Characteristics Associated With Low Food and Fluid Intake in Long-Term Care Residents With Dementia

Reed, Peter; Zimmerman, Sheryl; Sloane, Philip D.; Williams, Christianna S.; Boustani, Malaz

doi:10.1093/geront/45.suppl_1.74

Cited by 104 publications

(116 citation statements)

References 17 publications

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“…29e31 Of 4 studies judged low risk, 2 assessed serum osmolality, 20,22 1 used International Classification of Diseases, Ninth Revision (ICD-9) codes only, 25 and 1 measured all fluid intake over 24 hours using referenced methodology with good interrater reliability (r ¼ 0.98). 14 Of the 16 high-risk studies, 8 assessed fluid intake only, 11,15,17,19,23,24,26,33 4 assessed dehydration status, 12,13,21,28 and 4 used a combination of both fluid intake and dehydration assessment. 10,16,18,32 Fluid intake assessments were judged high risk if they were conducted for part of the day or method of ascertainment was not considered to be accurate, whereas dehydration assessments were judged high risk if they had not been validated against serum osmolality in an elderly population (urine specific gravity [USG], 16,21,32 urine color, 16 16,18 or Total Body Resistance [TBR]).…”

Section: Risk Of Bias Validity and Methodological Qualitymentioning

confidence: 99%

See 1 more Smart Citation

Increasing Fluid Intake and Reducing Dehydration Risk in Older People Living in Long-Term Care: A Systematic Review

Bunn

Jimoh

Wilsher

et al. 2015

Journal of the American Medical Directors Association

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A wide range of interventions and exposures were identified, but the efficacy of many strategies remains unproven due to the high risk of bias present in many studies. Reducing dehydration prevalence in long-term care facilities is likely to require multiple strategies involving policymakers, management, and care staff, but these require further investigation using more robust study methodologies. The review protocol was registered with the International Prospective Register of Systematic Reviews (http://www.crd.york.ac.uk/PROSPERO/display_record.asp?ID=CRD42012003100).

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Section: Risk Of Bias Validity and Methodological Qualitymentioning

confidence: 99%

“…Reed et al 17 assessed the association of environmental factors with low fluid intake. The odds of a low fluid intake were lower for participants eating in the dining room compared with their bedrooms (OR 0.18; 95% CI 0.06e0.63).…”

Section: Physical and Social Setting For Drinkingmentioning

confidence: 99%

Increasing Fluid Intake and Reducing Dehydration Risk in Older People Living in Long-Term Care: A Systematic Review

Bunn

Jimoh

Wilsher

et al. 2015

Journal of the American Medical Directors Association

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“…This result indicated that rats in all the ES groups had the same dehydration as the PS group. Fluid intake is associated with food intake, which can directly influence the body weight (Reed et al, 2004). During habituation and training periods, there was no difference in the changes of body weight among all the groups.…”

Section: The Changes In Fluid Intake and Body Weight Of The Ratsmentioning

confidence: 91%

Anti-depression effect of Chimonanthus salicifolicus essential oil in chronic stressed rats

Zhou¹,

Yu²,

Zhang³

et al. 2014

J. Med. Plants Res.

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The aim of this study was to investigate the interventional effect of the Chimonanthus salicifolicus essential oil on murine chronic stress-induced anxiety. Rats model of uncertainty empty bottle was established to induce anxiety. The exploratory change, grooming and attack behaviors were observed. After 7 days training period followed by continuous 14 days' stimulation, rats serum level of glucose (GLU), total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C) and high density lipoprotein cholesterol (HDL-C) were detected. The results showed that rat model of uncertainty empty bottle induced anxiety well. C. salicifolicus essential oil smelling could significantly appease the anxiety of rat which include the reduction of attacking behaviors. It also showed a reduced effect to the level of TC and GLU. The result also indicated that C. salicifolicus essential oil might have an anti-anxiety effect on rat uncertainty empty bottle model and could be used as a potential.

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“…This data set yielded some correlations between resident outcomes and the physical environment. For example, Reed, Zimmerman, Sloane, Williams, and Boustani (2005) reported that ''facility type was associated with intake, with residents of small RC/AL facilities less likely to have low food intake and residents of new-model RC/AL facilities less likely to have low fluid intake'' (p. 77).…”

Section: Physical Environmentmentioning

confidence: 99%

Dementia and Assisted Living

Hyde¹,

Pérez²,

Forester³

2007

The Gerontologist

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Purpose: This article presents an overview of what is known about dementia services in assisted living settings and suggests areas for future research. Design and Methods: We undertook a search of Medline, the Journals of Gerontology, and The Gerontologist. We then organized publications dealing with the target subject into 10 topic areas and reviewed them. Results: The article describes the demographic characteristics of cognitively impaired residents in assisted living and related residential settings in the United States, the services they receive, and process and structural elements both in specialized dementia units and in integrated assisted living settings. Finally, we review the literature on methodological issues regarding research in this area. Implications: It is important to generate research on processes as well as outcomes, such as dignity, individualized and pleasurable experiences, and freedom from pain and discomfort. We make recommendations for both content areas that would benefit from further research as well as methodological approaches that will yield important information in this field.Key Words: Long-term care, Alzheimer's disease, Cognitively impaired, Aging in place, Residential careThis article outlines what is known about dementia services in assisted living settings and explores the many questions that remain unanswered. Ultimately, research is needed that will offer specific information regarding how assisted living processes and structure result in specific outcomes in the various subpopulations of cognitively impaired residents. The variability of assisted living and its philosophy of customizing services to the wishes and needs of each individual resident provide a rich environment for research as researchers attempt to discover what works best for whom (Feldman & Kane, 2003). We also discuss the range of processes and outcomes that one should consider in evaluating the effectiveness of assisted living services and environments, including the central role of quality of life in the assisted living philosophy of dementia care.Assisted living, as an industry, is less than 20 years old. Early research sought to enumerate how many people with dementia lived in assisted living, how many were in special care units (SCUs) or in general assisted living settings, and what kinds of services they received. However, even these simple facts have been elusive as basic data such as the prevalence of dementia can be difficult to determine in these non-health-care settings. In fact, determining which settings meet the criteria to be considered assisted living can, in itself, be less than straightforward.Central to the assisted living philosophy is a respect for the individuals who live in this setting and their continued rights as citizens and human beings. However, this philosophy is challenged when the people served have cognitive impairments that compromise their ability to make or communicate decisions regarding their care and lifestyle choices.Not all regulators, providers, family members, co...

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Characteristics Associated With Low Food and Fluid Intake in Long-Term Care Residents With Dementia

Cited by 104 publications

References 17 publications

Increasing Fluid Intake and Reducing Dehydration Risk in Older People Living in Long-Term Care: A Systematic Review

Increasing Fluid Intake and Reducing Dehydration Risk in Older People Living in Long-Term Care: A Systematic Review

Anti-depression effect of Chimonanthus salicifolicus essential oil in chronic stressed rats

Dementia and Assisted Living

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