Mar 23, 2019
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How to stay in compliance with F812 (Sanitation)

CMS  (Centers for Medicare and Medicaid Services) provided us updated regulations for long-term care facilities, with new clarifications under F812 for sanitation that surveyors are to observe and investigate.   The primary objectives have not changed.   Food professionals are to still provide safe and tasty food to our residents.   We continue to use Food Code 2017 … [ Read More ]

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Holiday Food Safety

The holidays are a time when food is at the center of the celebrations.  There are many ingredients to all meals, however the most important ingredient is food safety.  There are many ways to keep food safety at the forefront of preparation.  First and foremost, make sure to wash hands often and prepare foods on … [ Read More ]

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Malnutrition in Long Term Care

Malnutrition in healthcare settings usually occurs as some form of protein-energy malnutrition (PEM). Primary PEM is the result of acute or chronic deficiency of both protein and calories. Secondary PEM is due to a disease or medical condition such as cancer or COPD that alters nutrient needs or impairs utilization of nutrients, such as a … [ Read More ]

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Total Parenteral Nutrition

Fresenius Kabi received approval from FDA in July 2016 for Smoflipid®, a four-oil IV fat emulsion (IVE), available in the USA for adult patients. This IV fat emulsion product has been used for many years in other global markets and contains soybean oil, medium chain triglycerides, olive oil, and fish oil.   This is an exciting … [ Read More ]

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CAA (Care Area Assessment) for Nutritional Status

Let’s learn some new acronyms and better understand what is desired in completing the nutritional status Care Area Assessment (CAA).  First step is the completion of the MDS.  The answers given in the MDS (Minimum Data Set) will trigger in different areas in section V.  These are called Care Area Triggers (CATs), and they identify … [ Read More ]

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Oncology and Proper Nutrition

Malnutrition resulting in cachexia is a concern in individuals that are undergoing cancer treatment. It is the lack of sufficient nutrients in one’s body.  Cachexia is the loss of weight, muscle atrophy, fatigue, weakness and significant loss in appetite in someone who is not actively trying to lose weight. The most common cause of malnutrition … [ Read More ]

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Nutrition and Pressure Injuries

Many clients, including those in the long-term care setting, can be at risk for skin breakdown. These wounds, historically called bed sores, pressure sore, skin alterations, and pressure injuries, can have a large impact on overall health and quality of life. In turn, nutritional status can directly impact on pressure injury healing. As skilled nutrition … [ Read More ]

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Clearing Up Some Acronyms- in the MDS

In long term care, we get conditioned to speaking in acronyms.  Let’s start breaking down our jargon, and start again.   Every professional in long term care has a role in the care of the resident.  As dietitians and dietary managers, we are interested in the nutritional aspect of resident care.   The government created a tool … [ Read More ]

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Food Safety

Foodborne illness is an interchangeable term for foodborne disease, foodborne infection or food poisoning. This umbrella terms defines a disease transmitted to people from food. There are more than 250 foodborne diseases that have been identified through research and they include a variety of bacteria, viruses, and parasites. According to the Center for Disease and … [ Read More ]

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Sensory Impairments and Nutritional Impact

Our sight and hearing are things we often take for granted throughout our daily lives, however with each passing year we may see changes in these. According to the CDC (1), in American’s over the age of 70, one in six suffers from vision impairment, while one in four suffer from hearing impairment, and often … [ Read More ]

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