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[Nutritional support in elderly malnourished patients].

A Bruhat1, C Bos, J Sibony-Prat

  • 1Service de Médecine interne gériatrique, Hôpital René Muret-Bigottini et Université Paris-Nord, Sevran.

Presse Medicale (Paris, France : 1983)
|February 24, 2001
PubMed
Summary

Early nutritional assessment and intervention are vital for hospitalized elderly patients suffering from protein-calorie malnutrition. Prompt treatment improves clinical status and functional independence.

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Area of Science:

  • Geriatrics
  • Nutritional Science
  • Clinical Medicine

Context:

  • Protein-calorie malnutrition is prevalent and severe in hospitalized or institutionalized elderly individuals.
  • Underdiagnosis and undertreatment of malnutrition are common issues in this demographic.
  • Nutritional deficiencies are more challenging to correct in older adults compared to younger individuals.

Purpose:

  • To emphasize the critical need for early and thorough nutritional status assessment in elderly patients.
  • To highlight the importance of timely intervention for recognized nutritional disorders.
  • To outline strategies for effective nutritional management in the elderly.

Summary:

  • High-protein oral supplementation and enteral nutrition can enhance the clinical condition of malnourished elderly patients.

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  • Early initiation of nutritional support and treatment of underlying medical or surgical causes are crucial.
  • Patient cooperation is essential for successful nutritional interventions.

    • Impact:

    • Nutritional assistance, when integrated with rehabilitation therapy, can improve functional independence in elderly patients.
    • Regular evaluation of treatment efficacy and patient tolerance is necessary to tailor nutritional support.
    • Intensive enteral nutrition is not suitable for elderly patients with severe malnutrition and compromised quality of life due to significant handicaps.