Index waiver program, 19 24

medical diagnosis, vs. nutrition diagnosis, 53 medical home, 26

medical nutrition therapy (MNT), 50, 108, 167, 348

liver disease, 178–179, 180–181 oral health and, 137 renal disease, 169

Medicare, 9, 19, 21, 23, 24, 79, 108, 125, 135, 263, 285, 301, 302, 303, 309, 310, 314, 317, 326, 329. See also Centers for Medicare & Medicaid Services (CMS) Medicare Payment Advisory Commission (MedPAC), 286 medications, 74, 77, 110, 237 administration, 258 anorexia, 110 appetite and, 6, 113, 120–121 esophageal injury and, 148 folate antagonists, 163

gastrointestinal symptoms and, 8–9, 196–197, 238

glucose-lowering, 177, 180–181, 184–185 hydration and, 75, 124, 125 involuntary weight loss and, 7 iron loss, 161

nutrient requirements and, 6, 11–12 parenteral feedings, 261–262 polypharmacy pattern, 109 side effects, 234–273 swallowing and, 83–84, 148 taste loss, 7–8, 183 xerostomia and, 135, 148

Megace. See megastrol acetate

megaloblastic anemia, 83, 161, 163, 164, 220, 222, 223, 228

megastrol acetate, 120 meglitinides, 184

menu development, 25, 34, 275

metabolism, 171, 199, 235, 236, 219, 220, 237, 247

methotrexate, 166–167, 216, 219, 220, 237, 247 micronutrients, 12, 178, 179–180 parenteral feeding, 261, 263 pressure ulcers and, 202

Mifflin-St Jeor equation, 82, 87, 106, 254 mild cognitive impairment, 9. See also cognitive impairment

minerals, 83, 255

drug interactions, 235, 249 pressure ulcers and, 202, 208–210 supplements, 192

Minimum Data Set (MDS), 75, 82, 131, 301, 303, 304, 305, 306, 307, 311, 315, 320–321 Mini Nutritional Assessment (MNA), 74, 108, 116, 136, 151, 178, 251 mirtazapine, 62, 64, 121 MNT. See medical nutrition therapy (MNT) Modified Diet in Renal Disease (MDRD), 169, 172

molybdenum, 12

monitoring, 55–56, 57, 113–114, 123, 127, 203, 259, 262, 263, 317, 323, 334

monoamine oxidase inhibitors (MAOI), 222, 237–238, 247, 249, 250 monoamines. See pressor amines mortality, 79–80, 125, 171, 178 weight loss and, 10 motor control, 41, 44, 86 mouth, 83, 98, 140, 143, 283 sore, 190, 194, 196

multiple sclerosis, 41, 85, 137, 155 muscle wasting, 107, 127 musculoskeletal system, 8 myelosuppression, 187, 190

nails, 99, 161 naproxen, 247

narcotic analgesic, 7, 249 nasogastric/enteric tube feeding. See feeding tubes National Cancer Institute, 190 National Center for Complementary and Alternative Medicine, 190, 195 National Center for Health Statistics, 3, 17. See also National Health and Nutrition Examination Survey (NHANES)

National Comprehensive Cancer Network (NCCN), 191

NCCN Guidelines: Older Adult Oncology, 191

National Dysphagia Diet (NDD), 152 National Health and Nutrition Examination Survey (NHANES), 3, 17 National Hospital Discharge Survey, 122 National Incident Management System, 360 National Institute of Food and Agriculture (NIFA), 22

National Kidney Foundation Kidney Disease

393