Background. Substantial research demonstrates that malnutrition and poor intake is common amongst older people in acute care, rehabilitation and aged care settings, with a range of evidence-based interventions available to improve nutritional care and intake. However, there is limited research in older psychiatric inpatients. Aim. To describe energy and protein intakes of older psychiatric inpatients, and describe barriers to adequate intake. Methods. Multiple case studies design was used to study patients (65+ years) admitted to a single mental health ward over a six-week period. Visual plate waste methods were used to measure daily dietary intake. Mealtime observations and medical record reviews were used to identify potential individual, foodservice and mealtime barriers. Daily energy and protein intakes for each individual participant were graphed, and narrative synthesis of cases was conducted to identify trends between cases. Results. Of the eight patients studied, three had adequate energy and protein intake throughout the study...

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