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Becky Dorner Blog

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MNT for Kidney Disease – What are the Best Resources for MNT?

Kidney stock image

If you ask any clinical dietitian what the most challenging subject is for patients to understand and adopt, a common answer is “renal disease.” Most registered dietitian nutritionists (RDN) working in acute or post-acute care… Read More

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Hemodialysis

MNT for Hemodialysis

Wilma is a 67-year-old woman who was recently diagnosed with end stage renal disease (ESRD). Wilma also has type 2 diabetes and essential hypertension. She was recently admitted to a skilled nursing facility for therapy… Read More

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Kidney art

Dietary Protein and Declining Kidney Function

Rosie, aged 71, went to her physician for a follow up for management of type 2 diabetes. Routine blood work found that Rosie’s glomerular filtration rate (GFR) had declined over time to 47 mL/min/1.73 m2,… Read More

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Kidney failure symptoms and treatment

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

Is Irregularity Normal for an Aging Adult?

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

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Nutritional Needs for Older Adults During Times of Stress and Trauma

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

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Woman looking at gluten-free recipes on phone

Celiac Disease in Older Adults: Incidence and Management

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

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Should Obese Older Adults in Post-Acute Care Be Encouraged to Lose Weight?

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

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Making Mealtime Magic for Older Adults in Health Care Communities

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

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Should Older Adults Ditch the Diet for the Holiday Season?

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

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Vegetarian and Plant-Based Diets for the Aging Population

Vegetarian and Plant-Based Diets for the Aging Population

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

Bowl of fruits and veggies - Improve Cardiovascular Health - Dietary Guidance to Improve Cardiovascular Health

Dietary Guidance to Improve Cardiovascular Health

 Willie’s daughter, Simone, is worried about her father’s eating habits. Willie is 66 years old, has hypertension and coronary artery disease, and recently had angioplasty. Willie's father died of a heart attack when he was…Read More

Guidelines for managing cholesterol

Managing Cardiovascular Disease Risk

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

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