A multifaceted intervention model can give a lasting improvement of older peoples' nutritional status

Lorefält, Birgitta; Wilhelmsson, Susan

doi:10.1007/s12603-011-0362-4

Cited by 28 publications

(47 citation statements)

References 23 publications

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“…I tillegg kan rutinemessig bruk av energirike smoothies vaere et alternativ for å dekke naeringsbehovet (9,15,16). Smoothies er en naeringsdrikk som består av friske baer, frukt, grønnsaker, juice, sukker, yoghurt eller iskrem, som blir omgjort til puré i en blender (17,18).…”

Section: Overestimerer Matinntaketunclassified

Energirike smoothies til pasienter i sykehjem

Salomonsen¹,

Berland²,

Bentsen³

2017

Sykepleien

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Helsepersonell erfarer at energirike smoothies ikke alltid virker etter hensikten. Noen pasienter blir obstiperte eller kvalme, og underernaerte legger ikke på seg. Informantene var enige om at smoothies ga pasientene energi, noe som førte til at enkelte ble overaktive. For å få kontroll over inntak av energi, naering og vaeske er det nødvendig med individuelle naerings-og drikkelister.Konklusjon: Smoothies kan gi halsbrann, kvalme og forstoppelse, og de som var underernaerte, la ikke på seg. Å tilberede individuelt tilpassete smoothies vil bidra til at ønsker og behov for vaeske og naeringsstoffer blir ivaretatt.

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Section: Overestimerer Matinntaketunclassified

Energirike smoothies til pasienter i sykehjem

Salomonsen¹,

Berland²,

Bentsen³

2017

Sykepleien

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“…However, in most residential homes meals are concentrated to the hours during the day, and this may in itself cause malnutrition among the residents. In Danish nursing homes staffing is often reduced significantly after 3 pm [20,21] . This increases the risk for prolonging the so-called night fasting [20] .…”

Section: Factors Associated With Malnutritionmentioning

confidence: 99%

“…In Danish nursing homes staffing is often reduced significantly after 3 pm [20,21] . This increases the risk for prolonging the so-called night fasting [20] . If the night fasting becomes too long, the body starts breaking down muscle to access energy, which in turn can lead to weight loss and muscle weakness [20] .…”

Section: Factors Associated With Malnutritionmentioning

confidence: 99%

“…This increases the risk for prolonging the so-called night fasting [20] . If the night fasting becomes too long, the body starts breaking down muscle to access energy, which in turn can lead to weight loss and muscle weakness [20] . Staff might overlook residents at risk for malnutrition as screening for malnutrition is a neglected area in nursing homes [1] .…”

Section: Factors Associated With Malnutritionmentioning

confidence: 99%

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Mealtime assistance and identification of eating difficulties prevent unintended weight loss in nursing home residents – A controlled trial

Pedersen

Kuosma

Hundrup

2014

JNEP

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Background: The study evaluated an individualized multifactorial intervention to enhance the nutritional intake in nursing home residents. Method:The study was carried out as a controlled intervention study. Baseline data was collected during the first month and the intervention was continued for twelve months. Five units participated. Three units were conveniently selected for intervention and the two units as control units. Residents were included consecutively during the study period. In total 163 residents were available. Nutritional risk, eating difficulties and weight were obtained at baseline and every 3 months for a year.Interventions: An individual care plan was developed for each resident receiving extra mealtime assistance. Results:Rresidents who received mealtime assistance increased the average body weight significantly whereas the residents in the control units decreased their weight. Conclusion:Systematic identification of eating difficulties combined with sustained mealtime assistance is a safe and effective method to maintain body weight in nursing home residents.

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“…Multicomponent interventions have the potential to address the multiple risk factors of poor food intake in LTC. At this point, multilevel prevalence studies to determine those factors most influential to food intake in LTC is limited and has not always focused on factors amenable to change (7,(36)(37)(38)(39)(40)(41)(42)(43).Of the three domains described that influence food intake, the mealtime experience has been an area where several diverse interventions have been developed. Many of these interventions are multicomponent (more than one strategy=activity) (11,18,(44)(45)(46)(47)(48)(49)(50)(51)(52) and some are multilevel (e.g., at the level of the dining room as well as training of staff) (7, 53-61).…”

mentioning

confidence: 99%

Interventions for Improving Mealtime Experiences in Long-Term Care

Vucea

Keller

Ducak

2014

Journal of Nutrition in Gerontology and Geriatrics

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Poor food intake in residents living in long-term care (LTC) homes is a common problem. The mealtime experience is known to be important in the multifactorial causes of food intake. Diverse interventions have been developed, implemented, and/or evaluated to improve the mealtime experience in LTC; it is possible that multicomponent interventions will have a greater benefit than single activities. To identify the range of feasible and potentially useful interventions for including in a multicomponent intervention, this scoping review identified and summarized 58 studies that described and/or evaluated mealtime experience interventions. There were several randomized controlled trials, although most studies used less rigorous methods. Interventions that are multicomponent (e.g., food service, dining environment, staff education) and target multilevel factors (e.g., residents, staff) in LTC appear to be feasible, with a variety of outcomes measured. Further research is still needed with more rigorously designed studies, confirming effectiveness, feasible implementation, and scaling up of efficacious interventions.

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A multifaceted intervention model can give a lasting improvement of older peoples' nutritional status

Cited by 28 publications

References 23 publications

Energirike smoothies til pasienter i sykehjem

Energirike smoothies til pasienter i sykehjem

Mealtime assistance and identification of eating difficulties prevent unintended weight loss in nursing home residents – A controlled trial

Interventions for Improving Mealtime Experiences in Long-Term Care

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