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    What A Doctor Should Know and Do, When Facing An Elderly With Manultrition?

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    Yoshua Adiprawira Tamin
    A doctor should thoroughly assess elderly patients for risk of malnutrition by taking a nutrition history and using screening tools to evaluate nutritional status, functional ability, and need for support services. Key signs of malnutrition in elderly patients can include weight loss, changes in mental status or physical function, and new medical issues. A full clinical evaluation involves measuring anthropometrics, reviewing medications, and assessing functional and mental status for any changes from baseline. Screening tools and clinical evaluations help identify malnutrition so appropriate interventions can be provided.

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    What A Doctor Should Know and Do, When Facing An Elderly With Manultrition?

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    Yoshua Adiprawira Tamin
    35 views2 pages
    A doctor should thoroughly assess elderly patients for risk of malnutrition by taking a nutrition history and using screening tools to evaluate nutritional status, functional ability, and need for support services. Key signs of malnutrition in elderly patients can include weight loss, changes in mental status or physical function, and new medical issues. A full clinical evaluation involves measuring anthropometrics, reviewing medications, and assessing functional and mental status for any changes from baseline. Screening tools and clinical evaluations help identify malnutrition so appropriate interventions can be provided.

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    A doctor should thoroughly assess elderly patients for risk of malnutrition by taking a nutrition history and using screening tools to evaluate nutritional status, functional ability, and need for support services. Key signs of malnutrition in elderly patients can include weight loss, changes in mental status or physical function, and new medical issues. A full clinical evaluation involves measuring anthropometrics, reviewing medications, and assessing functional and mental status for any changes from baseline. Screening tools and clinical evaluations help identify malnutrition so appropriate interventions can be provided.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    35 views2 pages

    What A Doctor Should Know and Do, When Facing An Elderly With Manultrition?

    Uploaded by

    Yoshua Adiprawira Tamin
    A doctor should thoroughly assess elderly patients for risk of malnutrition by taking a nutrition history and using screening tools to evaluate nutritional status, functional ability, and need for support services. Key signs of malnutrition in elderly patients can include weight loss, changes in mental status or physical function, and new medical issues. A full clinical evaluation involves measuring anthropometrics, reviewing medications, and assessing functional and mental status for any changes from baseline. Screening tools and clinical evaluations help identify malnutrition so appropriate interventions can be provided.

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    What a doctor should know and do, when

    facing an elderly with manultrition?

    Identifying Risk Factors :


    A nutrition history is recommended for every elderly patient; a review should occur
    when a change in nutrition related factors is suspected. The presence of one key
    factor should alert the clinician to systematically assess the patient's history and
    physical, social, and economic status.
    Screening Tools :
    Screening tools aid the clinician in obtaining information on nutrition, functional
    status, and the patient's ability to provide for his or her nutritional needs. The
    Nutrition Screening Initiative (NSI) has developed easy-to-use forms; the forms help
    assess when further evaluation is indicated or community service is appropriate. The
    forms can be self-administered or completed by caregivers or clinicians in minutes.
    The patient education sheet accompanying this article is based on an NSI form.
    NSI materials for clinicians include forms for three levels of screening and
    comprehensive monographs. The forms and monographs guide clinicians in
    understanding and evaluating malnutrition and instituting interventions.
    The Council for Nutritional Clinical Strategies in Long-Term Care has developed a twopart clinical guide, The Clinical Guide to Prevent and Manage Malnutrition in Long-Term
    Care.' The guide recommends interventions; its use is not limited to the institutional
    setting.
    Clinical Evaluation of the Patient :
    Presenting Complaints, Signs, and Symptoms
    In the elderly, presentation of problems may be vague, global,or evidenced in other
    organ systems (for example, confusion, self-neglect, new onset of Ming, new onset of
    incontinence, apathy, anorexia, dyspnea, or tiredness).

    Anthropometry :
    Weight is the most sensitive malnutrition indicator. Instructions and interpretations
    for accurate anthropometric measurement techniques on ambulatory patients, bedbound patients, and for situations that preclude the use of conventional
    measurement are provided in Nutritional Assessment of the Elderly through
    Anthropometry. Lower values are indicative of malnutrition.
    Medications :
    Drugs are known to have a significant impact on appetite, mental status, intestinal
    upset, and drug absorption. A thorough drug history includes prescription drugs,
    over-thecounter (OTC) drugs, and herbal and nutritional supplements. Because of its
    narrow therapeutic range, digoxin is the most problematic drug. Other drugs having
    an association with malnutrition include thyroid drugs, diabetes drugs,
    cardiovascular drugs, anticholinergics, psychotropics, antiseizure drugs, antibiotics,
    theophylline, pain medications, NSAID, metoclopramide, Hz receptor blockers,
    laxatives, and antacids.
    Functional level determines the ability of patients to support their nutrition. Small
    changes in physical and mental function can have a significant impact on
    independence and nutritional status. Functional changes also may be the
    presenting symptom of an active medical condition or malnutrition, because global
    or nonspecific presentations of illness are common in the elderly. Knowing a
    patient's baseline functional status provides the clinician with a comparison tool for
    measuring functional change.
    Mental function impairment is not a normal component of the aging process. If

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