Saturday, February 15, 2020

Nutrition assessment in older adults Essay Example | Topics and Well Written Essays - 3000 words

Nutrition assessment in older adults - Essay Example s defined as â€Å"faulty or inadequate nutritional status; undernouishment characterized by insufficient dietary intake; poor appetite, muscle wasting and weight loss† (Chen et al, 2001: 131). Malnutrition in the elderly can lead to disability, functional dependency, higher morbidity, mortality, immune dysfunction, greater demand for health care resources and reduced quality of life. Among hospitalized older adults there is also delayed recovery and increased complications (McCall & Cotton, 2001: 137). According to The National Service Framework for Older People in England and Wales, nutrition risk screening or assessment tools help to identify those with nutritional concerns, in order to develop appropriate nutrition care plans (DoH, 2001: 54). Without adequate interventions, malnutrition can cause a steady decline in the well-being, quality of life and life-expectancy of elderly individuals. The Research Statement: This paper proposes to study the requirement for nutritional assessment among older adults, compare and contrast two nutritional assessment strategies: Malnutrition Universal Screening Tool (MUST) and Mini Nutrition Assessment (MNA); and evaluate how a nurse may utilise these tools to assess elderly patients. The lack of formalised and consistent nutritional assessment for older adults, along with the need to improve nursing knowledge has been recognized by the Senior Nurse and Midwifery Advisory Council (SNMAC 2001) in its audit of standards for older people (Bailey, 2006: 20). The author found from research that few nursing staff had received formal training in the specific nutritional needs of older people, and there was a lack of assessment and planned care. The need for systematic screening is emphasized because of compelling evidence that malnourishment is neither fully recognized nor treated in hospitals. Treating malnutrition can improve outcomes for hospitalized and unwell elderly individuals. Malnutrition and its debilitating outcomes

Sunday, February 2, 2020

Week 5discusiions Essay Example | Topics and Well Written Essays - 250 words

Week 5discusiions - Essay Example An active that will lead to weight loss is a treatment procedure. Therefore, an expense incurred during the weight loss process becomes a permitted deduction. However, the deductions must be more than 10% of the Annual Gross Income of the taxpayer (U.S Department of the Treasury, 2015). Furthermore, the taxpayer should not appear as a dependent on another person’s tax returns. A client who owns stocks can fund qualified organizations through appreciated securities in the stock market. The decision to sell the appreciated shares means that the client will forego the capital gains associated with them. The client will forego the capital gains and tax liabilities, but will include them as potential deductions. Furthermore, the deduction will be on the prevailing market value. However, when the qualified group is receiving the stock and wants value for money, they will have to cash the shares. Since the organization is non-profit, it would not be liable to tax liability associated with capital gains. For instance, consider a client with appreciated securities of 10,000 with a market value of $45. The client decides to offer the stock (10,000) to a qualified organization. They can deduct $45,000 as part of the potential deductions. They will have contributed the appreciated shares, and realized gains through the