Class Author

Debra Collins
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As CEO and President of LTCS Books, Inc., Debra maintains a knowledge base and writes weekly articles on long term care and home health care federal regulatory changes.


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Nutrition Hydration and the Elderly

This inservice is written for nursing assistants and CNA's in the long term care and home health care settings. Principles of providing adequate nutrition and hydration are described. Detailed instructions are given for preventing unintended weight loss and dehydration, monitoring weight, and calculating food and fluid intake.


On completion of this course, the participant will be able to:

  1. Name seven main causes of decreased intake. 
  2. Describe facility and agency policies for monitoring weight. 
  3. Outline the steps for calibrating and using scales. 
  4. List four signs of decreased intake. 
  5. Describe five interventions to increase intake. 
  6. Calculate food intake using the point and percentage method. 
  7. Explain federal regulations on dehydration. 
  8. Describe five potential causes of dehydration. 
  9. List three signs of dehydration. 
  10. Name four interventions to maintain adequate hydration.
  11. Calculate fluid intake by converting cups, ounces, and cubic centimeters.


Chapter 1
Introduction to Nutrition and the Elderly

  • Importance of Nutrition
  • Challenges of Meeting Nutritional Needs of the Elderly
  • Results of Weight Loss

Chapter 2
Causes of Decreased Intake
  • Chewing Problems
  • Swallowing Problems
  • Mental Problems
  • Behavior Patterns and Problems
  • Inability to Communicate
  • Functional Deficits
  • Disease Processes

Chapter 3
Monitoring Weight
  • Federal Regulations on Unintended Weight Loss
  • Facility and Agency Procedures for Monitoring Weight
  • Assignments for Obtaining Weights
  • Types of Scales
  • Using Scales
  • How to Use a Physician’s Scale
  • Documenting and Reporting Weights
Chapter 4
Interventions to Increase Food Intake
  • Signs of Decreased Intake
  • Care Plans for Weight Loss and Inadequate Intake
  • Interventions to Increase Food Intake

Chapter 5
Recording Food Intake
  • Facility and Agency Policies and Procedures on Recording Food Intake
  • Calculating Food Intake

Chapter 6
Introduction to Hydration and the Elderly
  • Importance of Hydration
  • Federal and State Regulations on Dehydration

Chapter 7
Monitoring Residents and Clients for Dehydration
  • Potential Causes of Dehydration
  • Results of Dehydration
  • Signs of Dehydration

Chapter 8
Preventing Dehydration
  • Facility and Agency Policies and Procedures to Prevent Dehydration
  • Interventions to Maintain Adequate Hydration

Chapter 9
Calculating and Recording Fluid Intake
  • Facility and Agency Policies and Procedures on Recording Fluid Intake
  • Calculating Fluid Intake

Course Snapshot

Cost: $ 10.00
Contact Hours: 1


Upon successful completion the Home Health Aid or Nurse Assistant will receive a Certificate of Completion for 1.0 inservice contact hour(s).
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