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in\t2011\tand\tadopted\tby\tthe\tCenters\tfor\nMedicare\tand\tMedicaid,\t\nFood\tFirst\n!\tis\tthe\tterm\tof\tchoice\tfor\tthis\tapproach.\tTraditionally,\nfortified\tfood\tprograms\thave\tfocused\ton\tadding\tcalories\tand\tprotein\tto\ta\tcouple\tof\tfoods\ton\tthe\nmenu\teach\tday.\tFor\texample,\tcream\tis\tadded\t... | [
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(double-strength\tmilk).\tThis\tapproach\tcan\tlead\tto\tlack\tof\tvariety\tand\tfood\tfatigue.\n\tA\tprogram\napproach\tto\tfortifying\tfood\twill\tprovide\tmore\tflexibility\tand\tultimately\tbe\tmore\tsuccessful.\nDigna\tCassens,\tMHA,\tRDN\nModified\tfrom\t\nwww.flavorfulfortifiedfood.com\n.\nNutrition\tscreening\t... | [
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www.flavorfulfortifiedfood.com\n.\nNutrition\tscreening\tand\tassessment\nSimple\tand\teasy-to-use\tnutrition\tscreening\ttools\thave\tbeen\tvalidated\t(\nSkipper\tet\tal,\t2012\n).\tHowever,\nthe\tphysical\tand\tmetabolic\tchanges\tof\taging\tcan\tyield\tinaccurate\tresults.\tExamples\n\tare\nanthropometric\tmeasureme... | [
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mortality\tconcluded\tthat\tbeing\toverweight\twas\tnot\tassociated\twith\tan\tincreased\trisk\tof\tmortality\tin\nolder\tpopulations.\tThe\tmortality\trisk\tincreased\tin\tunderweight\tolder\tpeople,\tthose\twith\ta\tBMI\tof\tless\nthan\t23\t(\nWinter\tet\tal,\t2014\n).\nWith\taging,\tfat\tmass\tincreases\tand\theight... | [
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compression.\tAn\naccurate\theight\tmeasure\tmay\tbe\tdifficult\tin\tthose\tunable\tto\tstand\tup\tstraight,\tthe\tbed\tbound,\tthose\nwith\tspinal\tdeformations\tsuch\tas\ta\tdowager’s\thump,\tand\tthose\twith\tosteoporosis.\tMeasuring\tarm\nspan\tor\tknee\theight\tmay\tgive\tmore\taccurate\tmeasurements\t(see\t\nAppe... | [
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Appendix\t11\n).\tBMIs\tbased\ton\nquestionable\theights\tare\tinaccurate\tand\tresult\tis\tmisdiagnosis\tof\tmalnutrition.\tClinical\tjudgment\n\tis\nneeded\tfor\taccuracy.\nThe\t\nMini\tNutritional\tAssessment\t(MNA)\n\tincludes\ttwo\tforms:\ta\tscreening\tShort\tForm\t(MNA-SF)\nand\tthe\tfull\tassessment\t(\nKaiser\... | [
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Kaiser\tet\tal,\t2009\n).\tThe\tvalidated\tMNA-SF\tis\tthe\tmost\twidely\tused\nscreening\tmethod\tto\tidentify\tmalnutrition\tin\tnoninstitutionalized\tolder\tadults\t(see\t\nChapter\t4\n).\tIt\nincludes\tsix\tquestions\tand\ta\tBMI\tevaluation,\tor\ta\tcalf\tcircumference\tif\ta\tBMI\tis\tnot\tpossible.\n\tThe | [
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The\nMNA-SF\tis\tbeing\tused\tas\ta\tscreening\tassessment\ttool\tin\tlong-term\tcare\tand\tis\tespecially\tuseful\tin\nthe\tshort\tstay\tunits.\nNutrition\tneeds\nMany\tolder\tadults\thave\tspecial\tnutrient\trequirements\tbecause\taging\taffects\tabsorption,\tutilization,\nand\texcretion\tof\tnutrients\t(\nBernstein\... | [
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Bernstein\tand\tMunoz,\t2012\n).\tThe\tdietary\treference\tintakes\t(DRIs)\nseparate\tthe\tcohort\tof\tpeople\tage\t50\tand\tolder\tinto\ttwo\tgroups,\n\tages\t50\tto\t70\tand\t71\tand\tolder.\tThe\ncurrent\tU.S.\tDietary\tGuidelines\tare\tfor\tadults\tin\tgeneral\tand\tcan\tbe\tfound\tin\t\nChapter\t10\n.\tThey | [
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Chapter\t10\n.\tThey\nemphasize\tintake\tof\twhole\tgrains,\tfruit\tand\tvegetables,\tlegumes,\tnuts,\tand\tlow-fat\tdairy\tand\tsuggest\nminimizing\tintake\tof\tfoods\tlow\tin\tsolid\tfats\tand\tadded\tsugars,\tand\tprocessed\tmeat.\tOther\tstudies\nshow\tthat\tolder\tpersons\thave\tlow\tintakes\tof\tcalories,\ttotal\... | [
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calcium,\tmagnesium,\tzinc,\ncopper,\tfolate,\tand\tvitamins\tB\n12\n,\tC,\tE,\tand\tD.\tWhen\tchallenged\tby\tdecreased\tappetite,\tearly\tsatiety,\nand\treduced\taccess\tto\tfood,\tmeeting\trecommendations\tcan\tbecome\tdifficult\tfor\tthe\tolder\tadult.\tIt\tis\nvery\timportant\tto\tconsider\tthese\tand\tother\tfact... | [
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needs\tincluding\tsocioeconomic\tstatus,\tdisease\tstate\tand\toverall\thealth,\n\tability\tto\tchew\tand\tswallow,\nand\tability\tto\ttaste.\tIt\tis\tthe\tposition\tof\tthe\tAcademy\tof\tNutrition\tand\tDietetics\tthat\testimated\tneeds\nfor\tolder\tadults\tshould\tbe\tmet\twith\tindividualized\tnutrition\tcare\tplans... | [
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medical\tcondition,\tand\tpersonal\tpreference\tand\tthat\trestrictive\tdiets\tspecific\tto\tdisease\tstate\tshould | [
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be\tthoroughly\tevaluated\tbased\ton\trisk\tand\tbenefit\tto\teach\tindividual\n\t(\nTable\t19.3\n).\nTABLE\t19.3\nNutrient\tNeeds\tChange\twith\tAging\nNutrient\nChanges\twith\tAging\nPractical\tSolutions\nEnergy\nBasal\tmetabolic\trate\tdecreases\twith\tage\nbecause\tof\tchanges\tin\tbody\ncomposition.\nEnergy\tneeds... | [
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composition.\nEnergy\tneeds\tdecrease\t3%\tper\ndecade\tin\tadults.\nEncourage\tnutrient-dense\tfoods\tin\tamounts\nappropriate\tfor\tcaloric\tneeds.\nProtein\n0.8\tg/kg\nminimum\nMinimal\tchange\twith\tage\tbut\tresearch\nevidence\n\tis\tgrowing\tthat\tthe\tcurrent\nRDA\tis\ttoo\tlow.\tResearchers\tare\nsuggesting\t1.... | [
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suggesting\t1.0–1.2\tgm/kg.\nProtein\tintake\tshould\tnot\tbe\troutinely\nincreased;\texcess\tprotein\tcould\nunnecessarily\tstress\taging\tkidneys.\nCarbohydrates\n45%–65%\ntotal\ncalories\nMen\t30\tg\nfiber\nWomen\t21\tg\nfiber\nConstipation\tmay\tbe\ta\tserious\tconcern\nfor\tmany.\nEmphasize\tcomplex\tcarbohydrates... | [
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vegetables,\twhole\tgrains,\tfruits\tto\tprovide\nfiber,\tessential\tvitamins,\tminerals.\nIncrease\tdietary\tfiber\tto\timprove\tlaxation\nespecially\tin\tolder\tadults.\nLipids\n20%–35%\ntotal\ncalories\nHeart\tdisease\tis\ta\tcommon\tdiagnosis.\nOverly\tsevere\trestriction\tof\tdietary\tfats\nalters\ttaste,\ttexture... | [
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food;\tcan\tnegatively\taffect\toverall\tdiet,\nweight,\tand\tquality\tof\tlife.\nEmphasize\thealthy\tfats\trather\tthan\nrestricting\tfat.\nVitamins\tand\nminerals\nUnderstanding\tvitamin\tand\tmineral\nrequirements,\tabsorption,\tuse,\tand\nexcretion\twith\taging\thas\tincreased\nbut\tmuch\tremains\tunknown.\nEncoura... | [
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appropriate\tfor\tcaloric\tneeds.\nOxidative\tand\tinflammatory\tprocesses\naffecting\taging\treinforce\tthe\tcentral\nrole\tof\tmicronutrients,\tespecially\nantioxidants.\nVitamin\tB\n12\n\t2.4\nmg\nRisk\tof\tdeficiency\tincreases\tbecause\tof\nlow\tintakes\tof\tvitamin\tB\n12\n,\tand\tdecline\nin\tgastric\tacid,\twhi... | [
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12\n,\tand\tdecline\nin\tgastric\tacid,\twhich\tfacilitates\tB\n12\nabsorption.\nThose\t50\tand\tolder\tshould\teat\tfoods\tfortified\nwith\tthe\tcrystalline\tform\tof\tvitamin\tB\n12\nsuch\tas\tin\tfortified\tcereals\tor\nsupplements.\nVitamin\tD\t600-\n800\tIU\n*\nRisk\tof\tdeficiency\tincreases\tas\tsynthesis\nis\tl... | [
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as\twell\tas\texposure\tto\tsunlight\ndecline;\tkidneys\tare\tless\table\tto\nconvert\n\tD\n3\n\tto\tactive\thormone\tform.\tAs\nmany\tas\t30%\tto\t40%\tof\tthose\twith\thip\nfractures\tare\tvitamin\tD\tinsufficient.\nSupplementation\tmay\tbe\tnecessary\tand\tis\ninexpensive.\tA\tsupplement\tis\tindicated\tin\nvirtuall... | [
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virtually\tall\tinstitutionalized\tolder\tadults.\nFolate\t400\tµg\nMay\tlower\thomocysteine\tlevels;\tpossible\nrisk\tmarker\tfor\tatherothrombosis,\nAlzheimer’s\tdisease,\tand\tParkinson’s\ndisease.\nFortification\tof\tgrain\tproducts\n\thas\timproved\nfolate\tstatus.\tWhen\tsupplementing\twith\nfolate,\tmust\tmonito... | [
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12\n\tlevels.\nCalcium\t1200\tmg\nDietary\trequirement\tmay\tincrease\nbecause\tof\tdecreased\tabsorption;\tonly\n4%\tof\twomen\tand\t10%\tof\tmen\tage\t60\nand\tolder\tmeet\tdaily\trecommendation\nfrom\tfood\tsources\talone.\nRecommend\tnaturally\toccurring\tand\nfortified\tfoods.\tSupplementation\tmay\tbe\nnecessary.... | [
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intakes\tmay\n\tbe\toccurring\twith\nsupplements.\nPotassium\t4700\nmg\nPotassium-rich\tdiet\tcan\tblunt\tthe\teffect\nof\tsodium\ton\tblood\tpressure.\nRecommend\tmeeting\tpotassium\nrecommendation\twith\tfood,\tespecially\nfruits\tand\tvegetables.\nSodium\t1500\tmg\nRisk\tof\thypernatremia\tcaused\tby\tdietary\nexces... | [
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Risk\tof\thyponatremia\tcaused\tby\tfluid\nretention.\nNewer\tevidence\tbased\ton\tdirect\thealth\noutcomes\tis\tinconsistent\n\twith\tthe\nrecommendation\tto\tlower\tdietary\tsodium\nin\tthe\tgeneral\tpopulation,\tincluding\tolder\nadults,\tto\t1500\tmg\tper\tday.\tMore\nresearch\tis\tneeded.\n†\nZinc\nMen\t11\tmg\nWo... | [
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†\nZinc\nMen\t11\tmg\nWomen\t8\tmg\nLow\tintake\tassociated\twith\timpaired\nimmune\tfunction,\tanorexia,\tloss\tof\nsense\tof\ttaste,\tdelayed\twound\thealing,\nand\tpressure\tulcer\tdevelopment.\nEncourage\tfood\tsources:\tlean\tmeats,\noysters,\tdairy\tproducts,\tbeans,\tpeanuts,\ntree\n\tnuts,\tand\tseeds,\tespecia... | [
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-0.004985389299690723,
-0.09844668209552765,
-0.009023962542414665,
0.10912133753299713,
0.006405103951692581,
-0.07271634042263031,
0.05437452718615532,
0.10798700898885727,
-0.03189012035727501,
0.053749147802591324,
0.022... |
seeds.\nWater\nHydration\tstatus\tcan\teasily\tbe\nproblematic.\tDehydration\tcauses\ndecreased\tfluid\tintake,\tdecreased\nkidney\tfunction,\tincreased\tlosses\nEncourage\tfluid\tintake\tof\tat\tleast\t1500\nmL/day\tor\t1\tmL\tper\tcalorie\tconsumed.\nRisk\tincreases\tbecause\tof\timpaired\tsense\nof\tthirst,\tfear\to... | [
-0.0509030744433403,
-0.005708139389753342,
0.011675901710987091,
-0.015796635299921036,
-0.07214264571666718,
-0.011216153390705585,
0.06768353283405304,
-0.008138209581375122,
-0.0063613648526370525,
0.04604806378483772,
0.11511386185884476,
-0.07388752698898315,
0.037466514855623245,
-0... |
caused\tby\tincreased\turine\toutput\tfrom\nmedications\t(laxatives,\tdiuretics).\nSymptoms:\telectrolyte\timbalance,\naltered\tdrug\teffects,\theadache,\nconstipation,\tblood\tpressure\nchange,\tdizziness,\tconfusion,\tdry\nmouth\tand\tnose.\ndependence\ton\tothers\tto\tget\nbeverages.\tDehydration\tis\toften\nunrecog... | [
-0.011200271546840668,
-0.06292636692523956,
0.07672019302845001,
-0.0061738211661577225,
-0.05334989354014397,
0.004237774293869734,
0.08025972545146942,
0.07767988741397858,
-0.024206485599279404,
0.03158408775925636,
0.09055474400520325,
0.007155769504606724,
0.036371491849422455,
0.013... |
unrecognized;\tit\tcan\tpresent\tas\tfalls,\nconfusion,\tchange\tin\tlevel\tof\nconsciousness,\tweakness\tor\tchange\tin\nfunctional\tstatus,\tor\tfatigue.\n*\nNational\tResearch\tCouncil:\tDietary\tReference\n\tIntakes\tfor\tCalcium\tand\tVitamin\tD,\tWashington,\tDC,\t2011,\tThe\tNational\tAcademies\tPress.\n† | [
-0.019917918369174004,
-0.07613401114940643,
0.053299397230148315,
-0.03681304678320885,
-0.08764474838972092,
-0.0002614456752780825,
0.08856151252985,
-0.015841500833630562,
0.000299615174299106,
0.026101557537913322,
0.06244613230228424,
-0.04688749089837074,
0.04310612007975578,
-0.012... |
†\nNational\tResearch\tCouncil:\tSodium\tintake\tin\tpopulations:\tassessment\tof\tevidence,\tWashington,\tDC,\t2013,\tThe\tNational\tAcademies\tPress.\nBaum\tJ,\tIl-Young\tK,\tWolfe\tR:\tProtein\tConsumption\tand\tthe\tElderly:\tWhat\tIs\tthe\tOptimal\tLevel\tof\tIntake?\tNutrients.\t2016\tJun;\t8(6):\t359.\tPublished... | [
-0.01802767813205719,
-0.007786375470459461,
0.07764597982168198,
-0.06991632282733917,
-0.05819854512810707,
-0.02179991453886032,
0.025342004373669624,
-0.01888216845691204,
0.032808274030685425,
0.025568392127752304,
0.09410198777914047,
-0.04421142488718033,
0.02261136658489704,
-0.008... |
online\t2016\tJun\t8.\tdoi:\t10.3390/nu8060359.\nThere\tis\tno\tpredictive\tequation\tspecific\tto\tolder\tadults.\tHowever,\tthe\tMifflin-St.\tJeor\tenergy\nequation\tcan\tbe\tused\tto\tassess\tcalorie\tneeds\tin\thealthy\tolder\tor\tobese\tadults\t(see\t\nChapter\t2\n)\tthough\nit\tcan\toften\toverestimate\tan\tolder... | [
-0.05507799610495567,
-0.054284099489450455,
0.04721236974000931,
-0.06556624174118042,
-0.08655112981796265,
0.003916816785931587,
0.09707906097173691,
0.049264609813690186,
-0.018892595544457436,
0.028599530458450317,
0.08993444591760635,
-0.07183189690113068,
0.06373213231563568,
0.0425... |
table\tbelow.\tCertain\tdisease\tstates\tsuch\tas\tend-stage\trenal\tdisease\ton\tdialysis,\tpressure\tinjuries,\n\tand\ncongestive\theart\tfailure\twarrant\tadjustments\tto\testimated\tneeds\tto\tensure\tadequate\tcalorie,\tprotein,\nand\tfluid\tneeds\tare\tmet.\tAs\twith\tany\tenergy\testimation,\tit\tis\timportant\t... | [
0.011240518651902676,
-0.061029501259326935,
0.016219092532992363,
-0.016897132620215416,
-0.0975615605711937,
-0.0030714788008481264,
0.06637424975633621,
0.10149430483579636,
-0.033408720046281815,
0.04626014083623886,
0.049058038741350174,
-0.03382366895675659,
0.05314658209681511,
0.03... |
and\tconduct\tnutrition-focused\tphysical\tassessments\toften\tto\tensure\testimates\tare\tadequate\tfor\teach\nindividual\t(\nBox\t19.3\n).\nBOX\t19.3\nNutrition\tNeeds\tfor\tOlder\tAdults\nQuick\tCalorie\n\tEstimate\nHealthy\tolder\tadult\n18-22\tkcal/kg\twomen\n20-24\tkcal/kg\tmen\nWeight\tgain\tfor\tunderweight\tor... | [
0.01844855025410652,
-0.03811638429760933,
0.02972567081451416,
0.008714930154383183,
-0.13073867559432983,
-0.03036000207066536,
0.010422755032777786,
0.04261482506990433,
-0.0563623420894146,
0.07489555329084396,
0.06225375086069107,
-0.0793745145201683,
0.017006199806928635,
0.015658117... |
loss\n25-40\tkcal/kg\nPressure\tinjury\n30-35\tkcal/kg\nQuick\tProtein\tEstimate\nHealthy\tolder\tadult\n1.0-1.2\tg/kg\nDialysis\tor\tpressure\tinjury\n1.2-1.5\tg/kg\nQuick\tFluid\tEstimate\nHealthy\tolder\tadult\n25-30\tkcal/kg\tor\t1\nml/kcal\nCongestive\theart\tfailure\n\tor\tedema\n25\tml/kg\nInfection\tor\tfluid\t... | [
-0.03268306329846382,
0.0031362005975097418,
-0.0029122233390808105,
-0.022634396329522133,
-0.1351073831319809,
-0.049456022679805756,
0.036724887788295746,
0.10879459977149963,
-0.014385099522769451,
0.03566526994109154,
-0.003367501776665449,
-0.0863674059510231,
0.058686237782239914,
-... |
35\tkcal/kg\nAdapted\tfrom:\t\nNutrition\tCare\tof\tthe\tOlder\tAdult:\tA\tHandbook\tfor\tNutrition\tThroughout\tthe\tContinuum\tof\nCare\n,\t3rd\tEd.\tDietetics\tin\tHealth\tCare\tCommunities\tDietetic\tPractice\tGroup;\tKathleen\tC.\tNiedert,\tRDN,\nCSG,\tLD,\tFADA,\tEditor-in-Chief;\tMarla\tP.\tCarlson,\tEditor\nBOX... | [
-0.008107990957796574,
-0.06668827682733536,
0.04374847933650017,
-0.0545373298227787,
-0.13592325150966644,
0.01898636482656002,
0.07620974630117416,
0.026569735258817673,
0.007402406539767981,
0.06059183552861214,
0.04534517973661423,
-0.05202816426753998,
0.07194510847330093,
-0.0250718... |
Independ\nent\nLiving\nFacility\n(IL\tor\nILF)\nApartment\tstyle,\tcondominium,\tor\tfreestanding\thome\tliving\tfor\tindependent\tseniors.\nAssisted\nLiving\nFacility\n(AL\tor\nALF)\nApartment\tstyle\thousing\tthat\toffers\torganized\tsocial\tinteraction\tand\tsupport\tservices\tas\nneeded.\tHealth\tcare\tservices\tar... | [
-0.004835995379835367,
-0.03608015179634094,
0.05104685574769974,
-0.007052919361740351,
-0.10332783311605453,
0.042139820754528046,
0.0753665342926979,
-0.05802738294005394,
0.009464653208851814,
0.03838050365447998,
0.11458031088113785,
0.010486253537237644,
0.058060310781002045,
0.00193... |
periodically.\tMeals\tare\toffered\tand\tassistance\twith\tmedication\n\tmanagement\tand\tsome\nphysical\tassistance\twith\tactivities\tof\tdaily\tliving\tand\ttransportation\tcan\tbe\toffered.\nSkille\nd\nNur\nsin\ng\nFac\nility\n(SN\nF)\nNursing\nHome\nAccredited\testablishment\tthat\toffers\t24-hour\tcare\tand\tacce... | [
0.050918083637952805,
-0.03259213641285896,
0.07875431329011917,
0.028922252357006073,
-0.07810621708631516,
0.010551979765295982,
0.11356744170188904,
-0.04779886081814766,
-0.007226963527500629,
0.022841108962893486,
0.07799264043569565,
-0.054167941212654114,
0.045151472091674805,
0.035... |
providers\tand\tnursing,\tassistance\twith\tactivities\tof\tdaily\tliving,\tmeals\tand\tsnacks,\tand\norganized\tsocial\tactivities.\tMany\tSNFs\talso\tprovide\trehabilitative\tservices\n\twhere\tpatients\ncan\treceive\ttherapy\tand\thealthcare\tservices\tto\trecover\tfrom\tan\tinjury\tor\tillness\twith\tthe\ngoal\tof\... | [
0.011301536113023758,
-0.026397962123155594,
0.015541696920990944,
0.009173301048576832,
-0.10112445801496506,
-0.0007709377096034586,
0.10918901115655899,
-0.013974002562463284,
0.0008766472456045449,
-0.01934235170483589,
0.12634295225143433,
0.019017966464161873,
0.024795545265078545,
0... |
Continuo\nus\nCare\nRetire\nment\nComm\nunity\n(CCRC\n)\nThese\tcommunities\tcombine\tall\tlevels\tof\tcare\tonto\tone\tproperty\tand\tinclude\thousing\tand\nservices\tfor\tindependent,\tassisted,\tand\tskilled\tliving.\nRehabilita\ntion\nHospit\nal\nHospital-like\tsetting\twhich\n\tprovides\textended\tacute\tcare\tfor... | [
0.03766617178916931,
-0.014074097387492657,
0.029412366449832916,
-0.004417150281369686,
-0.10430209338665009,
0.016565674915909767,
0.10674964636564255,
-0.0013119552750140429,
-0.020853763446211815,
0.0012798527022823691,
0.11170288920402527,
-0.02319677546620369,
0.06164787337183952,
0.... |
provides\textended\tacute\tcare\tfor\tpatients\trequiring\tstabilization\nbefore\ttransferring\tto\tan\tSNF\tor\tmore\tindependent\tsetting.\tThese\thospitals\tbridge\tthe\ngap\tfor\tpatients\trequiring\tadvanced\ttherapy\tbut\twho\tare\tnot\tappropriate\tto\tstay\tin\ta\ngeneral\thospital\tor\ttransfer\tto\ta\tSNF.\nA... | [
-0.010160831734538078,
0.0036531679797917604,
0.0211369339376688,
-0.05733029544353485,
-0.09219833463430405,
0.004872732795774937,
0.09400691092014313,
0.00019844790222123265,
0.027564654126763344,
0.03164268657565117,
0.1304166465997696,
-0.023848021402955055,
0.030777543783187866,
0.089... |
general\thospital\tor\ttransfer\tto\ta\tSNF.\nAdult\nFamily\nHome\n(AFH)\nTraditional\thome\tin\ta\tresidential\tneighborhood\twhich\tsupports\tneeds\tof\tits\tresidents\tby\nassisting\n\twith\tactivities\tof\tdaily\tliving,\tmeals,\tand\tpersonal\tcare.\tMost\tstates\trequire\nlicensing\tand\tare\tinspected\ton\ta\tre... | [
0.043470725417137146,
-0.07558873295783997,
0.06428345292806625,
-0.04551691934466362,
-0.10642477124929428,
-0.0022919063922017813,
0.08669470250606537,
-0.03631104528903961,
0.001924998825415969,
0.0809747576713562,
0.06225668266415596,
-0.053928542882204056,
0.02987985499203205,
0.02633... |
licensing\tof\tthese\tfacilities.\tNursing\tcare\tmay\tbe\tavailable\ton\tsite.\tAFHs\ttypically\thouse\nbetween\t2\tand\t9\tresidents\tat\ta\ttime.\nMedicare\tbenefits\nThe\tfederal\tMedicare\tprogram\tcovers\tmost\tof\tthe\thealth\tcare\tcosts\tof\tthose\t65\n\tand\tolder\tand\npersons\twith\tdisabilities.\tHowever,\... | [
-0.02163904905319214,
-0.019910668954253197,
0.023342687636613846,
-0.07812570035457611,
-0.07475997507572174,
-0.012588361278176308,
0.08580031245946884,
-0.014975417405366898,
-0.037659574300050735,
0.043763745576143265,
0.056191395968198776,
0.006781323812901974,
0.095481276512146,
-0.0... |
the\tcost\tof\tresidential/institutional\tlong-term\tcare.\tA\tportion\tof\tpayroll\ttaxes\tand\tmonthly\tpremiums\ndeducted\tfrom\tSocial\tSecurity\tpayments\tfinance\tMedicare.\nMedicare\tbenefits\tare\tprovided\tin\tfour\tparts.\tPart\tA\tcovers\tinpatient\thospital\tcare,\tsome\tskilled\nnursing\tcare\tfor\tspecifi... | [
0.0008160454453900456,
-0.017025645822286606,
0.020634349435567856,
-0.02988521195948124,
-0.07417191565036774,
0.0024229229893535376,
0.050570107996463776,
0.016737788915634155,
0.0290675088763237,
0.027825795114040375,
0.11916212737560272,
-0.004010810982435942,
0.03551580011844635,
-0.0... |
nursing\tcare\tfor\tspecific\n\t“skilled\tservices”,\thospice\tcare,\tand\tsome\thome\thealth\tcare\tcosts\tfor\nlimited\tperiods\tof\ttime.\tIt\tis\tpremium\tfree\tfor\tmost\tcitizens.\tPart\tB\thas\ta\tmonthly\tpremium\tthat\thelps\npay\tfor\tphysicians\tand\tphysician\tsurrogates,\toutpatient\thospital\tcare,\tand\t... | [
-0.004830044694244862,
-0.04496929794549942,
0.03877094388008118,
-0.005599267780780792,
-0.11153887957334518,
0.01522318460047245,
0.0324869230389595,
-0.013717040419578552,
-0.0038804805371910334,
0.021486228331923485,
0.07070831954479218,
-0.04099738225340843,
0.02006191946566105,
0.020... |
covered\tby\tPart\tA\t(physical\tand\toccupational\ttherapy,\tfor\texample).\tPart\tC\tallows\tprivate\tinsurers,\nincluding\thealth\tmaintenance\torganizations\n\t(HMOs)\tand\tpreferred\tprovider\torganizations\t(PPOs),\tto\noffer\thealth\tinsurance\tplans\tto\tMedicare\tbeneficiaries.\tThese\tmust\tprovide\tthe\tsame... | [
-0.03857475891709328,
0.019676852971315384,
0.04670342803001404,
-0.015316886827349663,
-0.04257133603096008,
-0.017721345648169518,
0.10207156836986542,
0.04054853692650795,
-0.00919731892645359,
0.010716037824749947,
0.07866954803466797,
-0.004328578244894743,
0.04113701730966568,
-0.011... |
original\tMedicare\tplan\tprovides\tunder\tParts\tA\tand\tB.\tPart\tC\tHMOs\tand\tPPOs\talso\tmay\toffer\nadditional\tbenefits,\tsuch\tas\tdental\tand\tvision\tcare.\tPart\tD\tprovides\tprescription\tdrug\tbenefits\nthrough\tprivate\tinsurance\tcompanies.\nThe\t\n2010\tAffordable\tCare\n\tAct\n\t(see\t\nChapter\t9\n)\t... | [
-0.027591647580266,
0.0002808276913128793,
0.10231315344572067,
-0.009065494872629642,
-0.02656450867652893,
0.018395742401480675,
0.116382896900177,
0.023939210921525955,
-0.003692999016493559,
0.017889445647597313,
0.0924321860074997,
0.0036940532736480236,
0.049125950783491135,
0.031634... |
(see\t\nChapter\t9\n)\tchanged\tMedicare\tto\tinclude\tan\tannual\twellness\nvisit\tand\ta\tpersonalized\tprevention\tassessment\tand\tplan\twith\tno\tcopayment\tor\tdeductible.\nPrevention\tservices\tinclude\treferrals\tto\teducation\tand\tpreventive\tcounseling\tor\tcommunity-based\ninterventions\tto\taddress\trisk\t... | [
0.013616201467812061,
-0.0016292307991534472,
0.06331166625022888,
-0.002917742822319269,
-0.0645049512386322,
0.013326941058039665,
0.1277499496936798,
-0.0250035859644413,
-0.02308960258960724,
0.046852704137563705,
0.10536456853151321,
-0.004642835818231106,
0.03462648019194603,
0.02642... |
registered\tdietitians/nutritionists\twas\tanticipated,\n\thowever\tmajor\tchanges\thave\tbeen\tmade\tto\tthe\noriginal\tlegislation\tnow\tcalling\tthis\tinto\tquestion.\tMore\tuniversal\taccess\tto\tnutrition\tservices\thas\nimplications\tfor\taging\thealthier\tand\tpromoting\tquality\tof\tlife\tand\tindependence. | [
-0.007994992658495903,
-0.0248385202139616,
0.038902293890714645,
0.005349866114556789,
-0.10065586119890213,
-0.0038035255856812,
0.12955988943576813,
-0.04536536708474159,
-0.039645493030548096,
-0.023825788870453835,
0.10158694535493851,
-0.07451923936605453,
-0.03271178901195526,
-0.03... |
Medicaid,\tfor\tqualified\tlow-income\tindividuals,\tfinances\ta\tvariety\tof\tlong-term\tcare\tservices\tvia\nmultiple\tmechanisms,\tincluding\tMedicaid\tState\tPlans\tand\t\nhome-\tand\tcommunity-based\tservices\n(HCBS)\twaivers\n,\tSection\t1915\t(c).\tBoth\tprovide\tservice\tto\tnursing\thome–appropriate\tolder\tad... | [
0.008680816739797592,
-0.028519904240965843,
0.020919309929013252,
-0.03240257874131203,
-0.09293700754642487,
0.011567248962819576,
0.06837734580039978,
-0.0010103825479745865,
-0.03449500352144241,
-0.011578059755265713,
0.06017514318227768,
-0.04351912811398506,
0.0097481245175004,
-0.0... |
to\thelp\tprevent\tor\tdecrease\tnursing\thome\tor\tinstitutionalization.\tStates\tmay\toffer\tan\tunlimited\nvariety\tof\tservices\tunder\tthis\twaiver.\tThese\tprograms\tmay\tprovide\ttraditional\tmedical\tservices\n(dental,\tskilled\tnursing)\tand\tnonmedical\tservices\t(meal\tdelivery,\tcase\tmanagement,\tenvironme... | [
-0.019980667158961296,
-0.03418732434511185,
0.05266941338777542,
-0.027185896411538124,
-0.08990748226642609,
0.02090488001704216,
0.09843883663415909,
-0.029682449996471405,
-0.04110587388277054,
0.02963237836956978,
0.07695223391056061,
-0.005228834226727486,
0.0286380834877491,
0.00331... |
modifications).\tStates\thave\tthe\tdiscretion\tto\tchoose\tthe\tnumber\tof\tolder\tpersons\tserved\tand\tthe\nservices\toffered.\nProgram\tof\tAll-Inclusive\tCare\tfor\tthe\tElderly\t(PACE)\tis\ta\tcomprehensive\tmanaged\tcare\tsystem\tfor\npeople\tover\t55\twho\tare\tnursing\thome\teligible\tand\twho\tmeet\tlow\tinco... | [
-0.017582079395651817,
-0.03668209910392761,
0.0480676144361496,
-0.09864544123411179,
-0.09727955609560013,
-0.011119881644845009,
0.07576806843280792,
0.02470513805747032,
0.007214121054857969,
0.06204456090927124,
0.04008583724498749,
0.00676541356369853,
0.05315157026052475,
-0.0130579... |
funded\tthrough\tMedicare\tand\tMedicaid.\tCoordinated\tpreventive,\tprimary,\tacute,\tand\tlong-term\n\tcare\nservices\tallow\tolder\tadults\tto\tremain\tin\ttheir\thomes\tfor\tas\tlong\tas\tpossible\t(\nThomas\tand\tBurkemper,\n2013\n).\tThe\tPACE\tmodel\tis\tbased\ton\tthe\tbelief\tthat\tit\tis\tbetter\tfor\tthe\twe... | [
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0.021576423197984695,
0.050888124853372574,
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0.054514527320861816,
0.06108183041214943,
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0.04783642292022705,
-0.03... |
chronic\tcare\tneeds\tto\tbe\tserved\tin\tthe\tcommunity\twhenever\tpossible.\tPACE\tis\tmultidisciplinary\tand\nincludes\tdietitian\tservices.\tThere\tare\tmore\tthan\t100\tPACE\tPrograms\tnationwide.\nPACE\tPrograms\n\tand\tHCBS\twaivers\treflect\tfederal\tcommitments\tto\tdelay\tor\tavoid\tnursing\thome | [
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0.0035729042... |
placement\twhenever\tpossible.\tThe\tU.S.\tAdministration\ton\tAging\tis\tnow\tunder\tthe\tnew\tumbrella\tof\nthe\tU.S\tAdministration\ton\tCommunity\tLiving.\tTerms\tsuch\tas\t“aging\tin\tcommunity,”\t“communitarian\nalternatives,”\t“age-friendly\tliving,”\t“care\tcircles,”\tand\tespecially\t“\nlong-term\tservices\tan... | [
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0.07304606586694717,
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0.04474538937211037,
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0.04642193764448166,
0.10948020219802856,
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0.06680146604776382,
0.01078... |
long-term\tservices\tand\nsupports\n”\t\n(LSS)\n\t(versus\t“long-term\tcare”)\n\tare\tindicative\tof\tthe\ttransformations\ttaking\tplace\tin\tthe\nmore\tpositive\tapproaches\tto\taging\t(\nBernstein\tet\tal,\t2012\n;\t\nRudolph,\t2009\n).\nNutrition\tsupport\tservices\nU.S.\tdepartment\tof\thealth\tand\thuman\tservice... | [
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program\nThe\tOAA\twas\toriginally\tenacted\tin\t1965\tand\tapproved\tfor\ta\t3-year\treauthorization\tin\t2015\tby\nunanimous\tvote\tby\tthe\tSenate.\tThe\tOAA\tNutrition\tProgram\n\tis\tthe\tlargest,\tmost\tvisible\tfederally\nfunded\tcommunity-based\tnutrition\tprogram\tfor\tolder\tpersons\t(\nLloyd\tand\tWellman,\t... | [
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-0.022... |
Lloyd\tand\tWellman,\t2015\n).\tPrimarily\ta\nstate-run\tprogram,\tit\thas\tfew\tfederal\tregulations\tand\tconsiderable\tvariation\tin\tstate-to-state\tpolicies\nand\tprocedures.\tGoals\tof\tthe\tOAA\tinclude\tsupporting\tseniors’\tindependence\tand\thelping\tprevent\nhospitalization\tand\tnursing\tcare\twith\tfunding... | [
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0.04608176276087761,
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0.05678007751703262,
-0.... |
state\tagencies,\tover\t200\ttribal\norganizations,\tand\tover\t20,000\tlocal\tservice\tproviders.\tNutrition\tprogram\tfunding\tis\tdistributed\nbased\ton\ta\tformula\twhich\tconsiders\teach\tstate’s\tpopulation\tof\tolder\tadults\tover\tage\t60.\tThis\nnutrition\tprogram\tprovides\tcongregate\tand\thome-delivered\tme... | [
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0.044598426669836044,
0.0543995276093483,
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0.07346021384000778,
-0.0... |
Meals\ton\tWheels),\tnutrition\tscreening,\teducation,\tand\tcounseling,\tas\twell\tas\tan\tarray\n\tof\tother\nsupportive\tand\thealth\tservices.\tThe\tOAA\tNutrition\tProgram,\tavailable\tto\tall\tpersons\tage\t60\tand\nolder\tregardless\tof\tincome,\tsuccessfully\ttargets\tthose\tin\tgreatest\teconomic\tand\tsocial\... | [
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0.058219265192747116,
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0.1212930902838707,
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0.030261849984526634,
0.09478151798248291,
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0.05539390444755554,
-0.01... |
particular\tattention\tto\tlow-income\tminorities\tand\trural\tpopulations.\tGenerally,\ta\thigher\tproportion\tof\nolder\tadults\twho\treceive\tOAA\tservices\thave\ta\thigher\tpercent\tof\tfood\tinsecurity\tand\tfunctional\nlimitations\tcompared\twith\tthose\twho\tdo\tnot\tutilize\tservices\t(\nVieira\tet\tal,\t2017\n... | [
0.08844754844903946,
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0.06718312203884125,
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0.090264230966568,
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0.0285... |
Vieira\tet\tal,\t2017\n).\tParticular\tattention\nis\tpaid\tto\tthose\tindividuals\twho\tare\tmembers\tof\tminority\tgroups,\tlive\tin\trural\tareas,\thave\tlow\nincome,\thave\tlimited\tEnglish\tproficiency,\tand\tare\tat\trisk\tfor\tinstitutional\tcare.\nMore\tthan\thalf\tof\tthe\tOAA\tannual\tbudget\tsupports\tthe\tn... | [
0.0050619603134691715,
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0.0528750903904438,
0.09581058472394943,
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0.0... |
219\tmillion\tcongregate\n\tand\thome-delivered\tmeals\tto\t2.4\tmillion\tolder\tadults\tannually\t(\nU.S.\nAdministration\ton\tAging,\t2019\n).\tAccording\tto\tthe\tACL\tand\tU.S.\tAdministration\ton\tAging,\t91%\tof\nparticipants\tstated\tthat\thome-delivered\tmeals\thave\thelped\tthem\tstay\tin\ttheir\town\thomes\ta... | [
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0.0383945070207119,
0.07585595548152924,
-0.05501345172524452,
0.052049703896045685,
-0.0135578... |
than\t60%\tof\tparticipants\tindicate\tthat\thome-delivered\tmeals\tprovide\tone\thalf\tor\tmore\tof\ttheir\ttotal\nintake\tfor\tthe\tday.\tHome-delivered\tmeals\n\thave\tgrown\tto\tmore\tthan\t61%\tof\tall\tmeals\tserved\tand\nalmost\thalf\tof\tthe\tprograms\thave\twaiting\tlists.\tTo\treceive\thome-delivered\tmeals,\... | [
0.04878339171409607,
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0.04110784828662872,
-0.05155168101191521,
-0.10126274824142456,
0.03160954639315605,
0.05686049535870552,
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0.038445327430963516,
0.0769210085272789,
0.0978432446718216,
-0.03498951718211174,
0.07849083840847015,
0.003811700... |
be\tassessed\tto\tbe\thome\tbound,\tfrail,\tor\tisolated,\tthough\tthe\tbenefits\tmay\talso\textend\tto\tcaregivers,\nspouses,\tand\tpeople\twith\tdisabilities.\nAt\tcongregate\tsites,\tthe\tnutrition\tprogram\tprovides\taccess\tand\tlinkages\tto\tother\tcommunity-based\nservices.\n\tIt\tis\tthe\tprimary\tsource\tof\tf... | [
-0.003910426516085863,
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0.0656847208738327,
-0.01403989177197218,
-0.09052634984254837,
0.004017912317067385,
0.16305291652679443,
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0.03782861307263374,
0.09079614281654358,
0.0008497131057083607,
0.06646852195262909,
-0.009... |
opportunities\tfor\tactive\tsocial\tengagement\tand\tmeaningful\tvolunteer\troles.\tThe\tmeals\tprovided\tare\nrequired\tto\tbe\tnutritionally\tdense,\tsupply\tmore\tthan\t33%\tof\tthe\trecommended\tdietary\tallowances\n(an\tOAA\trequirement),\tand\tprovide\t40%\tto\t50%\tof\tdaily\tintakes\tof\tmost\tnutrients\t(\nLlo... | [
0.022358281537890434,
-0.025775181129574776,
0.04657134413719177,
-0.02297145687043667,
-0.05833098292350769,
0.010670163668692112,
0.09051293134689331,
0.008215617388486862,
0.0018519842997193336,
0.028195595368742943,
0.08963080495595932,
0.002273574937134981,
0.024568581953644753,
0.061... |
Lloyd\tand\nWellman,\t2015\n).\nThe\tOAA\n\tNutrition\tProgram\tis\tclosely\tlinked\tto\tHCBS\tthrough\tcross-referrals\twithin\tthe\tAging\nNetwork.\tBecause\tolder\tadults\tare\tbeing\tdischarged\tearlier\tfrom\thospitals\tand\tnursing\thomes,\tmany\nrequire\ta\tcare\tplan\tthat\tincludes\thome-delivered\tmeals\tand\... | [
-0.06132296845316887,
0.007947411388158798,
0.06753195822238922,
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0.020931024104356766,
0.13498567044734955,
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0.0027904771268367767,
0.013699004426598549,
0.03482405096292496,
0.0018116987776011229,
0.08265179395675659,
-0.02... |
screening,\tassessment,\teducation,\tcounseling,\tand\tcare\tplanning).\tMany\tstates\tare\tcreating\nprograms\tto\tprovide\tnecessary\n\tmedical,\tsocial,\tand\tsupportive\tHCBS,\tincluding\thome-delivered\nmeals,\tnutrition\teducation,\tand\tcounseling\tservices.\tStates\tare\tbeing\tencouraged\tto\thelp\tolder | [
0.0009670791914686561,
0.0027035705279558897,
0.01730811968445778,
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0.016475211828947067,
0.11935854703187943,
0.020114567130804062,
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0.009667453356087208,
0.060708001255989075,
0.04400186240673065,
0.010343664325773716,
0.03... |
adults\tand\tpeople\twith\tdisabilities\tlive\tin\ttheir\thomes\tand\tfully\tparticipate\tin\ttheir\tcommunities\tby\nthe\tACL.\tIts\trole\tis\tto\tbuild\tthe\tcapacity\tof\tthe\tnational\taging\tand\tdisability\tnetworks\tto\tbetter\tserve\nolder\tpersons,\tcaregivers,\n\tand\tindividuals\twith\tdisabilities.\nU.S.\td... | [
0.043221939355134964,
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0.040909215807914734,
0.009931381791830063,
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0.09363076835870743,
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0.057683635503053665,
0.13425485789775848,
-0.06497826427221298,
0.0269531961530447,
0.03003... |
U.S.\tdepartment\tof\tagriculture\t(USDA)\tfood\tassistance\tprograms\nFor\tlow-income\tadults,\tresearch\tsuggests\tevidence\tof\tlower\tcaloric\tintake,\tpoorer\tdietary\tquality,\ngreater\trisk\tof\thypoglycemia,\tlower\tmedication\tadherence,\tand\tdifficulty\tpaying\tbills\tat\tthe\tend\tof | [
0.040058113634586334,
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0.0071157109923660755,
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0.01094199437648058,
0.05317060276865959,
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0.03826902061700821,
0.0983671024441719,
-0.058712828904390335,
0.0259927399456501,
-0.0112... |
the\tmonth\twhen\tfinances\tdiminish.\tSeveral\tUSDA\tfood\tand\tnutrition\tassistance\tprograms\tare\navailable\n\tto\tolder\tadults\tafter\tparticipants\tmeet\tcertain\tcriteria\tas\tall\tUSDA\tprograms\tare\tmeans\ntested.\tA\trecent\tstudy\tsuggests\tthat\tolder\tadults\tdually\tenrolled\tin\tMedicare\tand\tMedicai... | [
0.007306576706469059,
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0.06079519912600517,
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0.08335970342159271,
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0.035403773188591,
0.07828396558761597,
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0.05201810225844383,
-0.0... |
who\treceive\tSNAP\tbenefits\thad\treduced\thospitalization\tand\temergency\tdepartment\tvisits\tcompared\nwith\tthose\tthat\tdid\tnot\tutilize\tthese\tbenefits\t(\nSamuel\tet\tal,\t2018\n).\tThis\tcould\thave\tsignificant\nimplications\ton\n\tthe\tgeneral\thealth\tof\tolder\tadult\tpopulations,\tthough\tthe\tmajority\... | [
0.021626388654112816,
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0.057082466781139374,
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0.03965999186038971,
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0.00041435807361267507,
0.12452811747789383,
0.0964069664478302,
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0.038829222321510315,
-0.003... |
are\teligible\tfor\tSNAP\tbenefits\tdo\tnot\tparticipate.\tAdditional\tinformation\ton\tUSDA\tfood\tassistance\nprograms\tcan\tbe\tfound\tin\t\nChapter\t9\n.\nCommodity\tsupplemental\tfood\tprogram\nThe\tCommodity\tSupplemental\tFood\tProgram\t(CSFP)\tstrives\tto\timprove\tthe\thealth\tof\tlow-income | [
-0.008431614376604557,
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0.0748123824596405,
0.01408039964735508,
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0.021283896639943123,
0.12070819735527039,
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0.03529500216245651,
-0.... |
Americans\tby\tsupplementing\ttheir\tdiets\twith\tnutritious\n\tUSDA\tcommodity\tfoods.\tIt\tprovides\tfood\tand\nadministrative\tfunds\tto\tstates\tbut\tnot\tall\tstates\tare\tenrolled.\tIn\tstates\twhich\tadminister\tCSFP,\nservices\tare\toffered\tin\tdiverse\tlocations\tsuch\tas\tpublic\thealth,\tnutrition\tservices... | [
0.02179957926273346,
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0.03057204745709896,
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0.04872876778244972,
0.1202777773141861,
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0.03151104971766472,
0.00214093... |
departments.\tEligible\tpopulations\tinclude\tadults\tage\t60\tand\tolder\twith\tincomes\tless\tthan\t130%\tof\nthe\tpoverty\tlevel.\tLocal\tCSFP\tagencies\tdetermine\teligibility,\n\tdistribute\tfood,\tand\tprovide\tnutrition\neducation.\tThe\tfood\tpackages\tdo\tnot\tprovide\ta\tcomplete\tdiet\tbut\tmay\tbe\tgood\tso... | [
0.007341768592596054,
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0.01903521828353405,
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0.08603718876838684,
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0.07321971654891968,
0.12455879151821136,
-0.026927635073661804,
0.05077015236020088,
0.00039... |
frequently\tlacking\tin\tlow-income\tdiets\tand\tcan\tinclude\tdry\tmilk,\tjuice,\toats,\tdry\tcereal,\trice,\tpasta,\npeanut\tbutter,\tdry\tbeans,\tcanned\tmeat/poultry/fish,\tand\tcanned\tfruits\tand\tvegetables.\nSeniors\tfarmers’\tmarket\tnutrition\tprogram\nThe\tSeniors\tFarmers’\tMarket\n\tNutrition\tProgram\t(SF... | [
0.014128713868558407,
-0.03911434859037399,
0.0025179029908031225,
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0.09410201013088226,
0.005778717342764139,
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0.08542346954345703,
-0.03078562021255493,
0.04691220074892044,
-0.0... |
Nutrition\tProgram\t(SFMNP)\tis\tadministered\tby\tstate\tdepartments\tof\nagriculture,\taging\tand\tdisability\tservices,\tor\tfederally\trecognized\tNative\tAmerican\ttribal\ngovernments.\tNot\tall\tstates\toperate\tSFMNP\ton\ta\tstatewide\tbasis.\tSFMNP\tprovides\tcoupons\tto\tlow-\nincome\tolder\tindividuals\tto\tp... | [
0.003991921432316303,
-0.07303868979215622,
0.0346907377243042,
-0.01033563818782568,
-0.054269757121801376,
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0.07669485360383987,
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0.01917167939245701,
0.0733134001493454,
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0.05470483750104904,
-0.045333... |
farmers’\tmarkets,\troadside\tstands,\tand\tcommunity-supported\n\tagriculture\t(CSA)\tprograms.\tIt\nprovides\teligible\tolder\tadults\twith\tlocal,\tseasonal\taccess\tto\tfresh\tfruits\tand\tvegetables\tas\twell\tas\nnutrition\teducation\tand\tinformation.\tThe\tSFMNP\tserves\tlow-income\tolder\tadults\twho\tare\tgen... | [
0.0026218341663479805,
-0.04087930545210838,
0.027800753712654114,
0.007174517028033733,
-0.02486673928797245,
-0.010629191063344479,
0.03858797252178192,
-0.009529503993690014,
-0.05330118164420128,
-0.009950598701834679,
0.1193794384598732,
-0.039944812655448914,
0.007501297630369663,
-0... |
at\tleast\t60\tyears\told\tand\twho\thave\tincomes\tnot\tmore\tthan\t185%\tof\tthe\tU.S.\tpoverty\tguidelines.\nMedicaid\tand\tnutrition\tservices\nOlder\tadults\twho\tmeet\tcertain\tincome\tcriteria\n\tmay\tqualify\tfor\tadditional\tsupport\tfrom\tMedicaid\nagencies\tand\tMedicaid\thealth\tplans.\tMany\tstates\tuse\tH... | [
-0.0167276281863451,
-0.014685907401144505,
0.022300967946648598,
0.015712397173047066,
-0.03423692658543587,
0.019503962248563766,
0.07283775508403778,
-0.036020003259181976,
-0.03904043883085251,
-0.01060636155307293,
0.0898500457406044,
-0.006677709985524416,
0.02876712940633297,
-0.051... |
adults\tand\tan\tincreasing\tnumber\tof\tstates\tare\tcreating\tLSS\tto\tmore\tbroadly\tsupport\tolder\tadult\ncommunities.\tPractices\tsupporting\tthe\tnutrition-related\tneeds\tof\tolder\tadults\tare\tgrowing\tin\npopularity\tas\tstates\tunderstand\tthe\tbroader\timplications\tof\taddressing\n\tthese\tneeds.\tSome\tM... | [
-0.0016753212548792362,
-0.008133405819535255,
0.10427763313055038,
-0.006703060586005449,
-0.07945353537797928,
-0.010396872647106647,
0.09394914656877518,
-0.03674198314547539,
-0.041711051017045975,
0.04484150931239128,
0.10563693940639496,
-0.045730214565992355,
-0.018622547388076782,
... |
these\tneeds.\tSome\tMedicaid-\nbased\thealth\tplans\tare\talso\tincreasing\ttheir\tinvolvement\twith\tnutrition\tprofessionals,\tassisting\tplan\nmembers\tin\tSNAP\tenrollment\tand\tutilizing\tassessment\tdata\tto\tmonitor\tnutrition-related\tneeds\tand\noutcomes\t(\nCenter\tfor\tHealthcare\tStrategies,\t2019\n).\nCom... | [
0.010065657086670399,
0.02164398692548275,
0.054372090846300125,
-0.028819162398576736,
-0.07745968550443649,
0.03157011419534683,
0.0861140713095665,
-0.027875665575265884,
-0.035409510135650635,
0.03961043804883957,
0.12894777953624725,
-0.04905872046947479,
0.026172608137130737,
0.01554... |
).\nCommunity\tand\tresidential\tfacilities\tfor\tolder\tadults\nThe\treport\t\nLong-Term\tCare\tProviders\tand\tServices\tUsers\tin\tthe\n\tUnited\tStates,\t2015-2016\n\tfound\tthat\n65,600\tpaid,\tregulated\tlong\tterm\tservices\tproviders\tserved\tover\t8.3\tmillion\tpeople\t(\nHarris-Kojetin\tet\nal,\t2016 | [
-0.008300762623548508,
-0.020865779370069504,
0.05351850390434265,
-0.06621591746807098,
-0.07398632168769836,
0.025896597653627396,
0.08057937026023865,
-0.00826176442205906,
-0.029586637392640114,
0.03625988960266113,
0.11145685613155365,
-0.04901542142033577,
0.02771228551864624,
-0.010... |
Harris-Kojetin\tet\nal,\t2016\n).\tThis\tis\tin\tan\tincrease\tof\t7,100\tservice\tproviders\tsince\t2013.\tLong\tterm\tcare\tservices\twere\nprovided\tby\t4,600\tadult\tday\tservices,\t12,200\thome\thealth\tagencies,\t4,300\thospices,\t15,600\tnursing\nhomes\tand\t28,900\tassisted\tliving\tand\tsimilar\tresidential\tc... | [
-0.07044342160224915,
-0.035242751240730286,
-0.0191266480833292,
-0.06256359815597534,
-0.10303100943565369,
-0.03740978240966797,
0.04728029668331146,
-0.0018240218050777912,
-0.071407251060009,
-0.024732382968068123,
0.050437960773706436,
-0.03187955543398857,
0.01777287758886814,
0.040... |
communities.\tEach\tday,\tthere\tare\tmore\nthan\t286,300\tenrolled\tadult\tday\tservice\tparticipants,\t1,347,600\t\nskilled\tnursing\tfacilities\t(SNFs)\nresidents\t(for\tthose\trequiring\ta\thigher\tlevel\tof\tmedical\tcare),\tand\t811,500\tresidential\tcare\tresidents.\nIn\t2015,\tapproximately\t1,426,000\tpatients... | [
-0.012077073566615582,
-0.09199800342321396,
-0.008449137210845947,
-0.014187395572662354,
-0.09688366949558258,
-0.049598779529333115,
0.04876324534416199,
-0.0037193007301539183,
-0.013389869593083858,
0.005256026051938534,
0.06780032813549042,
0.008315104059875011,
0.03982800245285034,
... |
2013.\nPeople\tmove\tto\tresidential\tfacilities,\tgenerally\tknown\n\tas\tassisted\tliving,\twhen\tthey\tcan\tno\tlonger\nsafely\tlive\talone\tbecause\tthey\thave\tsome\tcognitive\timpairment\trequiring\tsupervision\tor\tneed\thelp\nwith\tADLs\tbecause\tof\timmobility.\tCare\tis\tprovided\tin\tways\tthat\tpromote\tmax... | [
-0.006581404246389866,
-0.025049326941370964,
0.07167842239141464,
-0.04293203726410866,
-0.11390813440084457,
0.036321233958005905,
0.07183332741260529,
-0.017453789710998535,
-0.010696359910070896,
0.039307210594415665,
0.12371687591075897,
-0.04063069447875023,
0.013864130713045597,
0.0... |
dignity.\tAssisted\tliving\tcare’s\tannual\tcost\tis\tgenerally\tquite\ta\tbit\tless\tthan\tnursing\thomes.\tResidents\nare\tencouraged\tto\tmaintain\tactive\tsocial\tlives\twith\tplanned\n\tactivities,\texercise\tclasses,\treligious\tand\nsocial\tfunctions,\tand\topportunities\tto\ttravel\toutside\tthe\tfacility.\tThe... | [
-0.00019705784507095814,
0.03110031969845295,
0.06773857772350311,
-0.02333555556833744,
-0.11197033524513245,
-0.010482948273420334,
0.1272619217634201,
-0.031848710030317307,
-0.011955269612371922,
0.00427934480831027,
0.06159224361181259,
-0.02941325306892395,
0.00871211662888527,
-0.02... |
in\tsome\tstates\tto\tprovide\ttherapeutic\tdiets\tbut\tin\tthose\tstates\twithout\tsuch\tregulation\tresidents\thave\ndifficulty\tgetting\tspecial\trequirements\tmet\tfor\tservices\tsuch\tas\ttexture\tmodified\tmeals.\nComprehensive\tstate\tregulations\tfor\tfood\tand\tnutrition\tservices\n\tin\tassisted\tliving\tcare... | [
0.03735326603055,
-0.07404947280883789,
0.015330062247812748,
-0.06904412060976028,
-0.08044981211423874,
0.0017142322612926364,
0.12247102707624435,
0.019762322306632996,
0.0017661871388554573,
0.04880770668387413,
0.09508867561817169,
-0.03076225519180298,
0.06385970115661621,
0.05642767... |
in\tassisted\tliving\tcare\tis\tnot\tyet\nwidespread,\tbut\tthere\tis\tgrowing\tconsensus\tthat\tit\tshould\tbe\tregulated.\tEmphasizing\tthat\tfood\tand\nnutrition\tmatter\tat\tevery\tage,\tit\tis\tessential\tthat\tsupport\tfor\tnutrition\tand\tquality\tof\tlife\textend\nbeyond\tfood\tavailability\tand\tsafety.\tDieti... | [
0.051701221615076065,
-0.03414449095726013,
0.04316609725356102,
-0.021325789391994476,
-0.08407615125179291,
0.003985814284533262,
0.08872094750404358,
-0.026114314794540405,
-0.016019608825445175,
0.07938551157712936,
0.095866359770298,
-0.04137473180890083,
0.0495658777654171,
0.0225287... |
planning\tto\tmeet\tspecial\tneeds\tsuch\tas\ttype\tand\tamounts\tof\n\tmacronutrients\tand\tmicronutrients,\ntexture\tmodifications,\tand\tquality\tof\tfood\tchoices\tand\tpresentation.\nOnly\tabout\t3%\tor\t1.4\tmillion\tolder\tadults\tlive\tin\tthe\tapproximately\t15,700\tnursing\thomes\t(\nHarris-\nKojetin\tet\tal,... | [
-0.01989155076444149,
-0.01184214185923338,
0.021764224395155907,
-0.0039511206559836864,
-0.07714971899986267,
-0.006951444782316685,
0.06464070081710815,
0.021474093198776245,
0.017534220591187477,
0.023390932008624077,
0.07326480746269226,
-0.04840022698044777,
0.011257902719080448,
-0.... |
Harris-\nKojetin\tet\tal,\t2019\n).\tThe\tpercentage\tof\tthe\tpopulation\tthat\tlives\tin\tnursing\thomes\tincreases\ndramatically\twith\tage,\tespecially\tfor\tthose\tolder\tthan\tage\t85.\tHowever,\tthe\toverall\tpercentage\thas\ndeclined\n\tsince\t1990,\tlikely\tbecause\tof\thealthier\taging,\tthe\tfederal\tcost-co... | [
-0.02856123447418213,
-0.05097527801990509,
0.046720098704099655,
-0.06577636301517487,
-0.07165911048650742,
-0.02652539126574993,
0.0587141327559948,
-0.030268145725131035,
-0.0024357284419238567,
0.040203485637903214,
0.10689599066972733,
-0.03515739366412163,
0.061680249869823456,
0.00... |
residential\tplacement\tin\tnursing\thomes\tby\tproviding\tmore\taging\tservices\tin\tthe\tcommunity,\tas\twell\nas\tthe\tincreased\tavailability\tand\tuse\tof\thospice.\tThe\tpercentage\tincreases\twith\tage,\tranging\tfrom\t1%\nfor\tpersons\tage\t65\tto\t74\tyears\tto\t3%\tfor\tpersons\tage\t75\tto\t84\tyears\tand\t1... | [
0.024503193795681,
-0.042674850672483444,
0.0781015083193779,
-0.0341624952852726,
-0.08886498212814331,
-0.012269951403141022,
0.12026077508926392,
-0.04819183796644211,
-0.041028942912817,
0.04098038747906685,
0.10470855981111526,
-0.06592946499586105,
0.06447110325098038,
0.028811587020... |
cost\n\tof\tnursing\thome\tcare\tdiffers\tby\tstate\twith\tthe\tmost\texpensive\treported\tin\tAlaska\twhere\ta\nsemiprivate\troom\tis\tmore\tthan\t$23,000\tper\tmonth\tand\tthe\tleast\texpensive\tis\tOklahoma\tat\tabout\n$4500\tper\tmonth\t(\nSeniorliving.org\n).\nSNFs\tare\tfederally\tregulated\tby\tthe\tCenters\tfor... | [
0.012966766022145748,
-0.0189784225076437,
0.00919435080140829,
0.013707744888961315,
-0.10919070243835449,
-0.011146479286253452,
0.08421136438846588,
0.01842472516000271,
0.04269478842616081,
0.035018499940633774,
0.07397786527872086,
0.0026467659045010805,
0.03094720095396042,
-0.009104... |
centers,\tby\teach\tstate.\tMore\tresidents\tare\tin\tSNFs\tfor\tshort-stay,\tpost-acute\tcare,\n\tthus\tmore\ncomprehensive\tmedical\tnutrition\ttherapy\tis\tnow\tneeded.\tNutritional\tcare\tis\tdirected\ttoward\nidentifying\tand\tresponding\tto\tchanging\tphysiologic\tand\tpsychological\tneeds\tover\ttime\tthat\tprot... | [
0.03440866246819496,
-0.06518252938985825,
0.034397970885038376,
-0.01131285261362791,
-0.06493312865495682,
0.02508578449487686,
0.058149076998233795,
0.034868303686380386,
-0.010808375664055347,
0.03776535019278526,
0.08125797659158707,
0.017162520438432693,
0.0012865799944847822,
0.0389... |
against\tavoidable\tdecline\t(\nBox\t19.4\n).\nThe\tculture\tchange\tmovement\tin\tlong-term\tcare\t(LTC)\n\thas\tled\tto\tthe\tcreation\tof\tthe\t\nDining\nPractice\tStandards\t(DPS)\n.\tThe\tDPS\twere\tpublished\tby\tthe\tPioneer\tNetwork’s\n\tDining\tClinical\tTask\nForce,\ta\tmultidisciplinary\tgroup\tof\tLTC\tand\... | [
-0.033351998776197433,
-0.023097943514585495,
0.02950125001370907,
-0.0704612284898758,
-0.09021575003862381,
0.00027167145162820816,
0.003899826668202877,
0.010061959736049175,
0.013662944547832012,
0.06827536225318909,
0.05033020302653313,
0.02305079810321331,
0.04902131110429764,
0.0140... |
Centers\tfor\tMedicare\tand\tMedicaid\tServices\t(CMS)\tand\tover\ta\tdozen\tprofessional\tgroups,\tincluding\nthe\tAcademy\tof\tNutrition\tand\tDietetics\t(AND).\tThe\tguidelines\tprovide\tevidence-based\tsupport\tfor | [
0.008384785614907742,
-0.046576932072639465,
-0.06648832559585571,
-0.040535565465688705,
-0.024102821946144104,
0.00029948208248242736,
0.07132957875728607,
0.0432840920984745,
0.03466464951634407,
0.03996329754590988,
0.04719826579093933,
0.0015729711158201098,
0.0169950220733881,
0.0373... |
resident-centered\tdining,\tfor\tliberalized\tdiets,\tfor\tfood\tfirst,\tand\tfor\tdecreased\n\tdependence\ton\nmedical\tnutritional\tsupplements.\tCMS\thas\tsubsequently\tincorporated\tthe\tDPS\tinto\tthe\tsurvey\nprocess.\nIn\t1987\tCongress\tpassed\treform\tlegislation\tas\tpart\tof\tthe\tOmnibus\tReconciliation\tAc... | [
0.025159461423754692,
-0.08755534142255783,
0.031118568032979965,
-0.049183741211891174,
-0.12494610995054245,
-0.022318588569760323,
0.07939501851797104,
-0.00840905960649252,
-0.02000698633491993,
0.0659511610865593,
0.11859164386987686,
-0.014357739128172398,
0.01916109025478363,
0.0034... |
improve\tthe\tquality\tof\tcare\tin\tSNFs\tby\tstrengthening\tstandards\tthat\tmust\tbe\tmet\tfor\nMedicare/Medicaid\treimbursement.\tSince\tthat\ttime\tSNFs\thave\tbeen\trequired\tby\tCMS\tto\tconduct\nperiodic\tassessments\n\tto\tdetermine\tthe\tresidents’\tneeds;\tto\tprovide\tservices\tthat\tensure\tresidents | [
0.030062058940529823,
-0.03946273773908615,
0.050331369042396545,
-0.06479212641716003,
-0.07276616245508194,
0.0068441592156887054,
0.10909143090248108,
-0.005652604158967733,
-0.0801481232047081,
0.04449163377285004,
0.07505854219198227,
0.014566527679562569,
0.053105536848306656,
-0.002... |
maintain\tthe\thighest\tpractical,\tphysical,\tmental,\tand\tpsychological\twell-being;\tand\tto\tensure\tthat\tno\nharm\tis\tinflicted.\tThis\tis\taccomplished\tusing\tthe\t\nMinimum\tData\tSet\t(MDS)\n,\twhich\tis\tpart\tof\tthe\nfederally\tmandated\tprocess\tfor\tclinical\tassessment\tof\tresidents\tof\tLTC\tfacilit... | [
0.03146626427769661,
0.020155465230345726,
0.06708484888076782,
-0.0327332504093647,
-0.07109864801168442,
-0.014995833858847618,
0.07087936997413635,
-0.006414901465177536,
-0.05035227909684181,
0.04569525271654129,
0.07882393896579742,
0.0002771815634332597,
0.032100237905979156,
0.01021... |
Medicare\tor\tMedicaid.\tSection\n\tK\tof\tthe\tMDS\tis\tspecific\tto\tnutrition\tand\tis\tgenerally\tthe\nresponsibility\tof\tthe\tdietitian\tto\tcomplete\tbut\tcan\tbe\tdone\tby\tnursing\tstaff\t(\nFig.\t19.4\n).\tThis\tform\ndocuments\t“triggers”\tthat\tmay\tplace\ta\tresident\tat\tnutrition\trisk\tand\ttherefore\tr... | [
-0.03101710043847561,
0.0144683588296175,
0.016954489052295685,
-0.01796553283929825,
-0.01785942167043686,
0.0598016083240509,
0.08655266463756561,
0.017123647034168243,
-0.04386002942919731,
0.017146777361631393,
0.09673116356134415,
0.04211093857884407,
0.035790640860795975,
-0.04047441... |
intervention.\tThis\tassessment\tmust\tbe\tdone\tat\tadmission\tand\tif\tthere\tis\ta\tsignificant\tchange\tin\tthe\nresident’s\tcondition\tsuch\tas\tweight\tloss\tor\tskin\n\tbreakdown.\tReassessment\tis\trequired\tquarterly\tand\nannually.\tThe\tentire\tprocess\tis\tknown\tas\tthe\t\nResident\tAssessment\tInstrument\... | [
0.028369883075356483,
0.018838120624423027,
0.0718139111995697,
-0.04689716920256615,
-0.12120731174945831,
0.06282609701156616,
0.06413046270608902,
0.003856958821415901,
-0.03153938427567482,
0.06266839057207108,
0.10191984474658966,
0.03300770744681358,
0.0128420265391469,
0.03322545066... |
Resident\tAssessment\tInstrument\t(RAI)\n.\tIt\tprovides\nthe\tindividual\tassessment\tof\teach\tresident’s\tfunctional\tcapabilities\tand\thelps\tidentify\tproblems\tand\ndevelop\ta\tcare\tplan.\nFIG.\t19.4\nThe\tMinimum\tData\tSet,\tSection\tK\tversion\t3.0.\n\t\nSource:\n\t(From\tthe\tCenters\tfor\tMedicare\tand\tMe... | [
0.01135899405926466,
-0.025595979765057564,
0.02295895665884018,
-0.06810648739337921,
-0.1058492511510849,
-0.0002458970411680639,
0.08736274391412735,
0.027753762900829315,
-0.03374630957841873,
0.05732251703739166,
0.13738004863262177,
-0.05107922852039337,
0.0036242548376321793,
0.0095... |
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