Malnutrition among the elderly presents a complex challenge with far-reaching implications for individual well-being and healthcare systems. Aging individuals undergo physiological changes, coupled with diverse social and environmental factors, contributing to the risk of malnutrition. This issue extends beyond personal health, straining healthcare systems and societal resources. Hospitalizations and readmissions due to malnutrition-related complications escalate healthcare costs, compounded by the demand for specialized care, rehabilitation services, and long-term assistance for those experiencing functional decline. Initiated on February 18th, 2024, this review article stems from a meticulous examination of academic literature, utilizing databases like PubMed, Web of Science, and Cochrane. The objective was to comprehensively understand the global public health impact of malnutrition in the elderly and explore the role of nutritional counseling in both its prevention and management. The review delves into strategies to enhance nutritional counseling practices among healthcare providers, addressing gaps in existing literature and providing a roadmap for future research in this critical area. Combatting malnutrition in the elderly necessitates a multifaceted, patient-centric approach through nutritional counseling strategies in medical practice. This involves a combination of preventative measures, nutrition modification, and supportive interventions. Initiating screenings, assessments, and health education establishes a foundation for early identification, while individualized care plans, collaboration with dietitians, increased protein intake, texture-modified diets, and food supplementation offer tailored solutions. Additional strategies like regular follow-up, social and emotional support, medication review, technology use, and community resource utilization ensure a holistic impact on elderly nutritional well-being. Recognizing the interplay between nutrition and various life facets, ongoing research and collaboration can refine nutritional counseling strategies, fostering healthier aging and improving the overall quality of life for the elderly.