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Presentations

Isabelle Goodwin, APD

Nutrition in people with advanced dementia. Part 1

14 Apr, 2023

Nutritional assessment

The presentation covers nutritional assessment in a person with dementia using a clinical scenario:

Paula, an 85yo female with moderate-advanced dementia, is referred to you for a 3kg weight loss in 1/12; her weight is now 55kg with a BMI of 20.2kg/m2. She had been losing 1kg each month for 4/12 prior. She has a history of type 2 diabetes with stable blood sugars and Stage 2 CKD. Paula has started to become aggressive towards her carers when showering and toileting, however you find out she is more likely to accept help when her daughter is visiting. She has also started to become jittery and distracted at the dining table and will sometimes wander away from her meal. The RN reports Paula is currently having soft textured meals, thin fluids and no nutrition supplementation.

Discussion of assessment within the ABCD format:

  • Anthropometry
  • Biochemistry
  • Clinical information, including:
    • Swallow
    • Dentition
    • Appetite changes
    • Taste changes
    • Bowel function
  • Diet
  • Other considerations, including:
    • Behaviours
    • Communication
    • Mobility

Read a review of the presentation here

You may also be interested in Nutrition in people with advanced dementia. Part 2: Strategies to help people with dementia and their caregivers

Watching this presentation and completing the assessment can contribute towards assessable Continuing Professional Development hours

About the Presenter

Isabelle Goodwin, APD currently works in the Tasmanian community as a residential aged care dietitian and also in private practice. With a strong interest in mental health and associated conditions, Isabelle completed further research into nutrition in dementia care in 2020 and published this research in 2022. Isabelle is also a credentialed eating disorder clinician (CEDC) and supports undergraduate health students at The University of Tasmania through tutoring and marking.

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  • Assessment quiz and certificate
  • Suggested further reading

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