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Geriatric Nutritional Assessment

  • Kumar Dharmarajan
  • Kenneth L. Minaker
Chapter

Abstract

Malnutrition is common in older adults in the community, nursing home, and hospital. Deficiencies in caloric and vitamin intake increase with age, functional impairment, and institutionalization, with resultant added risk of skin breakdown, illness, and death. Common contributory factors to undernutrition include polypharmacy, dementia, depression, oral health problems, and socioeconomic factors. Unintentional weight loss always warrants evaluation. Nutritional assessment includes a focused medical and social history, anthropometrics, selected biochemical and hematological parameters, and tools such as the Mini Nutritional Assessment and Simplified Nutritional Appetite Questionnaire. In addition to addressing the cause of malnutrition, management includes meeting patient food preferences, providing oral supplements, and rarely using orexigenic medications. Importantly, all interventions should respect patient preferences and treatment goals in the context of overall prognosis.

Keywords

Mediterranean Diet Pressure Ulcer Mini Nutritional Assessment Skilled Nursing Facility Recommend Daily Allowance 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.Department of MedicineMassachusetts General HospitalBostonUSA

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