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Healthy Aging - Sample CSG Flash Cards

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List the main services provided by the Older Americans Act Nutrition Program
Congregate meals, Home Delivered meals, nutrition screening, education and counseling (other services include supportive and health services)

Reference 8
What federal dietary guidelines must be met by the Older Americans Act meals programs?
The Recommended Dietary Allowances or Daily Reference Intakes, and the Dietary Guidelines for Americans.

Reference 8
American Medical Directors Association (AMDA) dehydration and fluid maintenance clinical practice guidelines
For a clinical diagnosis of dehydration to be made, the following minimal criteria must be present:
• suspicion of increased output and/or decreased intake
• at least two physiologic or functional signs or symptoms suggesting dehydration (eg, dizziness, dry mucous membranes,
functional decline)
• a BUN:creat ratio of >25:1 or orthostasis (drop in systolic BP ≥ 20 mmHg with a change in position) or a pulse of >100 beats/minute or a pulse change of 10 to 20 beats/minute above baseline with a change in position.

Reference 7
Contraindications to enteral nutrition support
• severe acute pancreatitis
• high output proximal fistula
• inability to gain enteral access
• intractable vomiting or diarrhea
• aggressive therapy not warranted
• expected need <5-7 days if malnourished or 7-9 days if normally nourished

Reference 7
Utilitarian viewpoint of ethics
Sees an ethical decision as that which produces the greatest positive balance of value over negative balance of value for all persons affected

Reference 2
List 2 reasons older adults are at increased risk of pressure ulcer development
Skin frailty, unintentional weight loss

Reference 4