Exploring Protein Energy Wasting in Chronic Kidney Disease

Protein Energy Wasting (or PEW) is an incredibly common issue for individuals who have been diagnosed with Chronic Kidney Disease (CKD). When PEW goes undiagnosed or is simply not treated properly severe issues can occur…Read More

Doris is a 69 year old woman who lives in an assisted living facility and has recently had problems with “irregularity”, her polite word for constipation. She thought it was a symptom of aging, but… Read More

Critical illness such as trauma, injury, burns, wounds, pressure injuries, major surgery, or sepsis cause a stress response that can result in hypermetabolism, increased catabolism, and loss of lean body mass (LBM). This type of… Read More

Julia started a new job as the registered dietitian nutritionist (RDN) at a continuing care retirement community. She noticed that the community’s assisted living and skilled nursing units each had a handful of physician orders… Read More

Ana, a registered dietitian nutritionist at a skilled nursing facility, received a consult from the facility physician for weight loss for 80-year Mabel, whose BMI is 37. Ana is new to long-term term care but… Read More

In the past couple of years, Covid has thrown the best of intentions for food service delivery and dining in post-acute care facilities into turmoil. Staffing shortages, communal dining restrictions, and food supply chain issues… Read More

The smell of turkey roasting in the oven… The sight of the table set for a very special holiday gathering… Candles glowing brightly…festive holiday music… The flavor of your favorite holiday dessert melting in your… Read More

Alexis is a registered dietitian nutritionist who works with older adults of varying ages in numerous settings including private practice, outpatient counseling and a skilled nursing facility with 60 long-term care beds (mainly complex medical…Read More

Kathleen’s parents and grandfathers all died because of heart disease. Now 65, she assumed her risk was probably high due to family history, her 20 year history of hypertension, and current overweight condition. She had…Read More

Mrs. Fernandez is a 66-year-old woman who has had several blood pressure readings between 128/90 and 135/95 mm Hg in the past few months. Her physician has sometimes taken the attitude of “watchful waiting” but…Read More

Richard is 88-years old and was recently hospitalized post myocardial infarction (MI) for placement of a stent and management of heart failure. Prior to the MI, he had hypertension that was controlled with medications and…Read More

Janelle is a 59-year-old woman who is concerned about her risk for cardiovascular disease (CVD). Her mother died at age 61 from a heart attack, and even though Janelle is relatively healthy, her LDL cholesterol…Read More