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Eldercare Discussion Forum

Digestion

Normal Function

The ingestion and digestion of food, the absorption of nutrients from the digested foods and the elimination of wastes are functions of a series of organs located between the mouth and the anus.

What occurs with normal aging?
What are the results of normal aging?
What can I do to help?
When do I call?
Receding gums with a decreased amount of saliva and enzymes used for digestion and absorption of food.

Dry mouth, bad breath and dental problems.
Problems with dentition and chewing.

Reduced rate of digestion and absorption of nutrients.


Use mouth sprays to maintain mouth moisture.

Adequate water intake during the day to keep the mouth moist.

Regular dental appointments.
Modify the diet if needed.

Encourage fluid intake between meals rather than at meals.

Seek assistance if the mouth and tongue are dry and eyes are sunken, or if dentition and chewing is preventing adequate dietary intake.
Decreased muscle strength and tone

Difficulty swallowing, heartburn and slower stomach emptying may occur with an increasing tendency to constipation.

Slower pace with meals. Fluids taken between meals rather than with meals. Sit up rather than lie down after meals. Elevate the head of the bed 4-6 inches.

Avoid caffeine, spicy foods, alcohol and smoking.

Increase dietary fibre and fluids in the diet as tolerated.

Increase activity as tolerated.
Encourage routine bowel habits following each meal.

Difficulty swallowing, repeated swallowing with each bite or sip, coughing with meals or shortness of breath with meals.

Frequent or severe heartburn.
Inadequate dietary intake.

Hard, dry and infrequent bowel movements that may be difficult to pass. Bloating, change in appetite, fluid retention.

Decreased rate of metabolism

Decreased heat production.

Decreased energy production.

Slower tissue growth and slower healing

Increasing activity will increase metabolic rate.

Gauge activity according to energy level.

May need more clothing than others to maintain temperature.

Schedule regular activity within the level of toleration.

A sudden and unexpected loss of energy, and increase or decrease in body temperature.

Open areas that do not heal.

Unreasonable drowsiness.
Any evidence of an infection

Decreased need for calories with increased need for nutrition.

Potential for weight gain and nutrient deficiencies.

Maintain nutritional value of dietary intake while decreasing unnecessary calories.

Report an increase or decrease in weight.

Investigate supplements.

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