Malnutrition in care homes should not be overlooked

In this issue of Nursing Older People we take a detailed look at three important areas of practice: nutritional health, end of life care, and the diagnosis, prevention and treatment of urinary tract infections.

Nutrition and, conversely, malnutrition are significant issues for older people. In a society where 58% of women and 65% of men are overweight or obese, attention tends to focus on the risks of overnourishment. The hidden problem, however, is that up to 14% of over 65s are undernourished. This proportion rises to one third of care home residents.

With malnutrition a risk and a reality, it is essential to understand it when caring for older people in hospitals, care homes and the community. In an evidence & practice article, Helen Willis explores looks at the relevant causes, assessment and treatments.

The issue of identifying the preferences of residents with dementia is challenging in long term care, where many residents find it difficult to communicate their wishes.

The research article by Kiri Mulqueen and Alice Coffey confirms some startling differences between the views of residents and nurses’ perceptions of them. Further studies are needed to understand these issues well, but the article reminds us that end of life needs are specific to individuals, and that people with dementia and their families must remain the centre of care at all times.

Our continuing professional development article addresses urinary tract infections (UTIs) in older people. Alison Bardsley examines the complexities of this issue, from the risks of indwelling urethral catheters to guidance on the use of antibiotics.

By completing the article you should be able to understand the risks of UTI, assessment, treatment and management options. 

About the author

Nicky Hayes is a nurse consultant for older people at King’s College Hospital NHS Foundation Trust, London. She is also consultant editor of Nursing Older People