Clinical Assessment & Patient Care Flashcards

The PROT-AGE study group recommends what daily protein intake for healthy older adults?

Answer: 1.0-1.2 g/kg

PROT-AGE recommends 1.0-1.2 g/kg/day for healthy older adults, and 1.2-1.5 g/kg/day for those with acute or chronic disease.

A score of 4 or more on the SARC-F questionnaire suggests:

Answer: Sarcopenia risk that needs further assessment

SARC-F ≥4 is a screening result for sarcopenia, which is then confirmed with strength and muscle mass measures.

For an older resident with a stage 3 pressure injury and no renal disease, which nutrition goal fits current NPIAP guidance?

Answer: Protein 1.25-1.5 g/kg and 30-35 kcal/kg

NPIAP guidelines recommend 30-35 kcal/kg and 1.25-1.5 g protein/kg for adults with pressure injuries who are malnourished or at risk.

An older adult with Parkinson's disease has erratic response to levodopa after high-protein meals. What is the best approach?

Answer: Time levodopa away from high-protein meals or redistribute protein

Large neutral amino acids compete with levodopa for absorption, so dose timing or redistributing protein to the evening improves response.

For a non-dialysis older adult with stage 4 CKD and no diabetes who is metabolically stable, KDOQI 2020 suggests what protein intake under close supervision?

Answer: 0.55-0.6 g/kg/day

KDOQI 2020 suggests a low-protein diet of 0.55-0.6 g/kg/day for stable non-diabetic CKD stages 3-5 not on dialysis.

In advanced dementia, what does the American Geriatrics Society recommend about feeding tubes?

Answer: Offer careful hand feeding instead of feeding tubes

AGS advises against feeding tubes in advanced dementia because they do not improve survival, aspiration, or comfort, and recommends careful hand feeding.

On the Braden Scale, which total score generally indicates pressure injury risk in older adults?

Answer: 18 or lower

Braden totals of 18 or below show risk, and lower scores mean higher risk, with nutrition as one of six subscales.