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American Journal of Clinical Nutrition, Vol 52, 967-968, Copyright © 1990 by The American Society for Clinical Nutrition, Inc

ORIGINAL RESEARCH COMMUNICATIONS

Aggressive oral refeeding in hospitalized patients

CH Winograd and EM Brown
Department of Medicine, Stanford University School of Medicine, CA.

Malnutrition is an important clinical condition leading to increased morbidity and mortality. This report describes an aggressive oral refeeding program of high-caloric foods, which was instituted in severely anorectic patients because of their refusal to eat meals or supplements. After ascertaining a patient's favorite sweet, hospital personnel and family collaborated in providing the food. Frequently, sweets were the patient's only intake for weeks. We saw a gradual return of appetite, inclusion of other foods in the diet, and overall clinical improvement in comorbid conditions. These cases suggest that aggressive oral refeeding with high-caloric foods is an underutilized therapy for multiply impaired elderly patients.


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S. M.H. Alibhai, C. Greenwood, and H. Payette
An approach to the management of unintentional weight loss in elderly people
Can. Med. Assoc. J., March 15, 2005; 172(6): 773 - 780.
[Abstract] [Full Text] [PDF]


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