Home' Australian Pharmacist : January 2011 Contents Vol. 30 -- January #01
Continuing Professional Development
Submit your answers online at www.psa.org.au and receive automatic feedback
Note: The CPD questions are now at the
end of each article.
PSA members can answer online at
www.psa.org.au and receive automatic feedback.
• You will need to login to submit your answers online.
If you do not have member access details, you can
request them via a link from the login page.
• Select Pharmacist Members from the blue, left hand
• Select Submit Answers.
• Select Australian Pharmacist CPD.
Submit your answers before 1 March 2011
or fax/mail to:
(04) 381 4786
NZCP Mail address: NZCP CPD answers
PO Box 11 640
(03) 9389 4044
PSA Mail address: PSA CPD answers
PSA Victorian Branch
Level 1, 381 Royal Parade
PARKVILLE VIC 3052
online at www.psa.org.au and receive automatic feedback
Australian Pharmacist Continuing Professional Development (CPD) is a central element of
PSA's CPD&PI program. It is also part of the New Zealand College of Pharmacists (NZCP)
education program for NZ pharmacists.
The CPD section is recognised under the PSA CPD&PI program as a Group 2 activity. Members
can choose which articles they want to answer questions on and get CPD credits based on the
questions they answer. The credits allocated to each section and the pass mark are shown
with the questions.
CPD credits are allocated as follows: a minimum of 6 out of 8 questions correct attracts
1.5 credits, a minimum of 4 out of 5 questions correct attracts 1 credit, and a minimum of
3 out of 4 questions correct attracts three quarters of a credit.
If not submitting online, write the correct answers in the spaces provided on the answer panel
on the back of the address sheet, fill in your name, member number and address details, then
either mail or fax the answer page to the relevant address and fax number for marking.
1. Dormenval V, Budtz-Jorgensson E, Mojon P, et
al., Associations between malnutrition, poor oral
health and oral dryness in hospitalised elderly
patients, Age and Ageing, 1998;27:123--8.
2. Huffman G, Evaluating and Treating
Unintentional Weight Loss in the Elderly,
American Family Physician, 2002;65:640--50.
3. Morley J, Anorexia of Aging: physiologic and
pathologic, The American Journal of Clinical
4. Schifman S, Graham B, Taste and Smell
Perception affect appetite and immunity in the
elderly, European Journal of Clinical Nutrition,
5. Chen C, Schilling L, Lyder C, A Concept Analyisis
of Malnutrition in the Elderly, Journal of
Advanced Nursing, 2001;36(1),131--42.
6. Willett W, Weight Loss in the Elderly: cause or
effect of ill health?, The American Journal of
Clinical Nutrition, 1997; 66:737--8.
7. Depression Symptom Checklist [online] 2008
[accessed 25 Oct 2010]. At: www.beyondblue.
8. Ship J. Diabetes and Oral Health: An Overview,
The Journal of the American Dental Association
9. Bouras E, Lange S, Scolapio J. Rational
Approach to Patients with Unintentional Weight
Loss, Mayo Clinic Proc. 2001;79:923--9.
1. Which one of the following
statements is true?
a) A decreased level of circulating
cholecystokinin may contribute to a
reduced appetite in elderly patients.
b) Elderly patients are at an increased
risk of developing protein-energy
c) Decreased levels of the
opioid feeding drive hormone,
dynorphin, may play a role in
2. Severe chronic obstructive
pulmonary disease (COPD) can
cause weight loss due to an
increase in metabolic demand
needed to use accessory
muscles of respiration.
3. Which of the following
pieces of advice may aid with
increasing the appetite of an
a) Try to eat small portions of food at
b) Attempt to increase physical activity.
c) Experiment with adding flavour
enhancers to meals to make eating
d) All of the above.
4. The recommended nutrient
intake for a person with low
body weight is:
A score of 4 out of 5 attracts 1 CPD credit.
a) 20--25 kcal/kg per day with at least
5% protein content.
b) 25--30 kcal/kg per day with at least
15% protein content.
c) 30--35 kcal/kg per day with at least
20% protein content.
5. Which of the following is least
likely to cause excessive weight
loss in an elderly patient?
b) Parkinson's disease.
e) Poorly controlled diabetes.
Key learning points
Pharmacists can play an active role in
identifying nutritional deficiencies in
elderly patients. Pharmacists should
be aware of the variety of issues that
may contribute to weight loss in the
elderly and appreciate the possible
significance of excessive weight loss
in this population. Simple questioning
and practical advice, regarding diet
and exercise, can provide early
intervention and reduce the incidence
of protein-energy malnutrition and
mortality associated with extreme
weight loss in elderly individuals.
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