Reduce the risk of poor/under nutrition and related stress for people with dementia and their carers.

• The Target Group will be aware of behaviour changes of people with dementia that can affect their eating and drinking habits.
• The Target Group will understand nutrition challenges faced by people with dementia and that these are varied and person-specific.
• The Target Group will be able to apply practical measures to improve nutritional intake and limit stress/anxiety if/when eating and drinking difficulties arise.
• Nutritional recommendations are based on standard DRVs with guidance/adaptations to support standard symptomology, changes in food preferences and hunger/thirst cues.
• Eatwell guide not included.

• NICE Guideline NG97: Dementia: assessment, management and support for people living with dementia and their carers (2018).
• WHO Guidelines: Risk reduction of cognitive decline and dementia (2019).
• Scientific Advisory Committee on Nutrition (2018) SACN Statement on Diet, Cognitive impairment and Dementia.
• Herke M, Fink A, Langer G, Wustmann T, Watzke S, Hanff A, Burckhardt M. Environmental and behavioural modifications for improving food and fluid intake in people with dementia. Cochrane Database of Systematic Reviews 2018, Issue 7. Art. No.: CD011542. DOI: 10.1002/14651858.CD011542. pub2.
• Volkert D et al. (2015) ESPEN Guidelines on Nutrition and Dementia. Clinical Nutrition 34 1052e1073.
• Volkert et al (2018) Guideline on clinical nutrition and hydration in geriatrics, ESPN.
• Alzheimer Scotland (2017) Connecting People, Connecting Support – Transforming the allied health professionals’ contribution to supporting people living with dementia in Scotland 2017-2020.
• Scottish Government National Dementia Strategy 2017-2020.
• Standards of Care for People with Dementia Scotland 2011, Scottish Government.
• Welsh Government (2019) Food and Nutrition in Care Homes for Older People.
• Amella et al (2008), Eating Behavior in Persons With Moderate to Late-stage Dementia: Assessment and Interventions? J Am Psychiatric Nurses Assoc, 13(6), 360-367
• British Dietetic Association (BDA), Defining oral health - Evidence Summary 2013 (https://www.bda.org/dentists/education/sgh/Documents/Defining%20oral%20health.pdf)
• Bunn D K, Abdelhamid A, Copley M, Cowap V, Dickinson A, Howe A, Killett A, Poland F, Potter J, F, Richardson K, Smithard D, Fox C and Hooper L BMC Geriatrics (2016) 16:89 Effectiveness of interventions to indirectly support food and drink intake in people with dementia: Eating and Drinking Well IN dementiA (EDWINA) systematic review. Omega-3 fatty acids for the treatment of dementia (Review)
• Burckhardt M, Herke M, Wustmann T, Watzke S, Langer G, Fink A, Omega-3 fatty acids for the treatment of dementia. Cochrane Database of Systematic Reviews 2016, Issue 4. Art. No.: CD009002.
• Clarke, Les, Improving nutrition in dementia through menu picture cards and cooking activities Nursing Times, 2009, 106
• Dunne, A, Nutrition and dementia.
• Nursing and Residential Care, 2010, 12, (3): 112, 114, 116
• Ikeda M. et al (2002), Changes in appetite, food preference and eating habits in frontotemporal dementia and Alzheimer's disease. J Neurol Neurosurg Psychiatry 73:371-376.
• Keene J. and Hope T. (1997), Hyperphagia in Dementia: 2. Food choices and their macronutrient contents in Hyperphagia, Dementia and Aging. Appetite 28:167-175.
• Manthorpe and Watson (2003) 'Poorly Served' Eating and Dementia, Journal Advanced Nursing, 41(2), 162-169
• NHS Scotland, NHS Scotland Local Delivery Plan Guidance 2012-13
  NHS Scotland and Scottish Government, Action Plan For AHPs in Mental Health
• Piguet O. et al (2011), Eating and Hypothalamus Changes in Behavioral-Variant Frontotemporal Dementia. Ann Neurol 69: 312-319.
• Prince M, Albanese E, Guerchet M, Prina M, Nutrition and dementia, A review of available research, Published by Alzheimer’s Disease International (ADI), London. February 2014