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Nutrition in Geriatric Palliative Care
Vodičková, Věra ; Meisnerová, Eva (advisor) ; Závadová, Irena (referee)
- 1 - Abstract Geriatric palliative care integrates two medical disciplines, namely geriatrics, focused on the diagnosis and treatment of diseases specific to the elderly, and palliative care, which is a comprehensive, active and qualified approach aimed at improving the quality of life of patients and their families in a situation where they suffer life-threatening illnesses. Palliative care is realized through multidisciplinary teams and a nutrition specialist is one of the most important specialization in the care of frail geriatric patients, even though its position in teams is still not firmly established. This work is dedicated to nutrition specialists, aims to introduce them into the issue of geriatric palliative care and to help them with a complex perception of the patients and the application of a palliative approach into nutritional care. It also deals in detail with anorexia and dysphagia, two of the frequent and major symptoms that we encounter in frail geriatric patients. The nutrition specialists can best try to solve these problems. The work should also help other professionals who are involved in providing palliative care, understanding the role of nutrition specialist and its effective use to improve the quality of patient's life. The empirical part describes a case report of almost one...
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Reference values of hand grip strength in older people in the Czech Republic
Hájek, Jakub ; Šteffl, Michal (advisor) ; Daďová, Klára (referee)
Title: Reference values of hand grip strength in older people in the Czech Republic Objectives: The main aim was to establish reference values for handgrip strength and grip strength adjusted by BMI in the elderly over 50 years old in the Czech Republic. Methods: Data obtained from the Survey of Health, Aging and Retirement in Europe (SHARE) was used to calculate reference values for handgrip strength and grip strength adjusted to BMI. The reference values were based on percentile distributions depending on age and gender; additionally percentile nomograms were created. Results: The research sample consisted of 1,787 men (average age 64.5 ± 8.8) and 2,207 women (average age 64.3 ± 8.9 years) from the Czech Republic. Men achieved higher values than women for both variables, which continuously decreased with age in both genders. Conclusion: Those reference values could serve as key indicators for evaluating the physical fitness of seniors in the Czech Republic. Key words: physical performance, frailty, sarcopenia
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