Term
| What does MUST stand for? |
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Definition
| Malnutrition Universal Screening Tool |
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Term
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Definition
1. Measure Height/Weight =BMI (using alternatives if needed)
2. Calculate % unplanned weight loss on tables
3. Establish acute disease score
4. Add 1+2+3 for overall malnutrition score
5. Use Guidelines to establish care plan |
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Term
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Definition
| ANY trained person caring for the person |
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Term
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Definition
0 - Low Risk
1 - Medium Risk Observe
2 - High risk treat |
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Term
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Definition
| CQC requirement, means of professional communication, allows for consistency of care. |
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Term
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Definition
Care Quality Commission
Conducted DANI Report 2013 |
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Term
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Definition
Dignity and Nutrition Inspection 2013
They found small changes can make a big difference
Inspected 500 care homes - 83% met nutritional standards |
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Term
| Which other report addressed the wellbeing of the elderly in institutions? |
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Definition
| SACN 2008 Nutritional wellbeing in the British Population |
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Term
| What did the SACN 2008 report find? |
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Definition
38% had low Vit D Levels
Not enough Fruit & Veg
Poor intake of oily fish
Poor fibre intake
46% anaemic |
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Term
| Factors that may cause malnutrition? |
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Definition
Bereavement
Older men can't cook
lack of interest
Money means food or heating
sicial isolation
Illness
Constipation caused by dehydration
dysphagia
Dementia
Consistency |
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Term
| The two guideline and requirement reports relevant to older people |
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Definition
SACN 2011 DRV Energy
and
DRV for food energy and nutrients for the uk 1991 |
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Term
| DRV 1991 guideline EAR for energy in 75y + |
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Definition
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Term
| Difference between DRV 1991 and SACN energy 2011 Energy EAR? |
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Definition
| SACN advises almost 200kcal more for men |
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Term
| Extra needs aside from energy according to DRV 1991 for 75 + |
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Definition
8.7mg Iron/day as SACN 2008 found 46% anaemic
Vitamin D supplement as SACN 2008 found 38% low meaning fracture risk. |
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Term
| Ways to improve vitamin D and constipation? |
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Definition
| Outside in summer months, make walk around. |
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Term
| 5 facts from the Malnutrition Task force? |
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Definition
3 million malnourished in UK
93% live at home
1 in 3 malnourished admitted to hospital
Malnutrition costs UK £3 billion
Malnutrition costs more than Obesity |
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Term
| Difference between the DoH Action planning group and the Malnutrition Task Force? |
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Definition
| DoH identifies the problems and MTF suggests solutions from experts |
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Term
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Definition
| 19 expert members work as a partnership to tackle malnutrition |
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Term
| How to improve meal times in institutions? |
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Definition
Improve mealtime experience
Cutlery and bowls
Eating together
Texture of food
Quiet
Protected mealtimes as in hospitals
Consider individual needs
Ethnic, cultural and personal preferences
Dementia considerations
Physical ability
Emotional
Dehydration |
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Term
| Why is elderly an increasing issue? |
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Definition
Less often cared for by children in old age
Living longer and changing demographic
Focus on Care by CQC |
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Term
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Definition
Meal preferences
Choice vs cost
Help needed feeding
Dietary requirements |
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Term
| Recent findings causing problems at mealtimes |
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Definition
Not enough time to eat
Reading menu
Choosing in advance
No help to eat
Snack availability
Diet supplemented by friends/family
Unappetising food |
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Term
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Definition
PPI - Public and patient involvement forums
PLACE-Patient Led Assessments of the Care Environment |
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Term
| How many CQC essential standards are there? |
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Definition
28 legislative requirements
16 essential
Outcome 5 focuses on nutrition |
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Term
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Definition
| Meeting Nutritional Needs: Food and drink should meet people's individual dietary needs |
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Term
| CQC DANI 2012 found MUST helped how? |
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Definition
| Those using it in 2012 inspection were more likely to meet standard than those not |
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Term
| How much has life expectancy impacted health care? |
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Definition
| Average life expectancy has doubled over the last 200years and is increasing by ~2yr/decade |
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Term
| Physiological changes with ageing? |
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Definition
^ risk chronic disease
Less active usually
Decline lean body mass and BMR
Reduction in bone density
^risk fractures
Impaired digestive function & nutrient bioavailability
Changes in smell
skin changes (vit D)
Eyesight & arthritis |
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Term
| Difference in creating recommendations between 1991 drv uk and SACN 2001 drv energy? |
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Definition
DRV used Scholfield equation to calculate BMR and SACN used Henry equation.
Also SACN used updated DLW method thought to be more accurate. |
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Term
| What do the increased energy guidelines in sacn 2011 NOT mean? |
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Definition
| Does not mean people should consume more or do more activity, it is a more accurate reflection of energy expended. |
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