Apr 27, 2018
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Chronic Obstructive Pulmonary Disease

Chronic Obstructive Pulmonary Disease (COPD) is an umbrella term used to describe progressive lung diseases including emphysema, chronic bronchitis, refractory (non-reversible) asthma, and some forms of bronchiectasis (1,2). This disease is characterized by increasing breathlessness. (1,2) People with emphysema are referred to as “pink puffers” and experience shortness of breath due to a loss of … [ Read More ]

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Unintended Weight Loss in the Elderly

Unexplained weight loss, or losing weight without trying, particularly if it’s significant or persistent, may be a sign of an underlying medical disorder (1).  The point at which unexplained weight loss becomes a medical concern is not exact. But many doctors agree a loss of approximately 5 to 10 percent of body weight in the … [ Read More ]

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Pancreatitis

The pancreas is a large gland behind the stomach and close to the duodenum, and has two different jobs.  One is that it contains the islets of Langerhans that secrete insulin and glucagon.  The other primary role of the pancreas is the creation of digestive enzymes that it secretes into the small intestine.  Pancreatitis is … [ Read More ]

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Controlling blood pressure

High blood pressure (or hypertension) is when your blood pressure, the force of the blood flowing through your blood vessels, is consistently too high.  High blood pressure is dangerous because it makes the heart work too hard, and the high force of the blood flow can harm arteries and organs. High blood pressure often has … [ Read More ]

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Vitamins and supplements

Search on-line the topic of vitamins and minerals and see what the public receives for information.  There are numerous conflicting opinions available on-line and in scientific studies.  Basic guidelines are that additional vitamins and minerals are not needed if one consumes a balanced diet based on USDA’s plate method.  If a balanced diet is in … [ Read More ]

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Malnutrition and the Elderly

Malnutrition used to be an unknown, or a “skeleton in the hospital closet” per 1974 article that found several instances of nutritional neglect in hospitals by physicians (1).   Butterworth pointed out that changes in practice were urgently needed to properly identify and treat undernourished patients (1).  In the past 40 years, nutrition information has changed … [ Read More ]

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Dysphagia Diets

The National Dysphagia Diet (NDD), was published in 2002 by the Academy of Nutrition and Dietetics, to establish standard terminology for dietary texture modification in dysphagia management.  It proposes the classification of foods according to eight textural properties, and anchor foods to represent points along continuum for each property (1). A hierarchy of diet levels … [ Read More ]

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Parenteral Nutrition

IV nutrition doesn’t have to be scary or intimidating.  “Parenteral” means introduced otherwise than by way of the intestines by the Webster dictionary.    Parenteral Nutrition (PN) is the way to provide a steak, potato, and cheesecake into someone’s blood stream.   Due to new knowledge and technological advances, parental nutrition is used less often than previously … [ Read More ]

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