The prevalence of protein-energy malnutrition in the elderly at long term institutions ranges from 23-85%. This is an area of great concern as the subsequent unintentional weight loss can lead to reduced physical and cognitive functional status, increased risk of falls, infection and complication rates which in turn leads to higher utilization of health care resources and increased mortality. Many Health Care Practitioners inadequately address the mutifactorial issues that contribute to malnutrition in the Elderly. It is commonly assumed that nutritional deficiencies are an inevitable consequence of aging and disease and that intervention for these deficiencies has limited effect. This is not true and nutritional assessment and treatment should be routine part of care for all elderly persons. Dietitians have made addressing malnutrition a priority and we believe that routine screening of the Elderly for malnutrition or risk of malnutrition with the correspondent treatment plan should be carried out systematically from the gP setting to the long term institutional care setting.