CPE Units: 25
10.2.5 Develops nutrition prescription to communicate required food and nutrient needs.
10.2.7 Prioritizes specific nutrition problem(s).
8.1.5 Applies medical nutrition therapy in disease prevention and management.
5040 Long-term, Intermediate, and Assisted Living
5410 Client Protocols, Clinical Guidelines
The third edition of Nutrition Care of the Older Adult provides practical guidance for either the new or experienced practitioners on all aspects of nutrition and health care delivery systems for older adults.
It is anticipated that the number of older adults aged 65 and up will reach 84 million by 2050. Advances in medicine and technology will continue to increase life expectancy. The focus on person-directed care and the changes in health care delivery systems offer new challenges and opportunities for dietetics professionals.
The registered dietitian nutritionist (RDN) with the assistance of the nutrition and dietetics technician registered (NDTR) must provide a high level of medical nutrition therapy (MNT) for the clients they serve by assessing nutrition needs, developing individualized goals, monitoring the implementation of these goals, documenting pertinent data, and evaluating results with outcome research consideration.
In addition to providing MNT, the RDN must consider all of the laws and regulations that impact the care delivery for older adults. This CPE self-study course reviews the most recent standards of compliance such as federal regulations, quality assurance and performance improvement, and the scope of practice for the RDN and NDTR.
After completing this continuing professional education course, the learner should be able to:
- Summarize the age-related changes impacting the nutrition needs of older adults.
- List the purpose of at least 5 community-based federal nutrition programs.
- Define the major models of culture change such as the Eden Alternative, the Green House Project, the Wellspring Model, and the Pioneer Network.
- List at least 3 benefits of culture change for the resident and/or the facility.
- Evaluate meal service and dining atmosphere to enhance the client’s quality of life.
- Adapt the nutrition care process into clinical practice.
- Delineate appropriate methods for determining energy, fluid and protein needs.
- Understand how to complete a nutrition-focused physical assessment.
- Categorize the three primary etiologies of unintended weigh loss.
- State the difference between isotonic dehydration, hypotonic dehydration and hypertonic dehydration.
- Complete an oral risk assessment and identify nutrient deficits in the oral cavity.
- Explain at least 10 signs of dysphagia.
- Identify the etiology of anemia and recommend appropriate interventions.
- Define nutrient recommendations for chronic kidney disease.
- Describe the factors considered when assessing nutrient requirements in the cancer setting.
- Calculate appropriate nutrient recommendations for pressure ulcer/injury healing.
- State the nutritional significance of selected laboratory tests.
- Explain the four parameters of pharmacokinetics and their effect on nutrients.
- Summarize the advantages and disadvantages of tube feeding formulas.
- Implement strategies to help reduce hospital readmissions.
- Individualize nutrition and hydration plans for the terminally ill adult.
- Comprehend federal regulations and the RDNs/NDTRs role in the survey process.
- Implement Quality Assurance and Performance Improvement programs.
- Define the scope of practice for the RDN and NDTR.
- Follow current industry standards of care to minimize risk of MNT litigation.
- Understand the benefits of electronic health records.
- Develop a dietary department emergency management plan.