The role of nutrition in maintaining health in the nation's elderly: evaluating coverage of nutrition services for the Medicare population
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Washington, DC
National Academy Press
2000
|
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | Includes bibliographical references |
| Beschreibung: | XIV, 365 S. 23 cm |
| ISBN: | 0309068460 |
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| 245 | 1 | 0 | |a The role of nutrition in maintaining health in the nation's elderly |b evaluating coverage of nutrition services for the Medicare population |c Committee on Nutrition Services for Medicare Beneficiaries, Food and Nutrition Board, Institute of Medicine |
| 264 | 1 | |a Washington, DC |b National Academy Press |c 2000 | |
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| 650 | 4 | |a Diet therapy | |
| 650 | 4 | |a Dietary Services |z United States | |
| 650 | 4 | |a Medicare |x economics | |
| 650 | 4 | |a Nursing home patients |x Nutrition |z United States | |
| 650 | 4 | |a Nutrition policy |z United States | |
| 650 | 4 | |a Nutritional Physiological Phenomena |z United States | |
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Datensatz im Suchindex
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|---|---|
| adam_text | Contents
EXECUTIVE SUMMARY 1
SECTION I
INTRODUCTION AND OVERVIEW
1 INTRODUCTION 25
The Committee and Its Charge, 26
Overview of the Report, 28
Overview of the Medicare Program, 30
Medicare Coverage Decisions, 34
Medicare Coverage of Nutrition Services, 38
2 OVERVIEW: NUTRITIONAL HEALTH IN THE OLDER
PERSON 46
Malnutrition, 46
Prevalence of Nutrition Related Conditions, 51
Screening for Nutrition Risk, 51
3 METHODS 59
Evidence Available, 60
Committee Deliberations, 61
xi
xü CONTENTS
SECTION II
THE ROLE OF NUTRITION IN THE
MANAGEMENT OF DISEASE
4 UNDERNUTRITION 65
Markers of Undernutrition, 66
Syndromes of Undernutrition, 76
Limitations of Current Evidence, 84
Summary, 85
Recommendations, 85
5 CARDIOVASCULAR DISEASE 93
Dyslipidemia, 94
Hypertension, 100
Heart Failure, 107
Research Recommendations, 111
6 DIABETES MELLITUS 118
Evidence That a Change in Risk Factors Changes Morbidity
and Mortality, 119
The Role of Nutrition Intervention in the Management of
Diabetes, 122
Providers of Nutrition Therapy for Diabetes, 126
Medicare Reimbursement for Diabetes Self Management
Training, 126
Limitations of Data and Future Research Needs, 128
Summary, 128
Recommendations, 129
7 RENAL DISEASE 132
Chronic Renal Insufficiency, 134
End Stage Renal Disease, 142
Nutrition Therapy After Transplantation, 146
Future Areas of Research, 147
8 OSTEOPOROSIS 152
Role of Diet in Onset and Treatment of Osteoporosis, 153
Cost and Quality of Life Considerations, 157
Future Areas of Research, 158
Summary and Recommendations, 159
CONTENTS XÜi
SECTION III
NUTRITION SERVICES ALONG THE
CONTINUUM OF CARE
9 NUTRITION SERVICES IN THE ACUTE CARE SETTING 165
Medicare Reimbursement in Acute Care, Short Stay Hospitals, 165
Role of the Nutrition Professional, 166
Effects of Undernutrition on Functional Status in the Elderly, 170
Future Areas for Research, 171
Summary, 171
Recommendations, 171
10 NUTRITION SUPPORT 173
Literature Review, 175
Indications for the Use of Nutrition Support, 175
Gastrointestinal Diseases, 175
Human Immunodeficiency Virus and Acquired Immune
Deficiency Syndrome, 180
Cancer and Bone Marrow Transplantation, 183
Acute Renal Failure, 185
Critical Illness, 187
Perioperative Nutrition Support, 189
Limitations of Nutrition Support Evidence, 194
Delivery of Nutrition Support, 195
11 NUTRITION SERVICES IN AMBULATORY CARE
SETTINGS 213
Reimbursement for Nutrition Therapy in Ambulatory Care, 213
Accreditation Standards for the Ambulatory Setting, 215
Nutrition Services in Ambulatory Settings, 216
Effectiveness of Nutrition Therapy in Ambulatory Settings, 220
Future Areas of Research, 221
Summary, 221
Recommendations, 222
12 NUTRITION SERVICES IN POST ACUTE, LONG TERM
CARE AND IN COMMUNITY BASED PROGRAMS 225
Emerging Trends, 226
Skilied Nursing Facilities and Nursing Homes, 227
Home Health Agencies, 235
Community Based Benefits, 241
Future Areas of Research, 244
Summary, 244
Recommendations, 246
xlv CONTENTS
SECTION IV
PROVIDERS AND COSTS OF NUTRITION SERVICES
13 PROVIDERS OF NUTRITION SERVICES 257
Terms and Definitions, 257
Tiers of Nutrition Services, 258
Education and Skills Necessary for the Provision of Nutrition
Therapy, 259
Licensure in the Practice of Dietetics, 260
Health Care Professionals Specializing in Nutrition, 260
Other Health Care Professionals, 266
Who Is Qualified to Provide Basic Nutrition Education
or Advice? 270
Who Is Qualified to Provide Nutrition Therapy? 271
Summary, 271
Recommendations, 271
14 ECONOMIC POLICY ANALYSIS 274
Evaluation Methodologies, 275
Cost Estimates, 277
Economically Significant Averted Costs, 289
Summary, 304
15 OVERALL FINDINGS AND RECOMMENDATIONS 310
Medicare Coverage of Nutrition Therapy, 311
Administrative Recommendations Regarding the Provision of
Nutrition Services, 317
Economic Policy Analysis, 321
Concluding Remarks, 322
APPENDIXES
A Acronyms 327
B Glossary 331
C Workshop Speakers, Organizations Contacted, and
Consultants to the Committee 338
D State Licensure Laws for the Practice of Dietetics
(asof June 1999) 340
E The American Dietetic Association Foundation Knowledge and
Skills and Competency Requirements for Entry Level
Dietitians 342
F Advanced Level Credentials in Nutrition 352
G U.S. Preventive Services Task Force Rating of Professionals to
Deliver Dietary Counseling 355
H Summary of Cost Estimation Methodology for Outpatient
Nutrition Therapy 357
I Committee Biographical Sketches 361
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| spelling | The role of nutrition in maintaining health in the nation's elderly evaluating coverage of nutrition services for the Medicare population Committee on Nutrition Services for Medicare Beneficiaries, Food and Nutrition Board, Institute of Medicine Washington, DC National Academy Press 2000 XIV, 365 S. 23 cm txt rdacontent n rdamedia nc rdacarrier Includes bibliographical references Aged United States Diet therapy Dietary Services United States Medicare economics Nursing home patients Nutrition United States Nutrition policy United States Nutritional Physiological Phenomena United States Older people Nutrition Ernährung (DE-588)4015332-0 gnd rswk-swf Alter (DE-588)4001446-0 gnd rswk-swf USA USA (DE-588)4078704-7 gnd rswk-swf USA (DE-588)4078704-7 g Alter (DE-588)4001446-0 s Ernährung (DE-588)4015332-0 s DE-604 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=009844189&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | The role of nutrition in maintaining health in the nation's elderly evaluating coverage of nutrition services for the Medicare population Aged United States Diet therapy Dietary Services United States Medicare economics Nursing home patients Nutrition United States Nutrition policy United States Nutritional Physiological Phenomena United States Older people Nutrition Ernährung (DE-588)4015332-0 gnd Alter (DE-588)4001446-0 gnd |
| subject_GND | (DE-588)4015332-0 (DE-588)4001446-0 (DE-588)4078704-7 |
| title | The role of nutrition in maintaining health in the nation's elderly evaluating coverage of nutrition services for the Medicare population |
| title_auth | The role of nutrition in maintaining health in the nation's elderly evaluating coverage of nutrition services for the Medicare population |
| title_exact_search | The role of nutrition in maintaining health in the nation's elderly evaluating coverage of nutrition services for the Medicare population |
| title_full | The role of nutrition in maintaining health in the nation's elderly evaluating coverage of nutrition services for the Medicare population Committee on Nutrition Services for Medicare Beneficiaries, Food and Nutrition Board, Institute of Medicine |
| title_fullStr | The role of nutrition in maintaining health in the nation's elderly evaluating coverage of nutrition services for the Medicare population Committee on Nutrition Services for Medicare Beneficiaries, Food and Nutrition Board, Institute of Medicine |
| title_full_unstemmed | The role of nutrition in maintaining health in the nation's elderly evaluating coverage of nutrition services for the Medicare population Committee on Nutrition Services for Medicare Beneficiaries, Food and Nutrition Board, Institute of Medicine |
| title_short | The role of nutrition in maintaining health in the nation's elderly |
| title_sort | the role of nutrition in maintaining health in the nation s elderly evaluating coverage of nutrition services for the medicare population |
| title_sub | evaluating coverage of nutrition services for the Medicare population |
| topic | Aged United States Diet therapy Dietary Services United States Medicare economics Nursing home patients Nutrition United States Nutrition policy United States Nutritional Physiological Phenomena United States Older people Nutrition Ernährung (DE-588)4015332-0 gnd Alter (DE-588)4001446-0 gnd |
| topic_facet | Aged United States Diet therapy Dietary Services United States Medicare economics Nursing home patients Nutrition United States Nutrition policy United States Nutritional Physiological Phenomena United States Older people Nutrition Ernährung Alter USA |
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