Care Planning for Older Adults Flashcards

For a frail older adult with a stage 3 pressure injury, which protein target is most consistent with current guidelines?

Answer: 1.25-1.5 g/kg/day

NPIAP guidelines recommend 1.25-1.5 g protein/kg/day for adults with pressure injuries who are malnourished or at risk.

A commonly used estimate of daily fluid needs for older adults in care planning is:

Answer: 30 mL/kg

Approximately 30 mL/kg/day (with a minimum of about 1,500 mL) is a common fluid estimate for older adults.

Medicare Part B covers medical nutrition therapy by an RDN for which two conditions?

Answer: Diabetes and non-dialysis chronic kidney disease

Medicare Part B MNT benefit covers diabetes and non-dialysis kidney disease (and post-kidney transplant).

How many hours of MNT does Medicare Part B cover in the first calendar year for an eligible beneficiary?

Answer: 3 hours

Medicare covers 3 hours of MNT in the first year and 2 hours in subsequent years, with more possible upon change in condition.

Which Older Americans Act program funds home-delivered meals for homebound older adults?

Answer: Title III-C2

Title III-C2 funds home-delivered nutrition services, while III-C1 funds congregate meals.

Which program provides comprehensive medical and social services, including nutrition, to nursing-home-eligible adults aged 55+ living in the community?

Answer: PACE

PACE (Program of All-Inclusive Care for the Elderly) coordinates all care through an interdisciplinary team that includes a dietitian.

When should a nursing facility complete a Significant Change in Status Assessment?

Answer: Within 14 days after determining a major decline or improvement affecting two or more areas

An SCSA is due within 14 days after the IDT determines a significant change that is not self-limiting.