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Nutrition Intervention for Older Patients Based on Comprehensive Geriatric Assessment: A Case Report
Dasom Park1, Ah-Reum Shin1, Youngmi Park1
1Department of Clinical Nutrition, Seoul National University Bundang Hospital, Seongnam 13620, Korea.
Clinical Nutrition Research
|May 19, 2025
Summary
Comprehensive Geriatric Assessment (CGA) guides nutritional support for malnourished older adults, preventing refeeding syndrome and improving outcomes. This case highlights CGA
Area of Science:
- Geriatrics
- Clinical Nutrition
- Internal Medicine
Background:
- Malnutrition is common in elderly patients, increasing hospitalization risks and decreasing quality of life.
- Comprehensive Geriatric Assessment (CGA) aids in identifying complex health issues and tailoring nutritional plans.
- Older adults are susceptible to refeeding syndrome, a potentially dangerous metabolic complication.
Observation:
- A 75-year-old female with severe hypernatremia, malnutrition, and high refeeding syndrome risk was managed using CGA.
- CGA revealed comorbidities, cognitive impairment, and dependency, necessitating enteral nutrition (EN).
- Initial EN at 25% target, with close monitoring, managed refeeding syndrome indicators and stabilized the patient.
Findings:
- Gradual EN advancement, guided by CGA, successfully treated malnutrition and hypernatremia.
- Post-discharge challenges included gastrointestinal intolerance and suboptimal intake, requiring formula adjustments and caregiver re-education.
- Continuous monitoring and caregiver support are vital for successful home-based nutritional management.
Implications:
- CGA is crucial for early malnutrition detection and personalized nutritional interventions in hospitalized older adults.
- Proactive, CGA-based nutritional strategies can optimize clinical outcomes and prevent complications like refeeding syndrome.
- Further research with larger cohorts is needed to confirm long-term benefits of CGA-guided nutritional care.
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