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The role of sipping in the nutritional support of geriatric patients
Ondrová, Ellen ; Vágnerová, Tereza (advisor) ; Mádlová, Pavla (referee)
Introduction: Malnutrition is a significant problem in old age. Malnutrition is present in 30 - 70 % of hospitalized elderly and its consequences are severe. Systematic screening and early treatment are essential to ensure and maintain good health in the elderly and are an integral part of overall geriatric care. Nutritional support with sipping - oral nutriti- onal supplements (ONS) is one of the basic approaches in the management of malnutriti- on in geriatric patients. Aim of the thesis: The main aim of this thesis was to evaluate the intake of sipping in geri- atric patients and to monitor possible pitfalls in its use. To answer the main objective, four research questions were set to provide the following answers: 1. What proportion of the total energy intake (CEP) of a patient is from diet and from sipping, and how does gender and age affect energy intake from sipping ? 2. What proportion does dietary and sipping protein make up of the patient's prescribed intake? 3. Will the diet, including sipping, cover the patient's energy and protein needs? 4. Will patients drink their prescribed dose of sipping, and will certain factors such as education by the nutritional therapist and ability to eat affect the patient's in- take of sipping? Research methods: Quantitative research in the form of data...
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Calcium intake in patients with disorders beta oxidation fatty acids with long chain.
Ondrová, Ellen ; Floriánková, Marcela (advisor) ; Ješina, Pavel (referee)
The bachelor thesis deals with rare hereditary metabolic disorders, LCHAD (long chain 3- hydroxyacyl-coenzyme A dehydrogenase) deficiency and MTP (mitochondrial trifunctional protein) or TFP (trifunctional protein) deficiency. Deficiencies of these enzymes cause a disturbance in the cycle of β-oxidation of long-chain fatty acids. The basis of treatment for these disorders are dietary and regimen measures. The main goal of the bachelor's thesis was to determine the level of compliance in dietary and regimen measures and calcium intake in patients with LCHAD/MTP deficiency. The theoretical part first describes hereditary metabolic disorders as a large heterogene- ous group of serious hereditary disorders, some of which occur rarely. These rare diseases include LCHAD/MTP deficiency. First, general findings of hereditary metabolic disorders, their history, occurrence, heredity, pathogenesis, diagnosis, clinical manifestations and treatment, are briefly summarized. Furthermore, the theoretical part of the thesis deals with fatty acids as a nutrient, which plays a crucial role in the diet of a patient with LCHAD/MTP deficiency, as well as the β-oxidation process, which is disrupted in these de- ficiencies. The main part of this thesis is devoted to the disease itself, the LCHAD/MTP de- ficiency. It...
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