A 89-year-old man with advanced vascular dementia is in a care home. He has been losing weight progressively over 6 months. MUST score is 3 (high risk...

Question

A 89-year-old man with advanced vascular dementia is in a care home. He has been losing weight progressively over 6 months. MUST score is 3 (high risk). He has difficulty with oral intake due to poor concentration at mealtimes and fatigue. He can swallow safely. What is the MOST appropriate nutritional intervention?

Accepted Answer

Provide small, frequent, high-calorie meals and snacks, oral nutritional supplements, mealtime assistance, and a calm, structured dining environment

Answer

Insert a nasogastric tube for supplemental feeding

Answer

Refer for PEG tube placement to ensure adequate nutrition

Answer

Start total parenteral nutrition

Answer

Prescribe an appetite stimulant (Megestrol acetate)

uk-dgm MCQ (SBA): Nutritional Strategies in Dementia - Food-First Approach