JAMDA
Volume 3, Issue 3 , Pages 186-191 , May 2002

Nutritional Assessment and Care of Nursing Facility Residents: A Practical Approach

  • Daniel Swagerty Jr., MD, MPH

      Affiliations

    • Center on Aging, University of Kansas School of Medicine, Kansas City, Kansas
    • Corresponding Author InformationAddress correspondence and reprint requests to Daniel L. Swagerty, Jr., MD, MPH, University of Kansas School of Medicine, Center on Aging, 5026 Wescoe Pavilion, 3901 Rainbow Boulevard, Kansas City, Kansas 66160-7117.
  • ,
  • Jozef B. Zelenak, MD

      Affiliations

    • Center on Aging, University of Kansas School of Medicine, Kansas City, Kansas
  • ,
  • Jacob Dimant, MD

      Affiliations

    • State University of New York (SUNY) Health Sciences Center, and Crown Nursing and Rehabilitation Center, Brooklyn, New York

References 

  1. Gants R. Detection and correction of underweight problems in nursing home residents. J Geron Nurs. 1997;26–31
  2. Reynolds MW, Fredman L, Langenberg P, Magaziner J. Weight, weight change, and mortality in a random sample of older community dwelling women. J Am Geriatr Soc. 1999;47:1409–1414
  3. Kerstetter JE, Holthausen BA, Fitz PA. Malnutrition in the institutionalized older adult. J Am Diet Assoc. 1992;92:1109–1116
  4. Abbasi AA, Rudman D. Observation on the prevalence of protein-calorie undernutrition in VA nursing homes. J Am Geriatr Soc. 1993;41:117–121
  5. Franzoni S, Frisoni GB, Boffelli S, et al. Good nutritional oral intake is associated with equal survival in demented and nondemented very old patients. J Am Geriatr Soc. 1996;44:1366–1370
  6. Incorporating Nutrition Screening and Interventions into Medical Practice: A Monograph for Physicians. Washington, DC: Nutrition Screening Initiative; 1994;
  7. Nutrition Interventions Manual for Professionals Caring for Older Americans. Washington, DC: Nutrition Screening Initiative; 1992;
  8. Council for Nutritional Clinical Strategies in Long Term Care. Anorexia in the Elderly. Princeton, NJ: MultiMedia/Freedom LLC; 1999;
  9. Morley JE, Silver AJ. Nutritional issues in nursing home care. Ann Intern Med. 1995;123:850–859
  10. Dimant J. An algorithm and guidelines for assessment and care planning of weight loss in nursing home residents. Nurs Home Med. 1997;5:308–314
  11. Dimant J. Delivery of nutrition and hydration care in nursing homes: Assessment and interventions to prevent and treat dehydration, malnutrition, and weight loss. J Am Med Dir Assoc. 2001;4:175–182
  12. Johnson LE. Malnutrition. In:  Cobbs EL,  Duthie EH,  Murphy GB, et al. editor. Geriatrics Review Syllabus. 4th ed.. New York: American Geriatrics Society; 1999;p. 130–135
  13. White JV, Ham RJ. Nutrition. In:  Ham RJ,  Sloane PD editor. Primary Care Geriatrics: A Case-Based Approach. 3rd Ed.. Louis: Mosby; 1997;
  14. Krauss NA, Altman BM. Characterisitics of Nursing Home Residents–1996. Medical Expenditure Panel Survey (MEPS) Research Findings No. 5. AHCPR Publication No. 99–0006. Rockville, MD: Agency for Health Care Policy and Research, 1996.
  15. Diagnosis and Treatment of Depression in Late Life; Consensus Statement Update. NIH Consensus Development Panel on Depression in Late Life. JAMA. 1997;278:1186–1189
  16. Depression in Older Adults. In: Mental Health. A Report of the Surgeon General. Chapter 5: http://www.nimh.nih/gov/mhsgrpt/chapter5/sec3.html, 1999.
  17. Mittman N, Hermann N, Einarson TR, et al. The efficacy, safety, and tolerability of antidepressants in late life depression: A meta-analysis. J Affect Disord. 1997;46:191–217
  18. Rigler SK, Webb MJ, Redford L, et al. Weight outcomes among antidepressant users in nursing facilities. J Am Geriatr Soc. 2001;49:49–55
  19. Stevens J, Cai J, Pamuk ER, et al. The effect of age on the association between body-mass index and mortality. N Engl J Med. 1998;338:1–7
  20. Tayback M, Kumanyika S, Chee E. Body weight as a risk factor in the elderly. Arch Intern Med. 1990;150:1065–1072
  21. Andes R, Muller DC, Sorkin JD. Long term effects of change in body weight on all-cause mortality. A review. Ann Intern Med. 1993;119:737–743
  22. Heymsfield SB, Williams PJ. Nutritional Assessment by clinical and biochemical methods. In:  Shils ME,  Young VR editor. Modern Nutrition in Health and Disease. Philadelphia: Lea & Febiger; 1988;
  23. Stein MS, Scherert SC, Walton RE. Risk factors for secondary hyperparathyroidism in a nursing home population. Clin Endo. 1996;44:375–383
  24. Castle S, Nguyen C, Joaquin A, et al. Megestrol acetate suspension therapy in the treatment of geriatric anorexia/cachexia in nursing home patients. J Am Geriatr Soc. 1995;43:835–836
  25. Neri B, Garosi VL, Intini C. Effect of medroxyprogesterone acetate on the quality of life of the oncologic patient: A multicenter cooperative study. Anticancer Drugs. 1997;8:459–465
  26. Lein YH, Ruffenach SJ. Low dose megestrol increases serum albumin in malnourished dialysis patients. Int J Artif Organs. 1996;19:147–150
  27. Morley JE, Kraenzle D. Causes of weight loss in nursing homes. J Am Geriatr Soc. 1995;43:83–84
  28. van der Wielen RPJ, van Heereveld HAEM, de Groot CPGM, et al. Nutritional status of elderly female nursing home residents: The effect of supplementation with a physiological dose of water soluble vitamins. Eur J Clin Nutr. 1995;49:665–674
  29. Palmer RM. Acute hospital care of the elderly: Minimizing the risks of functional decline. Cleveland Clin J Med. 1995;117–128
  30. O'Brien LA, Siegert EA, Grisso JA, Maislin G, et al. Tube feeding preferences among nursing home residents. J Gen Intern Med. 1997;12:364–371
  31. Bourdel-Marchasson I, Dumas F, Emeriau JP, et al. Audit of percutaneous endoscopic gastrostomy in long term enteral feeding in nursing home. Int J Qual Health Care. 1997;9:297–302
  32. Rabaneck L, Wray NP, Petersen NJ. Long term outcomes of patients receiving percutaneous endoscopic gastrostomy tubes. J Gen Intern Med. 1996;11:287–293
  33. Langmore SE, Terpenning MS, Schork A, et al. Predictors of aspiration pneumonia: How important is dysphagia?. Dysphagia. 1998;13:69–81
  34. Murakami JF, Wong WF. The decision to withdraw tube feeding. Hawaii Med J. 1995;54:485–4030
  35. Mitchell SL, Kiely DK, Lipsitz LA. The risk factors and impact on survival of feeding tube placement in nursing home residents with severe cognitive impairment. Arch Intern Med. 1997;157:327–332
  36. Finucane TH, Christmas C, Travis K. Tube feeding in patients with advanced dementia. JAMA. 1999;282:1365–1370
  37. Rabaneck L, McCullough B, Wray NP. Ethically justified, clinically comprehensive guidelines for percutaneous endoscopic gastrostomy tube placement. Lancet. 1997;349:496–498
  38. Mitchell SL, Kiely DK, Lipsitz LA. Does artificial enteral nutrition prolong the survival of institutionalized elders with chewing and swallowing problems?. J Geront. 1998;53A:M207–M213
  39. Finucane T, Bynum J. Use of tube feeding to prevent aspiration pneumonia. Lancet. 1996;348:1421–1424
  40. Berlowitz D, Brandeis G, Anderson J, Brand H. Predicators of pressure ulcer healing among long-term care residents. J Am Geriatr Soc. 1997;45:30–34
  41. Gillick MR. Rethinking the role of tube feeding in patients with advanced dementia. New Engl J Med. 2000;342:206–210
  42. Marcus EL, Berry EM. Refusal to eat in the elderly. Nutr Rev. 1998;56:163–171

PII: S1525-8610(04)70463-6

doi: 10.1016/S1525-8610(04)70463-6

JAMDA
Volume 3, Issue 3 , Pages 186-191 , May 2002