Neuro
Nutrition in Advanced Dementia
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Nutrition in Advanced Dementia
, Dementia Related Malnutrition
See Also
Dementia
PEG Tube
Dysphagia Evaluation
Dysphagia Diet
Unintentional Weight Loss
Cachexia in Cancer
Enteral Feeding Tube use is not recommended
No support for continued use in the literature
Conscientious hand feeding is preferred alternative
Previously used for Nutrition in Advanced Dementia
Aspiration Pneumonia
prophylaxis (unproven)
Malnutrition
(unproven)
Pressure Ulcer
reduction (unproven)
Improved survival and function (unproven)
General measures to improve food intake
See
Dysphagia Diet
for possible limitations
Strong flavors should be used
Serve foods either hot or cold (not tepid)
Enhance flavor with spice, gravy, juice, cream
Offer preferred foods without restriction
Ice cream
Miniature chocolate bars
Consider liquid supplements (e.g. Ensure, Boost)
Avoid near meal time (avoid within 2 hours of meal)
Consider alternatives to commercial supplements
Milkshakes
Blended food (e.g. cereal in eggnog)
Patient should have easy access to food
Mealtime duration may need to be lengthened
Place finger foods, candy bars, liquids at bedside
Create
No-fail Environment in Dementia
Provide meals at midday at maximal cognitive function
Reduce
Agitation
in patients
Hold hands or gently touch
Talk about pleasant topics or sing softly
References
Finucane (1999) JAMA 282:1368 [PubMed]
Li (2002) Am Fam Physician 65(8):1605-10 [PubMed]
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