Experiences of Japanese aged care: the pursuit of optimal health and cultural engagement

Annear, Michael; Otani, Junko; Sun, Joanna

doi:10.1093/ageing/afw144

Cited by 23 publications

(17 citation statements)

References 14 publications

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“…Losses in taste and smell that occur with ageing can lead to poor appetite, inappropriate food choices, as well as decreased energy consumption, which associated with impaired protein and micronutrient status that may induce subclinical deficiencies that directly impact function . There are global variations in the nutritional care and support provided to older adults to address taste‐related losses . Palatal coverage is often a matter of argument in the literature concerning the sensation of taste.…”

Section: Factors Affecting Taste Sensation In Older Adultsmentioning

confidence: 99%

“…Additionally, decreased taste sensitivity was observed in hospitalised older people potentially due to advanced age, polypharmacy and poor nutrition . Even though the Japanese are comparably well controlled by governmental mandate in aged care facilities , institutionalisation of older adults can also lead to nutritional deficiency if nutrient intake is not well managed or taste sensation issues are not properly evaluated. As asserted to previously, differences have been noted in the nutritional oversight provided to older adults in institutional settings around the world.…”

Section: Behavioural Specificities and Taste Sensation In Older Adultsmentioning

confidence: 99%

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Taste‐related sensations in old age

Ogawa

Annear

Ikebe

et al. 2017

J of Oral Rehabilitation

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The sense of taste is important as it allows for assessment of nutritional value, safety and quality of foods as well as for food enjoyment and quality of life. Several factors are suggested to be associated with taste sensitivity, and higher prevalence of taste disorder has been reported among older adults. This review focused on the reported causes and correlates of taste decline in older adults, with the aim to consolidating existing evidence and identifying gaps and limitations. Using a scoping review methodology, we sought relevant literature from the last 20 years. Search terms included taste, gustatory sense, older adults and geriatric. Considered research was limited to reports that involved research participants over 60 years old, papers written in English, and manuscripts published after 1995. We have consolidated available evidences on the influences on taste-related sensations among international cohorts of older adults. Influences can be reflected under the topics of physiological changes in the sensory organs, physiological and behavioural variables related to taste sensation. This review identified three areas of historic and current research endeavour related to studies of taste sensation in older subjects: physiological changes in the sensory organs, factors related to the ageing of the individual and behavioural variables affecting taste-related sensation. Key limitations and gaps in the current literature include notable lack of consideration of potential confounding, mediating and moderating effects, while future research is indicated in the areas of measuring the quality of health and life. As global population ageing accelerates in the coming decades, maintaining taste sensations and sensitivity in older adults will be a key measure to ensuring quality of health and life.

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Section: Factors Affecting Taste Sensation In Older Adultsmentioning

confidence: 99%

Section: Behavioural Specificities and Taste Sensation In Older Adultsmentioning

confidence: 99%

Taste‐related sensations in old age

Ogawa

Annear

Ikebe

et al. 2017

J of Oral Rehabilitation

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“…There is also variability in how aged care systems operate between countries which affects staffing structures. Japan has a national long‐term care insurance scheme and mandated staff‐to‐resident ratios of 1:3, but the type of staff varies (average reported staffing mix: 16% RNs, 35% care staff, 7% therapists/dietitians/nutritionists and 42% non‐clinical staff) . Arguably, this ratio is only possible with the Japanese long‐term care insurance scheme, but a systematic review suggested increasing staff‐to‐resident ratios or additional staff training may offer potential cost savings over time from a societal perspective by reducing health‐care costs .…”

Section: Introductionmentioning

confidence: 99%

Alternative staffing structures in a clustered domestic model of residential aged care in Australia

et al. 2019

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Objective: A clustered domestic model of residential aged care has been associated with better consumer-rated quality of care. Our objective was to examine differences in staffing structures between clustered domestic and standard models. Methods: A cross-sectional study involving 541 individuals living in 17 Australian not-for-profit residential aged care homes. Results: Four of the homes offered dementia-specific clustered domestic models of care with higher personal care attendant (PCA) hours-per-resident-per-day (mean [SD] 2.43 [0.29] vs. 1.74 [0.46], P < 0.001), slightly higher direct care hours-perresident-per-day (2.66 [0.35] vs. 2.58 [0.44], P = 0.006), higher staff training costs ($1492 [258] vs. $989 [928], P < 0.001) and lower registered/enrolled nurse hoursper-resident-per-day (0.23 [0.10] vs. 0.85 [0.17], P < 0.001) compared to standard models. Conclusions: An Australian clustered domestic model of care had higher PCA hours, more staff training and more direct care time compared to standard models.Further research to determine optimal staffing structures within alternative models of care is warranted. K E Y W O R D Shealth services for the aged, nursing homes, nursing staffThis is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

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“…Annear et al 14 1) The level of cultural engagement was greater in those who had a stronger cultural identity.…”

Section: Resultsmentioning

confidence: 99%

The role of cultural engagement for older adults: an integrative review of scientific literature

Bernardo

Carvalho

2020

Rev. bras. geriatr. gerontol.

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Objective: to understand the role of cultural engagement in the lives of older adults. Method: an integrative literature review of publications from 2014 and 2019 in English, Portuguese, and Spanish was conducted. The Scopus, Web of Science, MEDLINE/PubMed, CINAHL, PsycNET®, LILACS, SciELO Citation Index and Science Direct databases were used as sources of information. The descriptors “aged” and the related term “cultural engagement” in the three idioms were used in the search, together with the Boolean operators “AND” or “ OR”. A total of 12 articles that met the inclusion criteria were found. These were categorized based on the theme. No Brazilian studies were found. Results: the panorama found revealed that older adults are more interested in receptive cultural activities, such as going to museums, exhibitions and the theater, as these enrich and add greater social value to their lives. Cultural engagement was associated with a reduction in the incidence of neuropsychiatric disorders (dementia and depression), as well as reducing the incidence of episodes of violence. Participation in cultural activities also constituted a protective factor for cognitive abilities and for the reduction of chronic pain. There is also evidence that associates cultural engagement with a better perception of quality of life and greater well-being, happiness and positive affect, as well as the reduction of negative affect. Conclusion: engaging in cultural activities is a way of understanding and respecting cultural diversity, salvaging social identities, and enjoying and providing experiences of great social value, with beneficial impacts in the lives of older adults.

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Experiences of Japanese aged care: the pursuit of optimal health and cultural engagement

Cited by 23 publications

References 14 publications

Taste‐related sensations in old age

Taste‐related sensations in old age

Alternative staffing structures in a clustered domestic model of residential aged care in Australia

The role of cultural engagement for older adults: an integrative review of scientific literature

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