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Dietician

This section contains detailed information about the nutritional management of older persons. This site is linked to handouts educational programs that will assist you in educating staff or family caregivers on proper nutrition or hydration for persons with dementia.

Comprehensive Multidisciplinary Assessment of Residents with Weight Loss
Weight loss in the Dementia Patient
Fact Sheet on Hydration
Fact Sheet on Nutrition

Hospice Manual

Hospice Manual (Complete)
Hospice Manual letter
Hospice Questionnaire for Hospice
Hospice Questionnaire for long-term care survey
Management of the hospice patient with Dementia
Survey Process
The Caregivers Guide to Peg Tubes- For Patients with Dementia

Just the Facts for Dieticians

1. Nutrition is important for health and behavioral management.
2.Resident hunger produces behavioral problems.
3.Nutritional deficiencies produce health problems.
4.Inaccurate weights are common in long-term care facilities.
5.Swallowing apraxias or dyspraxias are a common cause of choking and poor oral intake.
6.Residents with severe expressive aphasia frequently have silent aspiration.
7. The average weight loss is 1-2 pounds per year regardless of caloric intake in the middle or end stages of dementia.
8.Significant weight loss can result from delirium, depression, or failure to feed the resident.
9.The resident who needs complete assistance with feeding requires at least 20 minutes of staff time.
10.Wandering, agitation, and hostility may be produced by hunger.
11.Rigid blood sugar control in diabetic, demented residents is not as important as steady caloric intake.
12PEG tubes are not effective in end-stage dementia patients with severe swallowing dysfunction.

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