Individualized feeding assistance care for nursing home residents: staffing requirements to implement two interventions.

@article{Simmons2004IndividualizedFA,
  title={Individualized feeding assistance care for nursing home residents: staffing requirements to implement two interventions.},
  author={Sandra F. Simmons and John F. Schnelle},
  journal={The journals of gerontology. Series A, Biological sciences and medical sciences},
  year={2004},
  volume={59 9},
  pages={
          M966-73
        }
}
  • S. SimmonsJ. Schnelle
  • Published 1 September 2004
  • Medicine
  • The journals of gerontology. Series A, Biological sciences and medical sciences
BACKGROUND Recommendations have been made to increase the number of nursing home (NH) staff available to provide feeding assistance during meals and to individualize care for residents. However, there are few data reflecting the number of residents responsive to feeding assistance during meals and what alternative interventions might be appropriate for other residents. The purpose of this study was to evaluate the effects and staffing requirements of two individualized feeding assistance… 

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References

SHOWING 1-10 OF 33 REFERENCES

Quality assessment in nursing homes by systematic direct observation: feeding assistance.

A standardized observational protocol can be used to accurately measure the quality of feeding assistance care in nursing home (NH) quality assessment and shows significant differences between facilities with respect to accuracy of oral intake documentation and the adequacy and quality offeeding assistance during mealtimes.

Water intake of nursing home residents.

  • P. Gaspar
  • Medicine
    Journal of gerontological nursing
  • 1999
Subjects with inadequate water intake were older, more independent, had few ingestion sessions per day, had intact speech, were semidependent with eating, did not drool, and had inadequate nutrient intake.

Predictors of successful prompted voiding among incontinent nursing home residents.

A substantial proportion of nursing home residents respond well to prompted voiding and the most responsive residents can be easily identified using data collected during a 3-day trial of the intervention.

Flavor enhancement of food improves dietary intake and nutritional status of elderly nursing home residents.

Adding flavor enhancers to the cooked meals was an effective way to improve dietary intake and body weight in elderly nursing home residents.

Factors associated with low body mass index and weight loss in nursing home residents.

Improved oral feeding methods and treatment of depression are potentially important ways to counteract undernutrition in nursing home residents by targeting reversible features.

Nutritional management in long-term care: development of a clinical guideline. Council for Nutritional Strategies in Long-Term Care.

The Clinical Guide to Prevent and Manage Malnutrition in Long-term Care is based on a best-evidence approach to the management of nutritional problems in long-term care and is intended to ensure a comprehensive resident evaluation.

Nutritional Intake Monitoring for Nursing Home Residents: A Comparison of Staff Documentation, Direct Observation, and Photography Methods

Methods need to be developed to improve the accuracy of food intake measurement in nursing home staffs, because NH staff tend to significantly overestimate total food intake.

Family Members' Preferences for Nutrition Interventions to Improve Nursing Home Residents' Oral Food and Fluid Intake

To measure family members' preferences for nutrition interventions to improve the oral food and fluid intake of their relatives in a nursing home, a large number of them are elderly.

Longitudinal Weight Changes, Length of Survival, and Energy Requirements of Long Term Care Residents with Dementia

OBJECTIVE: We hypothesized that institutionalized patients with dementia, who frequently have feeding problems and require supervised and assisted feeding, would lose more weight during their

The effect of staffing on the quality of care at mealtime.