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Post-discharge nutritional support in malnourished ill elderly patients

Check inside shoes for foreign objects, torn lining, and proper cushioning. Improper or poorly fitting shoes are major contributors to diabetes foot ulcerations. Counsel patients about appropriate footwear. All patients with diabetes need to pay special attention to the fit and style of their shoes and should avoid pointed-toe and open-toe shoes, high heels, thongs and sandals. Assess the material and construction of footwear. Unbreathable and inelastic materials such as plastic should be avoided. Recommend use of materials such as canvas, leather, suede, and other materials that are breathable and/or elastic. Footwear should be adjustable with laces, Velcro, or buckles. Record the results of your footwear. | Post-discharge nutritional support in malnourished ill elderly patients Effectiveness and cost-effectiveness Floor Neelemaat Post-discharge nutritional support in malnourished ill elderly patients - effectiveness and cost-effectiveness Thesis VU University Medical Center Amsterdam The Netherlands With summary in English and Dutch The studies presented in this thesis were conducted within the departments of Nutrition and Dietetics Internal Medicine of the VU University Medical Center and the EMGO Institute for Health and Care Research EMGO Amsterdam The Netherlands. Part of the studies in this thesis were funded by The Netherlands Organisation for Health Research and Development ZonMw project number 945-06-203 NutsOhra Foundation and Nutricia Advanced Medical Nutrition Danone Reseach Centre for Specialised Nutrition. Financial support for the printing of this thesis was kindly provided by Nederlandse Vereniging van Dietisten Nederlands Voedingsteam Overleg Nutri-akt Nutricia Advanced Medical Nutrition Nutricia Advanced Medical Nutrition Danone Research Centre for Specialised Nutrition Nestlé Health Science Abbott Nutrition Science for Health de wetenschappelijke afdeling van Yakult Nederland B.V. Sorgente Medizorg B.V. Mediq Tefa. 2012 F. Neelemaat Amsterdam The Netherlands All rights reserved. No part of this book may be reproduced or transmitted in any form or by any means electronic or mechanical including photocopying recording or any information storage and retrieval without written permission of the author. VRIJE UNIVERSITEIT Post-discharge nutritional support in malnourished ill elderly patients Effectiveness and cost-effectiveness ACADEMISCH PROEFSCHRIFT ter verkrijging van de graad Doctor aan de Vrije Universiteit Amsterdam op gezag van de rector magnificus prof.dr. L.M. Bouter in het openbaar te verdedigen ten overstaan van de promotiecommissie van de Faculteit der Aard- en Levenswetenschappen op woensdag 20 juni 2012 om 13.45 uur in de aula van de .