• All individuals require the same nutrients, but the amounts vary according to factors such as age, weight, activity level, and health state.
• The energy value of foods is defined in calories; only proteins, fats and carbohydrates provide calories.
• The average adult drinks 2 to 3 liters of water per day.
• The normal thirst mechanism in the elderly may be diminished and they may need encouragement to drink sufficient water to prevent dehydration.
• Discontinue ROM exercises at point of pain.
• Use rubber suction tips on crutches and canes to prevent slipping.
• Prevent deformities and complications such as contractures, thrombophlebitis, and pressure ulcers by turning and positioning the client in good alignment.
• There should be at least two inches between axilla and top of arm piece of crutch to prevent pressure on the brachial plexus.
• The majority of residents in nursing homes are incontinent.
• Incontinence is not a normal sequela of aging.
• Initiate pain relief before the pain becomes unbearable.
• Essential amino acids cannot be synthesized. They must be ingested daily
• Weight is maintained when daily food intake equals energy expenditure.
• Age affects daily requirements: young, old, pregnancy, lactation.
• Weight loss is a long-term process and patients need long-term support.
• Reconstructive surgery may be required after large amount of weight loss.
• Support groups are available for patients losing weight.
• Increased fiber in the diet may cause flatulence.
• In constipation, increase fluid to 3000 cc/day (unless contraindicated).
• Small frequent loose stools or seepage of stool are often indicative of a fecal impaction.
• Use transparent drainage bag initially for assessment of stoma and drainage.
• Avoid foods that cause odor, gas, diarrhea, or may block ileostomy.
• Allow the client to rate his degree of pain and the degree of relief from pain relief measures.
• Self-control methods to manage pain: distraction, massage, guided imagery, relaxation, biofeedback, hypnosis.
• Change ostomy appliance as needed.
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