[Solved]: Chapter 20 Discussion: Older Adult Dietary Assistance…

Chapter 20 Discussion: Older Adult Dietary Assistance Frances is an 82-year-old woman who suffers from macular degeneration, osteoporosis, and arthritis. Since her husband died a year ago, she has moved from their family home to a small one-bedroom apartment. Her eyesight is progressively getting worse, making it difficult to go to the grocery store or even to cook (for fear of burning herself). She is often lonely; her only son lives an hour away and works two jobs, but he visits her as often as he can. Frances has lost her appetite and, as a result, often skips meals during the week. She has resorted to eating mostly cold foods. These are simple to prepare but seriously limit the variety and palatability of her overall intake. Also, she wears dentures and has trouble chewing tough meats and foods with crisp textures. She is slowly losing weight as a result of her eating patterns and loss of appetite. Her typical dietary intake usually consists of a breakfast that may include 1 slice of wheat toast with margarine, honey, and cinnamon, and 1 cup of hot tea. If she has lunch, she normally has a can of peaches, half of a turkey sandwich, and a glass of water. For dinner, she might have half of a tuna fish sandwich made with mayonnaise and 1 cup of iced tea. She usually includes one or two soft cookies at bedtime. Answer the following 6 questions about dietary assistance for Frances. 1. What nutrients are likely to be inadequate in Frances’s current diet? protein,fat,calcium,added sugars,zinc,vitamin D,vitamin B-12,fiber,calories,sodium 2. Frances’s inadequate dietary pattern will cause a decline in her overall health. She will likely see a decrease in her lean tissue mass because of her low intake of what nutrient? ____ Her bone mass is likely to also decline because her intake of what two nutrients is low?__________and______ A deficiency in which two nutrients puts her at risk for anemia?_____and_______ A low intake of fiber may lead to problems with what?__________ 3. List at least 4 physiological changes that can occur with aging and will add to the effects of Frances’s inadequate dietary intake?___________ 4. Using the list below, categorize the convenience foods could be included in her diet to make it more healthful and more varied versus those that would be less likely to add benefit to her diet? calcium-forified orange juice,fortified breakfast cereals,prewashed lettuce,peanut butter,frozen fruits,fruit juice,yogurt,canned beans,canned fruits(light or heavy syrup),milk,cottage cheese,canned soups,canned chicken,frozen microwavable meals,chocolate cookies,potato chips,frozen pizza,ice cream,and hot dogs 5. As you begin to think about her current nutrition status, there are several missing pieces of data that we need from Frances to get the whole picture and really assess her nutritional status. Fill in the blanks below to tell us the names of the missing pieces of data to complete her nutritional assessment. height and weight is_______ blood cholesterol or iron level provides_________ medical history including current diagnoses and medications gives us_______ living conditions and other resources tell us about he____________ What one piece of nutritional assessment data do we already have a portion of for Frances?_____ 6.List three community nutrition services that are available to help Frances improve her dietary patterns?_______