Dignity, malnutrition and comfort in later life, Anne Holdoway at For Later Life 2014
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Transcript of Dignity, malnutrition and comfort in later life, Anne Holdoway at For Later Life 2014
Dignity, malnutrition and comfort in later life
Food and Nutrition in Later Life -The Vital Ingredients
One size does not fit all…..
4
11.5%
17.1%
24.4%
33.1% 33.1%
30.4%
26.6%
12.3%
20.9%
25.2%
30.2%31.4%
33.7%
28.4%
0%
5%
10%
15%
20%
25%
30%
35%
16-24 25-34 35-44 45-54 55-64 65-74 75+
Prev
alen
ce o
f obe
sity
Men Women
Adult obesity prevalence by ageHealth Survey for England 2010-2012
Patterns and trends in adult obesity
Adult (aged 16+) obesity: BMI ≥ 30kg/m2
Malnutrition
The Nutrition Screening Week surveys(BAPEN 2013) indicated that the proportionof underweight individuals (BMI < 20 kg/m2) admitted to hospital rises steeply above theage of 70 years..
Older people accounted for most of the malnutrition in hospital (62%)
In older years chronic disease and ill health can create dietary challenges
93% of malnutrition is in the community
Psychological and Social Well Being
Psychological well-beingHow happy or content we feel with life
Social well-being A sense of involvement with other people and with our communities
Diet quality can play a central role in maintaining cognition and well-being
Shatenstein et al, 2012 Experimental Gerontology. Haveman-Nies et al, SENECA study Age and Ageing 2003.HALCyon Programme
Specific nutrients affect ourwell being and function
Folate
Zinc
Vitamins B12
Omega 3 Fatty Acids
Selenium
(Abouh-Saleh and Cooper, 2006, Levitan et al, 2000, Nowak et al, 2005, Williams et al, 2005,Bodnar and Wisner, 2005, Bamber et al, 2007)
Vitamin B6
CHO
Energy
Preservation of cognitive abilities is central to the maintenance of independence and quality of life among older adults
Shatenstein et al, 2012 Experimental Gerontology
Kuh et al, HALCyon Programme Public Health 2012 HALCyon Programme
Crucial elements of ageing well
Feeling Useful Being socially engaged
Being productive
Towards the end of life
Conclusion - one size does not fit all
• Good nutrition can help to combat chronic disease, manage weight and function
• Under-nutrition predisposes to disease and adversely affects its outcome. This has important economic implications but can adversely affect mood, happiness, comfort.
• Older people and partner agencies with a remit for older people’s health should be provided with consistent and appropriate messages concerning nutrition in later life.
Do we listen to our clients?
• Do we know what is good for older people?• In chronic disease and life limiting conditions
we need to be aware that food can create considerable anxiety, misunderstandings, become a battle ground.
• Do we take into consideration all the challenges around food?
• Do we address beliefs and values?• Do we aim to improve QoL or nutritional status?
Malnutrition, dignity and later life.
•Do we really cater for the individual needs of our ageing population?
•If diet is a habit of a lifetime - are individuals able to enjoy what they have habitually eaten when in a care home, nursing home?
•Do individuals feel engaged in the preparation and choice of meals?
Creating the Right Environment