Posted on January 4, 2012 - by Nurse Virginia

MALNUTRITION IN THE ELDERLY – ESPECIALLY IN THOSE WITH ALZHEIMER’S DISEASE

“I never lived so well,” said Grace as dinner was served in her assisted living facility. Fortunately, there are some elderly who feel this way. But they seem to be the in the minority, the vast majority of the elderly have signs of malnutrition for a variety or reasons. As people age, the risk of malnutrition increases.  Signs of malnutrition are: weight loss, nausea, illness, muscle wasting which results in frequent falls, dizziness and fatigue.

The causes of malnutrition can involve a large range of challenges for the elder especially the confused elder.

• They may have a loss of appetite sometimes due to medication or lack of exercise.
• Food may no longer taste good to them because of a loss in the ability to taste or smell.
• Their metabolism has slowed down and they just aren’t hungry.
• They may no longer have the equipment to make the food they like.
• They may not have the money to buy the food they like.
• They may not have the strength or transportation to go get the food they like.
• They start to develop poor eating habits related to these issues.

Encouraging an elder to eat can be at times a challenge. The best approach is to address these issues in the reverse. Make sure the elder does get some exercise everyday, so they can build up an appetite. Provide a balanced diet with foods that are familiar and that are favorites of the elder. Make sure the foods are easy to chew and that the elder chews food well to aid in digestion.

Provide a pleasant dining experience. Even the simplest meal can seem a treat when served on the “good” dishes with relaxing music. Assist the elder in the purchase of food, remembering that the confused elder may be having difficulty using money, transportation and equipment.

Bon Appétit!

Virginia Garberding, R.N.

Director of Education, The Wealshire, Lincolnshire, Illinois

Author: Please Get To Know Me – Aging with Dignity and Relevance

www.pleasegettoknowme.com