Transcript Geriatric Assessment - Hurley Graduate Medical Education

Christy Rivette MS, Extension Educator
Michigan State University Extension - Genesee County
Geriatric Education Center of Michigan
activities are supported by a grant from the
U.S. Department of Health and Human
Services, Health Resources and Services
Administration, Public Health Service Act, Title
VII, Section 753(a).
This module was developed by
Decreased caloric needs
Decreased weight (normal)
Change in weight distribution
• Decrease in muscle mass; increase in fat tissue; decrease in fluid component
Glucose intolerance
Antioxidant vitamins as prevention of problems
Changes in taste perception (aging of the taste buds)
Changes in skin and kidneys
Decreased production of hydrochloric acid in GUT
Increased bacteria overgrowth in GUT
 need:
Vit D,
calcium
{skin,
kidney,
bone}
 need:
pyridoxine
(B6)
{muscle}
 need:
B12, folate
{Gut
changes}
 need:
fluids
Based on physiologic changes
 need:
Vitamin A
{fat}
Loneliness
Decreased
income
Less interest
in life
Alcohol
Medications
• Changes in taste
• Cost
• Increase disability due to interactions
• Decrease appetite
Special Diets
• Less familiar
• Less appetizing
• Decreases important nutrients
• Diet might already be changed prior to
recommendation
• Decreases further social aspects of food
Usual adult
weight
Recent changes
in weight
Special diet
Who prepares
food
Additions to
food
Meals and
snacks
Fluids during day
(type, amounts)
Eats alone or
with others
Problems that affect food
intake (teeth, swallowing)
Who shops for groceries
(when, where)
MINI NUTRITIONAL
ASSESSMENT (MNA)
Specific questions with a
number score
Total score indicates level
of potential problem
Used with permission. Available at: www.mnaelderly.com. Accessed 07-Nov-2011.