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Nutritional assessment of the elderly.

R Collinsworth, K Boyle

Journal of Gerontological Nursing

|December 1, 1989

Summary

Elderly individuals often struggle with nutrient absorption and utilization due to age and medications. Nurses frequently assess nutritional status using intuitive data gathered during patient contact, rather than solely relying on objective measurements.

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Area of Science:

Gerontology
Clinical Nutrition
Nursing Practice

Background:

Aging adults frequently experience diminished nutrient absorption and utilization.
Medications commonly used by the elderly can negatively impact nutrient metabolism.
Effective nutritional assessment is crucial for maintaining health in older populations.

Purpose of the Study:

To examine the methods nurses use for nutritional assessment in elderly patients.
To identify the most common indicators of nutritional risk or depletion utilized by nurses.
To understand the reliance on different data types in nursing-based nutritional assessments.

Main Methods:

Review of nutritional assessment components, including medical, social, and psychological history.
Inclusion of physical examinations, measurements, and laboratory data analysis.
Focus on indicators most frequently employed by nurses in direct patient care.

Main Results:

Nurses primarily utilize data obtained through direct patient interaction for nutritional risk assessment.
Intuitive data gathered by nurses is more frequently relied upon than objective measures.
Laboratory values, upper arm circumference, and skinfold thickness are less commonly prioritized by nurses.

Conclusions:

Nursing-driven nutritional assessments in the elderly often depend on subjective observations.
There is a tendency for nurses to prioritize intuitive assessments over quantitative measurements.
Further research may be needed to explore the integration of objective data into routine nursing assessments for improved nutritional care in older adults.

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