What does the acronym DETERMINE stand for?

The acronym DETERMINE is used to assess nutritional risks in older adults and stands for: Disease, Eating poorly, Teeth, Economic hardship, Reduced social contact, Multiple medicines, IWL (Involuntary Weight loss), Needs assistance with ADLs (Activities of Daily Living), and Elderly Years. Each component of this acronym highlights a specific area that can adversely affect the nutritional status and overall health of older individuals.

The first element, "Disease," pertains to the various chronic conditions often present in older adults that can impact their nutritional intake and needs. "Eating poorly" addresses inadequate dietary habits or inadequate nutrient consumption, which is crucial for maintaining health. "Teeth" emphasizes the importance of dental health, which can significantly affect an elder's ability to eat and enjoy food. "Economic hardship" points to financial limitations that might restrict access to nutritious foods.

"Reduced social contact" indicates how social isolation can lead to diminished appetite and eating habits, while "Multiple medicines" brings attention to the complexity of polypharmacy in older adults, which can create side effects that influence nutritional intake. "IWL" refers to involuntary weight loss, a critical sign that something might be wrong with an elder’s health. The need for assistance with ADLs highlights