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WEIGHT GAIN AND PROTEIN MAINTENANCE IN DEBILITATED NURSING HOME ELDERLY

This study explores the issue of weight loss and protein depletion in elderly nursing home patients and proposes a solution through nutritional support using in-house formulas. The study shows positive results in increasing weight and maintaining protein levels in debilitated elderly individuals.

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WEIGHT GAIN AND PROTEIN MAINTENANCE IN DEBILITATED NURSING HOME ELDERLY

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  1. WEIGHT GAIN AND PROTEIN MAINTENANCE IN DEBILITATED NURSING HOME ELDERLY Y. LEVINSON, T. DWOLATZKY, A. EPSTEIN, B. ADLER, L. EPSTEIN NEVE SIMCHA GERIATRIC HOSPITAL AND HADASSAH MEDICAL ORGANIZATION

  2. Nutritional Maintenance in Nursing Homes Previous studies have shown a general inability to maintain weight and protein status of elderly nursing home patients

  3. Nutritional Maintenance in Nursing Homes • “Uncontrolled weight loss is almost inevitable in later stages (of Alzheimer’s disease ) despite quality of care” JADA 89: 392, 1989

  4. Nutritional Maintenance in Nursing Homes • “Adequate energy and protein were provided, but (elderly) subjects lost weight and had severe depletion of lean and fat body mass … weight loss was associated with longer time on tube feeding and more pressure ulcers” J. AMER. COLL. NUTR. 11: 309, 1992

  5. The Nutritional Management of Elderly in Nursing Homes Problems Weight loss Worsening of protein status Pain and weakness Pressure sores Severe appetite loss Solution Nutritional support Formula feeding

  6. Formula feeding • In-house formulas • Commercial formulas

  7. In-house low cost formula • Description • high protein, milk-based • 250 cc/ serving • 380 calories • 15 grams protein • Available as • Milkshake • Pudding • Tube feeding

  8. Nutritional Maintenance in Nursing Homes

  9. In-house formula studypatient characteristics

  10. In-house formula studypatient characteristics Patients may have more than 1 diagnosis

  11. In-house formula study

  12. In-house formula studyall available weights

  13. In-house formula studyonly subjects with all weights

  14. In-house formula study

  15. In-house formula study

  16. In-house formula study

  17. In-house formula studysummary of results • Overall increase of 5 kg in mean weight • Mean serum albumin maintained above 4 g%

  18. In-house formula studyconclusions • It is possible to increase weight and maintain protein status of debilitated elderly in nursing homes

  19. Nutritional Maintenance in Nursing Homes Questions ?

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