老年营养保健讲座中华讲师网.pptVIP

老年营养保健讲座 东莞市百岁营养咨询有限公司 饮食计划 减肥 饮食计划 适当的营养 维持体重 增加体重 体育活动 身体条件限制 偏爱 安全性 集体锻炼 低血糖 药物治疗 药剂师的职责 选择并确定降糖药的剂量 药物治疗 坚持治疗 辅助治疗仪 书面信息 最大口服药-开始胰岛素治疗 药物治疗 妨碍胰岛素治疗的因素 Lispro use 实际应用与观察 家庭成员的参与 确定目标 血糖监控 尿糖（不可靠） 老年患者可以正确应用 能力评估 通体测定 有关自我管理的宣教 乐观的态度 评估知识 避免行话 简单易懂 集体学习 有关自我管理的宣教 社会和财力支持的评估 精神状态评估 适应感觉和神经精神的限制 社会心理问题 忧郁 财力、外部支持不足或活动受限 饮酒 HHNS Hyperglycemic（高血糖性） Hyperosmolar（高渗性） Nonketotic（非酮症） Syndrome（综合征） 低血糖 激素反调节机制受损 联合用药 饮食不足或失当 肠道吸收减慢 水分补充不足 肾脏变化 住院的老年患者 对住院的老年糖尿病患者的管理 宣教过程中的注意事项 评估需求 个体差异 突出重点 简单易懂 放慢速度 评价 找讲师 中国最大的培训讲师选聘平台 找讲师 中国最大的培训讲师选聘平台 Weight reduction strategies for the older patient: Use a gradual approach Incorporate and prioritize other restrictions such as sodium provide adequate protein and calcium reduce overall fat content Adequate nutrition is the primary goal of meal planning. Those who are dependent or have low functional ability should be assessed for risk of malnutrition. Failure to thrive in older people is generally due to a combination of malnutrition, decreased physical function, depression and cognitive impairment. Elderly patients with diabetes are at additional risk because of high rates of depression. Be alert for rapid weight loss or other coexisting problems in underweight older people and refer these individuals for diagnosis and treatment. Weight maintenance or weight gain meal plans should consider the following: -Preferences -Purchasing and preparing food -Financial considerations -Palatability -Lifelong eating habits -Food consistency -Cultural preferences and religious practices Exercise plans should be designed to accommodate: patients activity preferences assessment of functional capacity coexisting cardiovascular diseases (exercise has been shown to prevent and reverse some microvascular/muscle changes in older people) Physical limitations can be accommodated through such activities as stationery bicycling, swimming, water aerobics, walking or chair exercises. E