Eating difficulties, assisted eating and nutritional status in elderly (⩾65 years) patients in hospital rehabilitation

Westergren, Albert; Unosson, Mitra; Ohlsson, Ola; Lorefält, Birgitta; Hallberg, Ingalill Rahm

doi:10.1016/s0020-7489(01)00025-6

Cited by 94 publications

(117 citation statements)

References 32 publications

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“…However, it is 50 essential that the nutrition screening tools and nutrition assessment tools used to complete 51 these steps have undergone adequate evaluation for validity so that the most appropriate tool 52 can be selected for the patient group [2]. 53 The prevalence of malnutrition in rehabilitation and the nutrition screening and assessment 54 tools appropriate for use in rehabilitation have not been reviewed since 2009 [2]. Examining 55 the validity of nutrition screening and assessment tools in rehabilitation will help practitioners 56 select the most appropriate tool for their facility.…”

Section: Introductionmentioning

confidence: 99%

Protein-energy malnutrition in the rehabilitation setting: Evidence to improve identification

Marshall

2016

Maturitas

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Section: Introductionmentioning

confidence: 99%

Protein-energy malnutrition in the rehabilitation setting: Evidence to improve identification

Marshall

2016

Maturitas

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“…The relationship between depression and undernutrition is well known [12,13] , and so is the relationship between undernutrition and ADL dependency [14,15] . However, less is known about the potential relationship between insomnia and undernutrition.…”

Section: Introductionmentioning

confidence: 99%

Improving nursing students research knowledge through participation in a study about nutrition, its associated factors and assessment

Westergren

Edfors

Hedin

et al. 2013

JNEP

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Aims: The aims of this study were threefold: 1) to explore nursing students perceptions of knowledge development after participating in an actual research project; 2) to explore undernutrition and its relationship to other clinical factors; 3) to explore the user-friendliness of the Minimal Eating Observation and Nutrition Form (MEONF-II) in relation to dependency in Activities of Daily Living (ADL). Methods:A pilot study (Study 1, S1) was conducted in October 2010, including 281 patients. After extending the research protocol a second data collection (S2) was conducted in March 2011, including 236 patients (total n=517). First and third year nursing students (n=188) collected the data, during one day of their clinical practice courses by assessing three patients each in hospitals or nursing homes. Students answered questions about their experiences from participating in the study. Patient related assessments included: MEONF-II; ADL dependency (S1 and S2); insomnia; low-spiritedness; and subjective health (S2). In addition, questions about the user-friendliness of MEONF-II were included (S1 and S2).Results: Among the nursing students, 51% experienced that their knowledge about nutrition increased and 67% that their understanding for research increased by participating in the project. Out of the patients, 57% were women, 50% were almost independent, 27% had some dependency, 23% were almost totally dependent in ADL, and 48% were at moderate/ high undernutrition risk. In S2, 32% of patients had insomnia, and 46% experienced low-spiritedness. Dependency in 5-6 and 3-4 ADLs (OR, 2.439 and 2.057, respectively), compared to dependency in 0-2 ADLs, were the strongest predictors for undernutrition risk, followed by insomnia (OR 2.124). Nursing students experienced the MEONF-II as easy to understand (93%), easy to answer (94%) and relevant (94%), and the suggestions for measures to take in case of risk as relevant (95%), independent of the patients' ADL status. Conclusions:By participating in an actual research project nursing students gets an understanding for research and tools for working with quality improvements in their future role as professional nurses. Undernutrition, mental and physical factors constitute coexisting problems in need for further investigation. Nursing students perceive the MEONF-II as user-friendly, independent of patient ADL dependency.

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“…It is known that the number of geriatric rehabilitation patients who are at risk for developing undernutrition or are suffering from undernutrition is high (Westergren et al, 2002;Poulsen, 2005). Studies among older patients have shown associations between undernutrition and decreased functional ability with dependency in activities of daily living, which include self-care (Covinsky et al, 1999;Gazzotti et al, 2000).…”

Section: Introductionmentioning

confidence: 99%

Self-care ability and sense of coherence in older nutritional at-risk patients

Söderhamn

Bachrach‐Lindström

2007

Eur J Clin Nutr

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Objective: To investigate self-care ability and sense of coherence in geriatric rehabilitation patients nutritionally screened using the Nutritional Form For the Elderly and to relate the patients' perceived health to self-care ability and sense of coherence. Design: Cross-sectional study. Setting: A geriatric rehabilitation ward in a hospital in western Sweden. Subjects: A sample of 172 consecutively recruited patients (65 þ years) fulfilled the inclusion criteria. One hundred forty-four patients were included in the study because 16 patients refused to take part and 12 could not complete the entire data collection procedure. Methods: Interviews, using one instrument for nutritional screening and other instruments measuring self-care ability and sense of coherence and one question about perceived health, were performed. Results: Patients at medium or high risk for undernutrition had lower self-care ability (Po0.001) and weaker sense of coherence (P ¼ 0.007) than patients at low risk for undernutrition. Lower self-care ability, being single and admitted from another hospital ward was found to be predictors for being at medium or high risk for undernutrition. Patients who perceived good health had higher self-care ability (Po0.001) and stronger sense of coherence (Po0.001) than patients who perceived ill health. Conclusions: There is an indication that older patients at low risk for undernutrition have a greater capability to care for themselves than patients at medium or high risk for undernutrition. Perceived ill health in older patients is associated with lower self-care ability and weaker sense of coherence. Sponsorship: Supported by

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Eating difficulties, assisted eating and nutritional status in elderly (⩾65 years) patients in hospital rehabilitation

Cited by 94 publications

References 32 publications

Protein-energy malnutrition in the rehabilitation setting: Evidence to improve identification

Protein-energy malnutrition in the rehabilitation setting: Evidence to improve identification

Improving nursing students research knowledge through participation in a study about nutrition, its associated factors and assessment

Self-care ability and sense of coherence in older nutritional at-risk patients

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