Phys Vivas · geriatric
Nutrition AND Hydration IN Older Adults — Viva Defence
DCE viva defence for Nutrition AND Hydration IN Older Adults.
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Target exams
Nutrition AND Hydration IN Older Adults Viva
Long Case Viva Defence
Opening statement
"This patient presents with a problem best framed as Nutrition AND Hydration IN Older Adults. My priorities are to identify red flags, confirm the mechanism with purposeful investigations, start a sequenced management plan, and integrate multimorbidity and follow-up." [1] [2]
Examiner questions
Q1: "What makes this urgent?" [1]
"I look for threats to airway, perfusion, neurology, metabolism, infection or bleeding, and I escalate those before elective work-up." [1] [2]
Q2: "What is your first investigation package?" [2]
"I order tests that change management now, not a scattergun panel." [1] [2]
Q3: "Walk me through treatment." [1]
"Stabilise, treat the mechanism, prevent complications, and plan monitoring." [1] [2] [3]
Q4: "What is the classic trap?" [2]
"Treating a label without confirming the discriminating mechanism, or delaying escalation." [1] [2]
Short case
Counsel the patient on the plan, risks and warning symptoms in plain language. [1] [2]
References
- [1]von Känel-Cordoba I, Wilhelm M, Leite LB, Andrade MS, et al. Performance, physiology, and determinants of success in IRONMAN® 70.3: A systematic review PLoS One, 2026.PMID 42467690
- [2]Dave J, Nirmal N, Kumar S, Jain N, et al. Soft Matter Physics-Driven Design of Texture-Modified Foods for Geriatric Nutrition J Nutr, 2026.PMID 42413771
- [3]Manzano-Nunez R, Gomez DA, Triana EM, Alcalá R, et al. Venous Thromboembolism as a Forgotten Complication of Physical Restraint: A Scoping Review and Implications for Practice Int J Ment Health Nurs, 2026.PMID 42252977
- [4]Volkert D, Beck AM, Cederholm T, Cruz-Jentoft A, et al. [The European Society for Clinical Nutrition and Metabolism (ESPEN) Guideline on Clinical Nutrition and Hydration in Geriatrics] Rev Esp Geriatr Gerontol, 2026.PMID 41820196
- [5]Volkert D, Beck AM, Cederholm T, Cruz-Jentoft A, et al. [The European Society for Clinical Nutrition and Metabolism (ESPEN) Guideline on Clinical Nutrition and Hydration in Geriatrics] Nutr Hosp, 2026.PMID 41810828
- [6]Shen S, Zhou K, Wu M, Liu D, et al. Feeding intelligence: comparative evaluation of ChatGPT and clinical guidelines for nutritional management in head and neck cancer J Transl Med, 2025.PMID 41272713
- [7]Xi Y, Yao T, Zhang C, Zhuang T Effectiveness of safety care and clinical nursing pathway in patients undergoing cardiovascular intervention: a randomized controlled trial Perioper Med (Lond), 2026.PMID 42469924
- [8]Marks FJ, Walters SJ, Sutton L, Jacques RM What statistical methods are more appropriate for predicting recruitment at the design stage of a randomised controlled trial? Trials, 2026.PMID 42469922