Abstract：
:Because long-term care residents often have chronic illnesses and complex care regimens, nutritional issues are common in these populations. Furthermore, management is complicated because some residents are terminally ill and under palliative care treatment plans that allow for dehydration and low oral intake. As a result, the medical management of nutrition is complex and challenging for medical providers caring for residents of nursing homes, assisted living facilities, and other long-term care settings. Quality nutritional practice in long-term care involves careful assessment of barriers to adequate nutrition; reduction of risk factors; attention to specialized diets, food presentation, and supplements, when appropriate; awareness of the importance of psychosocial and environmental issues; and consideration of the role of medication both as a cause and a therapeutic adjunct. Optimal practice at a facility level would involve a systematic approach to applying the best evidence-based approaches, with a focus on individualizing each resident's nutritional management.
journal_name
J Am Med Dir Assocjournal_title
Journal of the American Medical Directors Associationauthors
Sloane PD,Ivey J,Helton M,Barrick AL,Cerna Adoi
10.1016/j.jamda.2008.03.005subject
Has Abstractpub_date
2008-09-01 00:00:00pages
476-85issue
7eissn
1525-8610issn
1538-9375pii
S1525-8610(08)00103-5journal_volume
9pub_type
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