Nutrition and dietetics in aged care

Chwang, Leh-Chii

doi:10.1111/j.1747-0080.2012.01617.x

Cited by 9 publications

(8 citation statements)

References 56 publications

(63 reference statements)

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“…Mealtime is considered important for nutritional status and socialization because residents should be allowed to make some choices regarding when, what, and where to eat and with whom. This is in line with the findings of Chwang (2012) , who discusses issues of malnutrition in older people. One suggestion is to improve the quality of food services in healthcare facilities to improve mealtime experiences.…”

Section: Discussionsupporting

confidence: 90%

Social Innovation Toward a Meaningful Everyday Life for Nursing Home Residents: An Ethnographic Study

2021

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Background: The literature shows that innovation, which includes culture change, may be important to create a meaningful everyday life for nursing home residents. However, there is a gap in how social innovation practices may contribute to this. The theoretical discourse for the study is person-centered care.Aim: The main aim was to explore phenomena within social innovation that can contribute to improving nursing home residents’ everyday lives.Design and Method: This study uses an ethnographic design with observations and interviews in two nursing homes in Southern Norway.Findings: The main theme was that social innovation within working practices in nursing homes includes phenomena that contribute to a meaningful everyday life for the residents. This main theme includes five subthemes: (1) opening the nursing home to the surroundings; (2) expanding and strengthening the community of practice; (3) facilitating customized activities; (4) ensuring sufficient nutrition and facilitating enjoyable mealtimes; and (5) preventing unrest and disturbing behavior.Conclusion: The study reveals that innovation practices grounded in person-centered care in nursing homes may contribute to opening the nursing home to the community and establishing a common community practice for all members of the nursing home. This enables residents to experience meaningful everyday life through customized activities, sufficient nutrition, and a pleasant milieu during mealtimes. Disturbing behavior is also prevented, making it possible to promote meaningful lives in nursing homes.

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Section: Discussionsupporting

confidence: 90%

Social Innovation Toward a Meaningful Everyday Life for Nursing Home Residents: An Ethnographic Study

2021

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“…However, as different screening tools may lead to different diagnosis, the assessment instrument must be standardized and used in all screening situations. With appropriate adjustment of the cut-off point for different populations, the MNA and MNA-SF have been extensively used and validated worldwide [ 334 ]. The MNA also appears to be the most appropriate tool for nutritional assessment of the elderly living in their homes [ 335 ].…”

Section: Dietary Solutions For the Aging Gastrointestinal Tractmentioning

confidence: 99%

“…Training, communication, and coordination of nutritional intervention and monitoring between health care professionals in hospital, the community, and caregivers are also essential. Routine monitoring of weight changes, re-evaluation of malnutrition risks, and estimation of food intake are key aspects to assess effects of intervention [ 314 , 333 , 334 ]. Food diaries kept by independent elderly at risk of malnutrition may also be useful to assess nutrient intake and to follow up the implemented dietary plans [ 337 ].…”

Section: Dietary Solutions For the Aging Gastrointestinal Tractmentioning

confidence: 99%

Understanding the gastrointestinal tract of the elderly to develop dietary solutions that prevent malnutrition

et al. 2015

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Although the prevalence of malnutrition in the old age is increasing worldwide a synthetic understanding of the impact of aging on the intake, digestion, and absorption of nutrients is still lacking. This review article aims at filling the gap in knowledge between the functional decline of the aging gastrointestinal tract (GIT) and the consequences of malnutrition on the health status of elderly. Changes in the aging GIT include the mechanical disintegration of food, gastrointestinal motor function, food transit, chemical food digestion, and functionality of the intestinal wall. These alterations progressively decrease the ability of the GIT to provide the aging organism with adequate levels of nutrients, what contributes to the development of malnutrition. Malnutrition, in turn, increases the risks for the development of a range of pathologies associated with most organ systems, in particular the nervous-, muscoskeletal-, cardiovascular-, immune-, and skin systems. In addition to psychological, economics, and societal factors, dietary solutions preventing malnutrition should thus propose dietary guidelines and food products that integrate knowledge on the functionality of the aging GIT and the nutritional status of the elderly. Achieving this goal will request the identification, validation, and correlative analysis of biomarkers of food intake, nutrient bioavailability, and malnutrition.

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“…Another limitation is that the included studies did not always address the research question directly, and hence, studies that indirectly answered the research question had to be included. Studies that do address the research question directly are mostly opinion articles . Together with position papers of the dietetic associations on the role of the dietitians in several countries, these opinion articles give valuable insight into what the role of dietitians should be but not about what the role actually is .…”

Section: Discussionmentioning

confidence: 99%

The role of the dietitian in the management of malnutrition in the elderly: A systematic review of current practices

Fleurke

Voskuil

Kolmer

2019

Nutrition & Dietetics

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Aim The prevalence of age‐related malnutrition is increasing in almost all Western countries. Because of their expertise, dietitians should have a central role in the management of malnutrition. This review aimed to synthesise the literature on the role of the dietitian in the management of malnutrition in the elderly in comparison with other health professionals. Methods In November 2018, a search of Embase, Medline Ovid, Cinahl Ebscohost, Cochrane Central, Web of Science and Google Scholar was undertaken using ‘dietitian’, ‘elderly’ and ‘malnutrition’ as the main search terms. Qualitative and quantitative empirical research studies that focussed on the role of dietitians as the (main) subject of the study were included. Data extraction and data synthesis were performed by the three authors using a thematic synthesis approach. Results Three themes emerged from the coding and synthesis of the 21 included studies. The first theme demonstrates that other health professionals' time for, and knowledge of, screening policies negatively affects the role of the dietitian. The second theme demonstrates that the importance of nutritional care is acknowledged. However, this does not always imply familiarity with dietetics nor does it always mean that other health professionals think involving dietitians is worth the effort. The third theme demonstrates that issues of workload appeared to be especially important in crossing or guarding role boundaries. Conclusions The role of dietitians in managing age‐related malnutrition is not always clear and coherent. Therefore, how dietitians shape their role to provide optimal management of malnutrition in the elderly is open to debate.

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Nutrition and dietetics in aged care

Cited by 9 publications

References 56 publications

Social Innovation Toward a Meaningful Everyday Life for Nursing Home Residents: An Ethnographic Study

Social Innovation Toward a Meaningful Everyday Life for Nursing Home Residents: An Ethnographic Study

Understanding the gastrointestinal tract of the elderly to develop dietary solutions that prevent malnutrition

The role of the dietitian in the management of malnutrition in the elderly: A systematic review of current practices

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