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Nutritional considerations in institutionalized elders.

Reginald Labossiere1, Marie A Bernard

  • 1Reynolds Department of Geriatric Medicine, University of Oklahoma College of Medicine, Oklahoma City, Oklahoma 73104, USA. Reginald-labossiere@ouhsc.edu

Current Opinion in Clinical Nutrition and Metabolic Care
|December 20, 2007
PubMed
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Malnutrition in frail elderly patients in nursing homes is a significant issue. Early screening and interventions, including staff education and improved feeding support, can reduce its prevalence and associated health risks.

Area of Science:

  • Gerontology
  • Nutritional Science
  • Healthcare Management

Background:

  • Malnutrition is a prevalent concern in frail, institutionalized elderly individuals.
  • This condition is linked to increased morbidity, mortality, and falls, particularly with vitamin D deficiency.

Purpose of the Study:

  • To highlight the importance of malnutrition in the institutionalized elderly.
  • To review recent interventions aimed at decreasing malnutrition prevalence in this demographic.

Main Methods:

  • A comprehensive Medline search was conducted from 1968 to 2007.
  • Inclusion criteria focused on current reviews relevant to institutionalized elder care, using search terms like 'aging,' 'nutrition,' and 'nursing homes.'

Main Results:

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  • Screening protocols in long-term care facilities have shown to improve nutritional status.
  • Regular monitoring of weight and intake, alongside physical assessments (including oral cavity), is crucial.
  • Early nutritional interventions, environmental enhancements, and increased feeding assistance are recommended.

Conclusions:

  • Educating nursing home healthcare workers on simple, effective interventions is vital.
  • Reforms facilitating optimal staffing are necessary for improved nutritional care in institutional settings.