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Oral nutritional supplements — DGM MCQ

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ModerateFrailtyOral nutritional supplementsDGM

An 83-year-old woman with COPD has BMI 17.5 kg/m2 and repeated infections. Food-first advice has been tried but intake remains poor. She wants to avoid further weight loss. Current medicines include inhalers and amlodipine. What is the most appropriate management?

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Correct answer: C — Dietetic referral and oral nutritional supplements if indicated

Persistent malnutrition risk despite food-first advice warrants dietetic input and consideration of oral nutritional supplements. Weight loss advice, appetite suppression, delayed action and stopping inhalers are inappropriate. Nutrition support can be part of respiratory and frailty management.

Reference: NICE CG32