Centre for Policy on Ageing
 

 

Mealtimes in nursing homes
 — striving for person-centred care
Author(s)Holly D Reimer, Heather H Keller
Journal titleJournal of Nutrition for the Elderly, vol 28, no 4, 2009
PublisherRoutledge, 2009
Pagespp 327-347
Sourcehttp://www.tandfonline.com
KeywordsMeals services ; Feeding capacity ; Nursing homes ; Well being ; Literature reviews ; Canada.
AnnotationMalnutrition is a common and serious problem in nursing homes. Dietary strategies need to be augmented by person-centred mealtime care practices to address this complex issue. This review will focus on literature from the past two decades on mealtime experiences and feeding assistance in nursing homes. The purpose is to examine how mealtime care practices can be made more person-centred. It will first look at several issues that appear to underlie quality of care at mealtimes. Then four themes or elements related to person-centred care principles that emerge within the mealtime literature will be considered: providing choices and preferences; supporting independence; showing respect; and promoting social interactions. A few examples of multifaceted mealtime interventions that illustrate person-centred approaches will be described. Finally, ways to support nursing home staff to provide person-centred mealtime care will be discussed. Education and training interventions for direct care workers should be developed and evaluated to improve implementation of person-centred mealtime care practices. Appropriate staffing levels and supervision are also needed to support staff, and this may require creative solutions in the face of current constraints in health care. (KJ/RH).
Accession NumberCPA-100929208 A
ClassmarkNR: CA4: LHB: D:F:5HH: 64A: 7S

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