Stratégie de prise en charge en cas de dénutrition protéino-énergétique chez la personne âgée - Nutritional support strategy for protein-energy malnutrition in the elderly 1

Has

Description

Posted on Jun 26 2007 To provide a guide for health professionals to assist management of elderly subjects who are malnourished or at risk of malnutrition. Posted on Jun 26 2007

Sujets

• Gériatrie
• Nutrition
• Diététique

Informations

• Publié par: haute-autorite-sante-geriatrie
• Nombre de lectures: 25
• Licence : En savoir +
  Paternité, pas d'utilisation commerciale, partage des conditions initiales à l'identique
• Langue: Français

Extrait

                           

CLINICAL PRACTICE GUIDELINES

Nutritional support strategy for protein-energy malnutrition in the elderly

         

 

GUIDELINES     April 2007

                               

Nutrional support strategy for protein-energy malnutrition in the elderly

The full report (in French) can be downloaded fromwww.has-sante.fr   Haute Autorité de Santé Communications Department 2 avenue du Stade de France - F 93218 Saint-Denis La Plaine CEDEX Phone:[phone] - Fax:[phone]  

                          This document was validated by the Haute Autorité de Santé Board in April 2007 © Haute Autorité de Santé – 2007    

HAS / SRP / April 2007 2

Nutrional support strategy for protein-energy malnutrition in the elderly

Sommaire 

1.   1.1   1.2   1.3   1.4   1.5  

2.  

3.   3.1   3.2  

Introduction...........................................................................................5   Subject and aims of the guidelines.........................................................5   Patients concerned.................................................................................5   Health professionals concerned.............................................................6   Assessment method...............................................................................6   Grading of the guidelines.......................................................................6  

Protein-energy malnutrition : definition, epidemiology ................... 6  

What are the risk factors for malnutrition in elderly persons? ....... 7   Risk factors unrelated to age..................................................................7   Risk factors more specific to the elderly.................................................7  

4.   What tools may be used to screen for and diagnose malnutrition in the elderly? How is severe malnutrition diagnosed? ............................. 7   4.1   ittrn.io mornualineef gnrcS.....................................................................7   4.2   Dgniasiso fo nlamirtution....................................................................9....   4.3   Diagnosis of severe malnutrition ............................................................ 10  

5.   5.1   5.2   5.3  

Nutritional support strategy................................................................11   Objective of nutritional support in malnourished elderly subjects .......... 11   Methods of nutritional support................................................................11   Choice of methods of nutritional support................................................11  

6. 12   5.4   .................12................................ant medication..................R eloa fovujd   5.5   cripPres................................rcimtunonoit fo ........enri..ts3......1.................   5.6   Monitoring of malnourished elderly subjects, periodicity of nutritional assessment and tools.......................................................................................13   5.7   ts oLimi salonti..rtpoupnimret firtun la....................................................1.4  

6   6.1   6.2  

7.   7.1   7.2   7.3   7.4   7.5  

Practical methods of nutritional support...........................................14   Oral nutritional support...........................................................................14   Prescription of enteral nutrition...............................................................16  

Special situations.................................................................................17   Alzheimer’s disease................................................................................17   Pressure sores.......................................................................................18   Swallowing disorders..............................................................................19   Convalescence after an acute disease or surgery ................................. 19   Depression.............................................................................................20  

HAS / SRP / April 2007 3

8.   inte 8.1   8.2   8.3  

Nutrional support strategy for protein-energy malnutrition in the elderly

Coordination among health professionals and among rvention sites............................................................................................20   At home..................................................................................................20   In institutions...........................................................................................21   In hospitals.............................................................................................21  

Appendix 1. Assessmentmethod used to produce the clinicalpractice guidelines .......... 22  

Appendix 2. Mini Nutritional Assessment (MNA ® )

......................................25  

Appendix 3. Food fortification methods.......................................................27  

Participants.....................................................................................................28  

Summary data sheet.......................................................................................30      

HAS / SRP / April 2007 4