Malnutrition is common in the elderly. Nutritional care in the hospital includes: (1) Nutritional screening and care plan. (2) Food service-including food acceptable to the elderly. (3) Follow-up of clinical outcome. In the elderly, reduced portion sizes and increased energy-protein density have been shown to be effective in decreasing wastage and improving intake. There must be greater cooperation between nutritional care teams in order for the hospitalized elderly to receive optimal nutritional care.