patients are a vulnerable group with a multiple of nutritional related problems.
Due to the ageing process appetite is reduced and hence nutrient and fluid
intake decreases. Additionally the older medical patient is characterized by
stress metabolism. This results in nutritionally related complications as
accelerates loss of function and muscle mass and decreased immune function.
Nutritional intake is related to various aspects of physiology and
social and cultural settings. This is why we think that nutritional problems are
best approached multi-disciplinary. Undernourishment can be present at admission
or it may develop during hospitalization or after discharge. Therefore,
nutritional problems need to be treated when the patient is an in-patient and
the treatment needs to follow the patient to the home setting. To capture
patients at risk of nutritional related problems we believe that the Acute
Medical Emergency Department is an essential setting.
We are focused on the effect of a high protein intake during
hospitalization and following discharge combined with weight-bearing training.
Furthermore, we look into the health professional’s knowledge and
handling of nutritional issues in patient care.
The older medical patient's nutritional status at admission,
discharges and at siex-month follow-up. Louise Lawson-Smith [Manuscript in