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Health Council of the Netherlands Undernutrition in the elderly

Geriatric case management is a key ingredient of quality health care services for older adults. High rates of chronic conditions, dementia, frailty or disability, and sub-optimal home environment and social supports call for the integration of primary care and case management for elderly patients of community health centers. Case management may support health center disease management efforts but is primarily aimed at supporting the coordination of services that are necessary for living safely in a home environment. Without case management services, patients may have difficulty following home-care instructions, taking medications properly, scheduling appointments, arranging transportation, or accessing the array of. | Health Council of the Netherlands Undernutrition in the elderly Gezondheidsraad Health Council of the Netherlands To the Minister of Health Welfare and Sport Subject presentation of advisory report Undernutrition in the elderly Your reference VGP VV 2943967 Our reference Enclosure s Date I-237 09 CS cn 854-B 1 November 29 2011 Dear Minister On 18 August 2009 the Minister of Health Welfare and Sport at the time asked for advice from the Health Council concerning energy-protein undernutrition. I would hereby like to present the advisory report Ondervoeding bij ouderen Undernutrition in the elderly . I will also send this to the Minister of Economic Affairs Agriculture and Innovation today. In order to advise you an appointed committee of experts has analysed the results of the available research. The Standing Committee on Nutrition the Standing Committee on Medicine and the Advisory Committee on Health Research have reviewed the findings. The requests for advice were connected with the memorandum Gezonde voeding van begin tot eind Health Nutrition from beginning to end which the Government sent to the House of Representatives in July 2008. A lot is being done in hospitals care facilities and in primary care and home care to recognise and treat undernutrition. The questions posed to the Health Council were aimed at improving the policy in this field with a scientific foundation of the diagnostics and treatment of undernutrition. However the Committee has concluded that the scientific foundation of this problem is inadequate. We often do not know whether elderly people are ill and undernourished as a result or whether the undernourishment actually contributes to the occurrence or exacerbation of an illness. The advice has raised more questions than answers. The uncertainties relate to the manner in which undernutrition can be diagnosed and the benefits P.O.Box 1 6052 NL-2500 BB The Hague Telephone 31 70 340 58 22 Telefax 3 1 70 340 75 23 E-mail cjk.spaaij@gr.nl .