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Malnutrition in frailty — DGM MCQ

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HardFrailtyMalnutrition in frailtyDGM

An 86-year-old man with frailty has lost 7 kg in 4 months after bereavement. BMI is 19 kg/m2, albumin is 31 g/L and he has poor dentition. He lives alone and takes metformin, ramipril and zopiclone. What is the most appropriate management?

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Correct answer: D — Multifactorial nutrition plan including dental, mood, social and medication review

Weight loss in frailty needs assessment for reversible medical, dental, psychological, social and medication contributors. Oral nutritional supplements can help some patients but should not replace broader assessment. Bereavement, poor teeth and sedatives are treatable contributors to malnutrition.

Reference: NICE CG32; BGS Fit for Frailty