Focused on the future in LTC nutrition
Seminars
| |
|
|
|
| |
|||
| |
Focused on the future in LTC nutrition |
||
|
|
|||
| |
|
||
Annette is a powerful and effective speaker who reaches her audience through real life experiences and creates a common ground. The feeling that she is talking directly to you is what sets Annette apart from the rest. She leaves the audience educated and excited about what they have learned. Annette is a published author of many educational materials that are used in some of the nation's finest organizations.
Kobriger Presents, LLC can come to your corporation, organization, dietetic association, or consultant practice group. Please let us know how we can help you plan your next meeting. Contact us for more information and interesting ideas.
Presentation Titles:
Defensive Dietetics
From
Aggressive Nutritional Care to Comfort Care
What Should I Eat?
Laboratory Values With the Elderly - Lifeblood Assessment
The Elderly Are Living Chemistry Sets
The Nursing - Dietary Connection
New Concepts In Unintended Weight Loss
Water,
Water, Everywhere, But Not a Drop To Drink
Sarcopenia and ADL Decline
Stress Less, Live More
The Dining Room - As the Resident Sees It
The New Resident Protocol for Nutrition and Tube Feeding (available
spring/summer 2007)
Presentation Title:
Defensive Dietetics
Description:
Weight loss is not a normal consequence of aging – or so Centers for Medicare
and Medicaid Services (CMS) believes. CMS at this time is rewriting the survey
guidelines for weight loss to determine when level F & G citations are appropriate.
Learn new information about the immune process and how it affects chronic disease
and weight loss. Face it – the normal aging population does not come
to long-term care – just the sickest, most frail human beings. Our laboratory
values do not always indicate nutritional status – even though the CMS guidelines
state they do. The cost is too high for facilities, lawyers are getting rich,
the industry is losing liability insurance, and some are at risk of going to
jail. The Office of the Inspector General (OIG), surveyors, lawyers, all say
we are not doing our job. We may be looking at weight loss due to a variety
of causes.
Objectives:
Presentation
Title:
From
Aggressive Nutritional Care to Comfort Care
Description:
Terminal illness. No more nutrition interventions
to try – what’s next? How does tube feeding fit into the picture? What does
the latest information tell us about the benefits of tube feeding? What comes
next? How does the team, care plan and create measures to reflect the “new resident”
status? How does your facility deal with this difficult issue? Here are ideas
for you to discuss and consider.
Objectives:
Presentation
Title:
What
Should I Eat?
Description:
Test your knowledge of healthy eating. Why is nutrition so confusing? Why does
it change? How does my nutrition affect my health? Confusing information, lack
of time, guilt, and terms like "omega-3 fatty acids" make the simple
act of eating confusing. Learn some simple strategies to improve health and
quality of life.
Objectives:
Presentation Title:
Laboratory
Values With the Elderly - Lifeblood Assessment
Description:
This seminar challenges the health care team
to understand and use laboratory values. Physiological changes, hydration, malnutrition
and anemia(s) are addressed. Many of the current laboratory values used to assess
nutritional assessment with OBRA address pathophysiology rather than malnutrition.
The new ICD-9 codes for hydration make it important to understand the difference
between hydration issues and disease presentation.
Objectives:
To better understand the impact of dehydration, physiological stress, etc. on laboratory values.
Address laboratory values accurately for resident care and optimal survey outcomes.
To better utilize staff using an intradisciplinary approach to address lab values.
Presentation Title:
The
Elderly Are Living Chemistry Sets
Description:
The elderly are described as “Living Chemistry
Sets.” Prescription drugs alter the need for nutrients. Other effects include
malabsorption, GI bleeding, ulcers, nausea, diarrhea, and decreased absorption.
Drugs also affect binding sources for nutrients. Drugs are usually added to
the regimen of a resident without eliminating other drugs. This seminar discusses
the impact on resident intake of food and fluids. Learn nutritional implications
of drugs commonly prescribed in long-term care. Session discusses use of herbal
supplements with prescription drugs.
Objectives:
Identify classifications of drugs that impact on nutritional status.
Learn how the timing of giving the drug impacts on drug bioavailability.
Presentation Title:
The Nursing - Dietary
Connection
Description:
This dynamic duo working together holds the
key to better Quality of Life and Quality of Care outcomes. This session will
focus on issues in the dining room, “a therapeutic environment” where surveyors
may spend as much as 30 percent of their time, and residents spend up to 40-50
percent of their awake time. This presentation will discuss issues such as positioning,
dining with dignity, cognitively impaired residents, food quality, temperatures,
adequate staff to feed, hydration, tablemates and substitutes. Actual citations
will be used to make the presentation “true-to-life.” Dining issues end up as
frequent survey citations.
Objectives:
To encourage nursing and dietary to work as a team to improve Quality of Life and Quality of Care.
To make participants aware of, and how to correct, citations frequently given in the dining room, involving both nursing and dietary staff.
Presentation Title:
New
Concepts In Unintended Weight Loss
Description:
The news about unintended weight loss is important
for long-term care. Weight loss in the elderly with multiple chronic diseases
– may not be preventable. How does this happen? Pathophysiology alters how the
body uses nutrients, alters laboratory values, and causes weight loss. This
includes disease commonly found in long-term care, such as COPD, CHF, rheumatoid
arthritis, and more. Learn how this occurs. This program is especially beneficial
for nursing, dietary and other clinical staff.
Objectives:
Understand how the immune process alters nutrient use.
Know how the acute phase process continues with chronic disease.
Understand how the nervous, endocrine and immune systems communicate to produce like effects on the nutritional status.
Learn how pathophysiology in chronic disease results in cachexia.
Presentation Title:
Water,
Water Everywhere, But Not a Drop To Drink
Description:
The elderly are at high risk for dehydration
in sickness and in health. Dehydration is the number one reason elderly go to
the hospital emergency room. Learn those at risk for dehydration. Locate hydration
risks on the MDS. What are the signs and symptoms to look for in residents?
What can lab values tell you? Determine hydration needs and how to put on care
plan. Discuss ways to improve hydration in work setting. This topic has application
for the interdisciplinary team in a variety of health care settings. Know how
the recent IC-9 codes can identify hydration or pathology.
Objectives:
Identify those at risk for dehydration. Identify hydration risks on the MDS.
Know signs and symptoms
Calculate hydration needs and care plan needs.
Presentation Title:
Sarcopenia and ADL
Decline
Description:
Muscle mass is lost with normal aging. Chronic
disease causes additional muscle loss. We have tried calories and protein to
replace muscle loss. We have tried appetite stimulants with mixed results. The
only tried and true method of increasing muscle mass is strength training. Strength
training especially for the lower body may keep our elderly more ambulatory
and independent. Sarcopenia can be modulated with nutrition and exercise.
Objectives:
Know mechanisms of weight training that increase muscle mass.
Know how sarcopenia develops with normal aging.
Understand how obesity and chronic disease cause sarcopenia.
Presentation Title:
Stress Less, Live
More
Description:
Stress from work, illness, or life events decreases the quality of life and
contributes to aging and disability. The nervous system, endocrine, and immune
system interact with stress. We all know we are more likely to get sick, or
"explode" when under stress. Learn how stress can cause harm and what
to do about it.
Objectives:
Presentation Title:
The
Dining Room - As the Resident Sees It
Description:
Caregivers have goals for resident intake.
The dining experience from the resident’s point of view is a unique perspective.
Calculated calorie and fluid needs appear on the tray. Why doesn't the resident
eat the food and drink the fluids? Does the environment, staff, etc., meet the
resident’s needs for dining? The new protocol for dining focuses on the dining
experience. Learn how to understand the resident’s perspective, the multiple
needs of residents in the dining room, and what the literature notes as needed
for improvement. Dining room and staffing guidelines are included. The seminar
incorporates case studies and encourages discussion.
Objectives:
Understand dining room and resident culture.
Learn how staff can improve the dining experience.
Learn what to do when the resident will not eat.
Kobriger Presents, LLC
P.O. Box 55
Chilton, WI 53014
920-849-7806
E-Mail: infonet@kobriger.com