Appetite Stimulants for the Elderly

Older adults sometimes experience a loss of appetite that may adversely affect their health. Even foods they once loved no longer seem appealing. Caregivers of seniors with this problem will certainly want to explore ways to stimulate their loved ones’ appetites and get them eating again.

Causes of Loss of Appetite

There are several causes for loss of appetite in the elderly. One may be a poorer sense of taste due to a diminishing number of taste buds as we age. Our sense of smell also diminishes, and with it, potentially, our enjoyment of food.
Disinterest in food also can be caused by physical or cognitive maladies. Those with multiple medical conditions may be particularly vulnerable to poor appetite. If they are taking medications, they may experience loss of appetite as a side effect.

Weight Loss in Elderly

Loss of appetite can lead to substantial weight loss, which is a major health concern.
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90-Year-Olds Today Sharper than Previous Generation

A large Danish study of nonagenarians finds that people born in 1915 not only lived longer than those born a decade earlier, but they also retained a higher level of both their cognitive and physical abilities.

To address the concerns of future care needs for the “Silver Tsunami,” a team of Danish researchers investigated the health status of seniors over the age of 90.  Using the Danish Civil Register System, the team identified all nonagenarians living in Denmark at the time that they were conducting their surveys. 

Two groups of nonagenarians were given cognitive and physical assessments. The first cohort included a total of 2,262 nonagenarians born in 1905. This cohort was assessed in 1998 when they were ages 92 to 93. The second group consisted of 1,584 seniors born in 1915, and were assessed in 2010 when they were ages 94 to 95. 

The 1915 cohort scored notably better on the cognitive test than the 1905 group, with a significantly higher proportion of participants achieving perfect scores (23 percent vs. 13 percent). The researchers also found that the odds of living to age 93 were 28 percent higher in the 1915 cohort than in the 1905 cohort, and the chance of reaching 95 years was 32 percent higher in 1915 cohort. 

The two groups recorded similar results in the physical performance exams, but the 1915 cohort scored significantly higher on tests measuring ability to perform activities of daily living (ADL).

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Animals are Good for Your Health

Animal lovers have always known it. Now health researchers are confirming it: animals are good for your health.

Just 10 minutes of physical interaction with a beloved pet can lower blood pressure and increase finger temperature—both clear signs of relaxation—according to a number of research studies.
Benefits to people with high blood pressure have been documented as well. A recent study showed that pets can do what medicine cannot. It involved two groups of stockbrokers who were already being treated with ACE-inhibitor therapy.

The study found significant differences in their physiological reactions to stress tests. Those with pets were about half as reactive to stressors. This study demonstrates the health effects of pets in conjunction with medication. That's significant because it's well known that this type of medication plays an important role in controlling resting blood pressure, but does not control blood pressure related to stress.

Another study of people with borderline hypertension shows equally encouraging results.

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Stuff the Bird, Not Yourself

According to research from the Calorie Control Council, the average American may consume more than 4,500 calories and a whopping 229 grams of fat from snacking and eating a traditional holiday dinner with turkey and all the trimmings. And these figures don't even include breakfast or the late evening munching on leftovers!

The average holiday dinner alone can carry a load of 3,000 calories. And most of us nibble our way through more than another 1,500 calories downing dips and chips and drinks before and after the big meal. Combined, that's the equivalent of more than 2 1/4 times the average daily calorie intake and almost 3 1/2 times the fat. The typical holiday dinner can be loaded with 45 percent of calories from fat. In fact, the average person may consume enough fat at a holiday meal to equal three sticks of butter.

Many of us will figure that we've blown our diet and the holidays are to be enjoyed, so why worry about weight? But even if you start the holiday season off with gastronomical excess, you can quickly get back on the right track.

Reducing the amount of fat and calories in your snacking and main holiday meals can help prevent the average weight a person will gain over the holidays (from Thanksgiving through New Year's Day). And instead of crashing on the couch after eating, you can lessen or ward off weight gain by burning off that eggnog or pie.

Also, try these "Low-Fat Holiday" tips from the American Heart Association:

• Eat lower-fat and reduced-calorie foods for days in advance of the holiday feast, and for days after.
• Prepare for handling your worst temptations; if you want both pecan and pumpkin pie, take a tiny slice of each, instead of an average serving.

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Ready To Run Away When The Surveyors Come?

Work in a long term care facility is filled with hundreds of little stresses, but every now and then one comes along that throws you into a panic. For many employees, survey time can be the worst. You know the drill: A state employee shows up with a clipboard and puts your facility under the microscope. Suddenly you're worried about every little thing, and unable to concentrate on your work. Is your paperwork in order? Did you remember to wash your hands after helping Ms. Jones with her eyedrops? Did Mr. Morris get his lunch in a timely manner?

Ok, stop. Take a deep breath. I'm going to let you in on a secret about surveys. Ready?

Survey days are the same as ANY OTHER DAY.

That's right. Whether you're the DON, a CNA, or facility's Activities Director, it's up to you to do you very best for your residents every day you come to work. If you're doing your job properly, everything will run smoothly and survey day won't be any different than any other day on the job.

Want to make survey as painless as possible? Do a mental run-down of everything the surveyors look for and make sure you could pass inspection with flying colors. Is your workflow in order, or are you always scrambling to take care of things when they pop up? Checklists can be a great help for both directors and employees. Rather than having to juggle everything in your head--and deal with interruptions and distractions--you can just refer to your checklist and keep things running smoothly. It's the easiest way to make sure you never forget something important, and it'll help you get back on track when all those little distractions pop up. If your records are up-to-date and neatly organized, you'll sail right through that part of the survey.

Next, take a moment to pretend that you're visiting your facility for the first time. Look around you and take note of what you see. Are the residents happy and involved with activities, or are they sitting alone in silence? Does everyone look well groomed, or is hygiene lacking? How does the air smell? When you work in a place day after day, you can get accustomed to smells, but it's important to take a moment to pay attention. If anything seems off, or if there are issues with the residents, take care of them now. That way, when it's survey time, you can relax and be confident that everything is in order.

Stand in the entrance to the dining hall, or in the facility's entry. How would your coworkers appear to a stranger? Are people stressed and short tempered, or do you see lots of smiles and pleasant interactions? Are residents addressed by name? If there is anything discourteous or disrespectful occurring, take care of it immediately. It might require a staff meeting or a memo, but clearing up any issues now will make survey a breeze.

Finally, remember that surveyors are just people doing their jobs, like you. They aren't there to cause trouble or make your life difficult. Yes, a lot of things are riding on a survey, but if you're working safely and conscientiously already, you have nothing to worry about. Help inspectors get their work done and get the information they need, and you'll be able to get back to your work that much more quickly. If you're doing a good job every day, survey day will be a breeze. Smile, take a deep breath, and go about your business without worrying.

 https://www.cms.gov/manuals/downloads/som107c07.pdf