Sep 19, 2017
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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 ]

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 ]

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 ]

Celiac Disease and Gluten Sensitivity

Celiac disease is an autoimmune disease and those affected are unable to tolerate gluten.  In those with celiac disease, gluten causes the immune system to attack its own bowel tissue and damages the small intestines.  The villi that line the small intestine are eroded.  This may lead to malabsorption and malnutrition as the villi are … [ Read More ]

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 ]

Diabetes and Nutrition Therapy

Diabetes is the most common endocrine disorder and occurs when blood sugar levels are consistently above normal.  Diabetes can be classified as either type 1 or type 2.  Type 1 diabetes is when the body does not produce insulin.  Type 2 diabetes is more common and occurs when the body does not use or make … [ Read More ]

Food Allergies and Intolerances

According to Food Allergy Research & Education (FARE), a food allergy is a medical condition in which exposure to a food triggers a harmful immune response. The immune response, called an allergic reaction, occurs because the immune system attacks proteins in the food that are normally harmless. The proteins that trigger the reaction are called … [ Read More ]

Hot Weather Menu for Residents

Summertime brings sun and fun along with high temperatures coupled with high humidity. These conditions place a strain on everyone, especially the elderly. The elderly are particularly vulnerable to heat stress and dehydration as they do not adjust as well to sudden changes in temperature. They are more likely to have chronic medical conditions that … [ Read More ]

Gout and diet management

Gout is a type of arthritis caused by too much uric acid in the blood. Gout is intensely painful swelling of the joints.  It occurs most often in the big toe or other part of the foot and is caused by excess uric acid in the body and the formation of needle-like urate crystals in … [ Read More ]

Nutrition’s Role in Wound Care

As bodies age, organs do not always function as well as they once did. The skin, which is the largest organ of the body, is no exception.  Skin integrity can be compromised by vascular deficiencies, decreased mobility and ability to reposition weight, uncontrolled blood sugars, dehydration and malnutrition, and other comorbidities that come with advancing … [ Read More ]