Abstract
Single Best Answer Question
An 83-year-old female nursing home resident with advanced dementia is struggling with her meals and the staff are concerned. The difficulty resides with both liquids and solids; she sometimes ‘splutters’ with them. Over the last year she has been gradually losing weight and, upon checking your clinical records, you note she has been treated for multiple suspected lower respiratory tract infections recently. You formulate a likely diagnosis and propose a management plan. Which of the following would be most appropriate?
Commence subcutaneous fluids Institute a multi-disciplinary team referral to the speech and language therapists and dietician Prescribe oral nutritional supplements Refer to the ear, nose and throat team Urgent 2 week wait referral to gastroenterology
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