Effective provision of comprehensive nutrition case management for the elderly.

In response to the Nutrition Screening Initiative, we have outlined a new role for the registered dietitian (RD) in effectively providing comprehensive nutrition case management using a functional approach to nutritional status assessment of the elderly. Recommendations are provided for coordinating access to resources. We propose that through this method RDs will be seen as essential members of the health care team who will provide intervention through direct assistance with the patients. Practical steps and assessment instruments specifically designed for RDs are provided that may be incorporated into routine nutrition screening, assessment, and case management within the health care delivery practice.