then they require a lot of healthy carbohydrates such as sugars, dietary fibre which is important to regulate bowel movements and starches to help the body function well. Glucose tolerance lacks in the elderly and involved carbohydrates will regulate glucose. Being careful of the amount of “extras” being consumed such as cream cheese, cream sauces and margarine. This is a list that includes healthy
In this assignment I will be describing the characteristics of nutrients and the benefits to the body.
1.3 Outline how other health and emotional conditions may affect the nutritional needs of an individual with dementia
An adult should follow the ratio consumption of: 60% carbohydrates, 30% fat, and 10% protein. All of these are essential macronutrients for adult bodies as they are a main source of energy. However, it is important to note that the ratios may vary from person to person due to physiological demands (1). Examples of sources of protein are milk, eggs, meat, fish, and nuts. Sources of healthy fat include avocados, peanuts, and soybeans. Carbohydrate sources derive from foods such as bread, pasta, rice, and potatoes.
Changes due to the aging process also need to be addressed. Calcium reabsorption increases especially in women after the menopause, this decreases bone density. Lean tissue decreases as fat increases with age; there is also a decline in the percentage of body water meaning that body temperature is more difficult to control. Thirst decline and decreased renal function means that older people can become dehydrated (Copeman 1999). The function of the bowel reduces, meaning that the elderly are more susceptible to indigestion and constipation. The risk of constipation is also increased with Parkinson’s disease (Parkinson’s UK 2011). The final consideration is the deterioration of the sensory system. Taste, smell, vison, pain and touch all decline meaning that food may not be as appealing (Copeman 1999).
Another influence on the diet would be your occupation. It is no surprise that a personal trainer will burn far more calories than an office worker. As people get old they will do less physical activity so if this is the case their energy needs reduce. If they do not reduce their calorie intake they will start to gain weight, which will put strain on ageing joints.
A balanced diet is important to people with dementia because if they do not have a nutritional diet then it can worsen their condition. Weight loss, nutritional deficiencies and inadequate fluid intake can all have a negative effect on a person’s dementia. It is the care assistances job to make sure that the individuals get the correct diet they each need.
It’s also important a person with dementia sees a nutritionist so they get the correct and balanced diet.
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
Dementia is a very common disorder that is more common in the older population. For people aged 60-69 the dementia rate is 1in 100, but in people over 80 the rate is 1in 6(A.Smith, 2011). Dementia is a terminal illness and the prognosis is grim, suffers are only expected to live 3 to 5 years after diagnosis (A.Smith, 2011). Dementia is divided into three stages early, middle and late. People can be in the late stage for many years. During the late stage the dementia patient suffers from a lot of different issues including but not limited to dysphagia, self-feeding, and eating problems. Nearly 50 percent of patients with dementia lose their ability to self-feed within 8 years after the onset of the disease (S.A. Thomas 2014).We know that malnutrition is a serious problem when it comes to dementia
As a person ages, theirs body cannot perform the way it used to. This will cause many elderly people to loose their job or choose to go into retirement. Both of these options cause a loss in health care as well and a reduced or exterminated income. Here alone lies a reason that the elderly population is challenged. The elderly population also has a tendency to develop a chronic illness that can be life threatening if not treated or controlled properly. This means that need for health care treatments also increases. At least 40% of those over age 65 will have nutrition-related health problems requiring treatment or management (Gigante, 2012). It is important to realize that 10% of people over the age of 65 and will develop Alzheimer’s disease and 50% of those over the age of 85 will develop this disease (Gigante, 2012). More elderly African American men and women use government aid than white men and women. Therefore, this population will be vulnerable because of the lack of funding, proper health care and insurance.
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.
In the last five years there has been a growth in the level of food insecurity among the aging population. In 2012 15.3% of the aging faced a threat of food insecurity. Further from 2001 to 2012 there was a 44% increase in the aging population experiencing hunger (Ziliak & Gundersen, 2013). In 2008 8.1% of households with an elderly individual living in the residence were food insecure, and 8.8% of the elderly living alone were food insecure (Coleman-Jenson, Nord, Andrews, & Carlson, 2009). After a dip in 2010 rates of food insecurity among the aging there was an increase in food insecurity among households with the elderly present and households of the elderly living alone (Coleman-Jenson, Nord, Andrews, & Carlson, 2011; Coleman-Jensen, Nord, & Singh; 2012, 2013). 2013 8.7% of households with elderly individuals were food insecure (Coleman-Jensen, Gregory, & Singh, 2014; Ziliak & Gundersen, 2014). Research has shown food insecurity leads to the reduction of nutritionally sufficient diets and poorer health status, thus this growth in food insecurity for the elderly is troubling as the elderly are already at risk for poor health outcomes (Lee & Frongillo, 2001; Stuff, et al., 2004).
carbohydrates. Fats and oils are recommended but the dieter needs to make sure they do not
Although calorie needs decrease, the elderly have an increased need for certain vitamins and minerals. Therefore, it is especially important for the elderly to eat foods that are nutrient dense (6). They should eat an array of fruits, vegetables, whole grains, lean meat, fish, poultry, low-fat milk, and dairy products while reducing intake of sweets.