Eleventh edition

Newsletter No 11: Survey Feedback | ESPEN Guidelines | MNA  | Practical Help at Mealtimes | Resource (Eating Well with Dementia) and Recipe (Food Fortification) of the Month…

Dementia Friendly Mealtimes Newsletter (May 2017)

Last month was our 1st Year Birthday Edition and to help us keep improving the newsletter we asked you ‘What sort of mealtime and nutrition care information would you find most useful?‘. If you missed the edition last month you can view it here and take a look at our ‘Fab 4‘ freely available practical resources to help with mealtime care for people with dementia

Many thanks to all those who completed the survey and for telling us your thoughts. The two most popular requests were 1). Freely available nutrition and mealtime care resources & 2). Practical articles providing tips and ideas for nutrition and mealtime care. These were closely followed by requests to see information regarding research papers on aspects of nutrition and mealtime care and recipes for those with dysphagia / swallowing difficulties and for finger foods.

Comments included requesting information on case studies in the newsletter; watch out for a special edition on this theme at a later date. One person also mentioned ‘audit tools’ to assist with dementia care and we will also do a special on ‘audit’ or assessment tools in the near future.

We have crammed a range of mealtime and clinical care articles and resources into the newsletter this month which hopefully match what you are looking for. Finally just like all of you we love practical resources so if you use any great resources please let us know and we will let everyone else know too (just reply to this email).

Another ESPEN guideline document: ‘Definitions and terminology of clinical nutrition’ This guideline has an interesting statement on assessing malnutrition in older people 

Organisations like ESPEN love to get together and probably spend far too much time creating guidelines rather than seeing how they work in practice. Anyway on this occasion they spent their time trying to reach a consensus for terminology for core nutritional concepts and procedures…. The thing that interested me the most was their statement regarding the best malnutrition screening tools to be used. For general screening of malnutrition ESPEN suggests the use of the Nutrition Risk Screening-2002 (NRS-2002) and the Malnutrition Universal Screening Tool (MUST). While for older persons ESPEN recommends the use of the Mini Nutritional Assessment (MNA) either in its full or short form (MNA-SF). I actually completely agree with ESPEN and in fact it was something I mentioned and recommended in our third ever newsletter this time last year (see below).  The previous newsletter provides a link to the MNA which is freely available to use. What about you, do you use the MNA or does your policy insist you use MUST? Would you consider using the MNA instead?

Follow the link to take a look at the MNA featured as a Resource of the Month! last year

Have a look at our newsletter from May 2016 where we linked the Mini Nutritional Assessment (MNA) which ESPEN recommends as the best screening tool to use to assess malnutrition in older people (as mentioned above) www.thedmat.com/newsletter3may2016/

8 Practical Tips to Help someone with Dementia to Eat more

Super practical and sensible tips provided in this nice looking and easy to read article. It even gives a shout out to The DMAT which is very kind of them.

Resource of the month!

A good all rounder for our resource of the month, covering the many complex aspects of mealtime and nutrition care. ‘Eating Well with Dementia: A Carers’ guide‘ has been made freely available on the Scottish Government website. There is a nice article describing the background to the document on the Alzheimer Scotland Let’s talk about dementia website which also links to the ndr website where you can purchase hard copies of the resource (the pdf is free).

Recipe of the month!

As we all love a free resource this months recipe doubles up as a useful Food Fortification resource which includes practically displayed charts showing the nutritional value of typical foods used for fortification. There is also a great section showing how you can make tasty drinks higher in calories and protein that can be used to replace oral nutrition supplements.

You can find more recipe ideas and dementia mealtime information on The DMAT Pinterest boards and on our YouTube channel. Just click on the Pinterest and YouTube logos below and take a look.  

Thanks for reading, see you next month

Lee Martin MSc RD


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