Common Denominators of Declining Nutritional Status - RD73

Common Denominators of Declining Nutritional Status

by Mary Demarest Litchford, PhD, RDN, LDN
(4.3 / 270 ratings )

This course is credentialed for:
Dietetics/Nutrition (14.00 CPEU)

Price: $209.00
CE-PRO Price: $104.50


As medical technology advances and standards of living rise, the Western world is seeing an increase in the population over the age of 65. However, living longer does not always equate with being healthy, living independently, making prudent decisions, or setting goals and achieving them. Most adults will experience some health issues with lingering effects. It is the impact of the disease on independence that determines overall health and quality of life. Half of the top ten leading causes of death are related to lifelong dietary habits. Prevention of nutrition- related health problems is the goal, but for most elders the days of prevention have passed. The goal now is early intervention for nutrition-related disorders to delay long-term complications. Nutrition professionals can make a difference in the lives of adults with declining nutritional status through the Nutrition Care Process and providing quality food in a form the adult can enjoy eating.


The goal of this course is to teach dietitians and healthcare providers how to diagnose and intervene in adults with declining nutritional status to delay long-term complications and provide quality food in a form the adult can enjoy eating. Upon successful completion of this course, the student will be able to:
  • To examine the role of MNT in the context of common syndromes of older adults.
  • To examine the biology of aging as it pertains to changes in nutritional status.
  • To discuss the role of cognition as it relates to declining functional and nutritional status.
  • To examine characteristics of frailty, disability and functional decline as it relates to declining functional and nutritional status.
  • To discuss malnutrition, altered hydration status and nutrient deficiencies commonly reported in older adults.
  • Incorporate new approaches to assess for malnutrition and vitamin mineral deficiencies
  • To examine ramifications of sarcopenia and cachexia as it relates to declining nutritional status.
  • To discuss the process of normal swallowing.
  • To describe the different consistency textures recommended for individuals with dysphagia.
  • To examine ramifications of homeostenosis and chronic inflammation as it relates to declining nutritional status.
Important: The online version of this course includes two parts that must be downloaded. Part 1 is a PDF; part 2 is a Case Study Tutorial.

Accreditation Information
The course is intended for nutrition professionals
Relias LLC, is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR). Continuing Professional Education Provider Accreditation does not constitute endorsement by CDR of a provider, program or materials.  This course is a level 3 course with suggested CDR learning codes of 3000, 3040, 5000, 5300 and performance indicators of 4.1.1, 10.1.2, 10.2.4, 10.2.8. 
OnCourse Learning is also accredited by the Florida Council of Dietetics and Nutrition (provider # 50-1489).
This program has been approved for fulfilling the continuing education requirements of the Certifying Board for Dietary Managers (CBDM). Granting prior approval does not constitute endorsement of the program content or its program sponsor.

Course Originally Released on: 4/1/2009
Date of Most Recent Review: 5/20/2013
Course Termination/Update Date: 6/30/2019

Unless stated above, the planners and authors of this course have declared no relevant conflicts of interest that relate to this educational activity. OnCourse Learning guarantees this educational activity is free from bias.

Please see CE Course Instructions to learn how to earn CE credit for this module.


For Florida professionals:

If this course is approved by the Florida Council of Dietetics and Nutrition, this course completion will be electronically reported to CE Broker as required per Florida Statute 456.025(7). Click here to view your CE Broker transcript and check the status of your CE requirements with a FREE 7-day CE Broker trial subscription. It may take up to 24 hours for the course to appear on your CE Broker transcript.

It is now required that all CE is completed and reported to CE Broker before you renew your license. When you complete continuing education with us, OnCourse Learning will report your hours for you.

Read more about the new license renewal process at and claim your free Basic Account in CE Broker to see what has already been reported for you.

Please check the licenses/certifications section under my account (after logging in) to make sure you have entered a valid FL license number. This information is required for correct reporting of your course completions to CE Broker.

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Leslie S - PERRYSBURG, OH  ·  May 08, 2019
Very interesting information. I will use this information when I counsel my clients.
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Amanda V - Syracuse, NY  ·  May 02, 2019
I thought it was very good. I especially liked learning about the different lab values and malnutrition. I would of included more age groups other than the elderly
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Mark M - Buda, TX  ·  May 01, 2019
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ALLISON G - Congers, NY  ·  Mar 30, 2019
Excellent information but too much "previous guidelines"
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Kelli P - Plano, TX  ·  Mar 04, 2019
no recommendations at this time
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Price: $209.00
CE-PRO Price: $104.50