Journal of Family Medicine and Primary Care

REVIEW ARTICLE
Year
: 2020  |  Volume : 9  |  Issue : 1  |  Page : 43--48

Strategies for home nutritional support in dementia care and its relevance in low-middle-income countries


Sherin S Paul 
 Department of Community Medicine, Pushpagiri Institute of Medical Sciences and Research Centre, Thiruvalla, Kerala, India

Correspondence Address:
Dr. Sherin S Paul
Department of Community Medicine, Pushpagiri Institute of Medical Sciences and Research Centre, Thiruvalla, Kerala - 689 101
India

Older people suffering from dementia are prone to develop malnutrition. Ensuring adequate nutrition among such patients has always been a challenge for the carers due to the pathological and chronic nature of the disease. In this article, the author tries to analyze the use of five different strategies in providing adequate nutrition for such patients in their own homes by the carers using a narrative literature review method. The strategies include nutrition screening and assessment, training and education program for the caregiver, mealtime environment and routine modification, provision of nutritional supplements, and role of artificial nutrition and hydration (ANH). An attempt was made to critically engage the readers while exploring the feasibility and challenges involved in implementing such strategies in resource-poor settings like low-middle-income countries. The article concludes that the first four strategies should be used in tandem to prevent the risk of malnutrition. It does not recommend ANH and concludes that it does not bring in any added benefit and may worsen the quality of life.


How to cite this article:
Paul SS. Strategies for home nutritional support in dementia care and its relevance in low-middle-income countries.J Family Med Prim Care 2020;9:43-48


How to cite this URL:
Paul SS. Strategies for home nutritional support in dementia care and its relevance in low-middle-income countries. J Family Med Prim Care [serial online] 2020 [cited 2021 May 7 ];9:43-48
Available from: https://www.jfmpc.com/article.asp?issn=2249-4863;year=2020;volume=9;issue=1;spage=43;epage=48;aulast=Paul;type=0