Effects of a feeding intervention in patients with Alzheimer's disease and dysphagia

Chen, Lili; Li, Hong; Lin, Rong; Zheng, Jian-Huang; Wei, Yan-Ping; Li, Jing; Chen, Ping

doi:10.1111/jocn.13013

Cited by 35 publications

(54 citation statements)

References 21 publications

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“…Providing high‐quality environmental stimulation along with appropriate assistance and interaction is essential to promote pace of food intake in this population. Multi‐level efforts targeting the resident, the caregiver, the food and dining environment, as well as the organizational context, are needed to ensure a successful mealtime experience (Liu et al, ) and have demonstrated feasibility as well as great potential to reduce feeding difficulty and improve food intake in residents with dementia and dysphagia (Chen et al, ). Clinical caregivers are critically positioned to provide optimal mealtime care for residents with dementia and caregiver–resident interaction affects food intake.…”

Section: Discussionmentioning

confidence: 99%

Factors influencing the pace of food intake for nursing home residents with dementia: Resident characteristics, staff mealtime assistance and environmental stimulation

2019

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Aim To examine the association of resident characteristics, staff mealtime assistance and environmental stimulation with the pace of food intake. Design A secondary analysis of 36 baseline eating videos involving 19 nursing assistants and 15 residents with dementia in eight nursing homes from a communication intervention study. Methods The outcome variable was the pace of food intake (the number of bites and drinks per minute). The exploratory variables were resident characteristics (age, gender, dementia stage and eating performance), staff mealtime assistance (frequency of verbal, visual, partial and full physical assistance) and environmental stimulation. Multi‐level models were used to examine the association. Results A faster pace of food intake is associated with being male, better eating performance, staff provision of visual and physical assistance and better quality of environmental stimulation that involved interaction. The pace of food intake was not associated with resident age, staff verbal assistance or partial physical assistance.

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Section: Discussionmentioning

confidence: 99%

Factors influencing the pace of food intake for nursing home residents with dementia: Resident characteristics, staff mealtime assistance and environmental stimulation

2019

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“…Methods to deliver training included the internet (Batchelor-Murphy et al, 2015), lectures (Chen et al, 2016;Faxen-Irving et al, 2002;Mamhidir et al, 2007;Suominen et al, 2007), in-service coaching (Altus et al, 2002;Chang & Lin, 2005;Chen et al, 2016;Mamhidir et al, 2007), group work (Batchelor-Murphy et al, 2015;Charras & Frémontier, 2010;Christensson et al, 2003;Mamhidir et al, 2007;Suominen et al, 2007), written materials (Chang & Lin, 2005, Chen et al, 2016Christensson et al, 2003), and video footage (Batchelor-Murphy et al, 2015;Mamhidir et al, 2007;Roberts & Durnbaugh, 2002).…”

Section: Methods Of Deliverymentioning

confidence: 99%

“…All of the studies were carried out in long-term care settings. In regards to quality appraisal of the training studies, two studies scored 100% using the MMAT (Chen et al, 2016;Van Ort & Phillips, 1995), three studies scored 75% (Batchelor-Murphy et al, 2015;Chang & Lin, 2005;Faxen-Irving et al, 2002), six scored 50% (Altus et al, 2002;Christensson et al, 2003;Mamhidir et al, 2007;Perivolaris et al, 2006;Roberts & Durnbaugh, 2002;Suominen et al, 2007), and one scored 0% (Charras & Frémontier, 2010). The most common unmet criterion across the studies was "Are participants (organizations) recruited in a way that minimizes selection bias?".…”

Section: Characteristics and Qualitymentioning

confidence: 99%

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Equipping Nurses and Care Staff to Manage Mealtime Difficulties in People With Dementia: A Systematic Scoping Review of Training Needs and Interventions

Faraday

Salis

Barrett

2019

Am J Speech Lang Pathol

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Purpose Mealtime difficulties are prevalent in dementia, posing major challenges to people with dementia (PWD), carers, and clinical services. Speech-language pathologists have a recognized role in providing training to carers of PWD who have mealtime difficulties. The aims of this study are (a) to identify the training needs of nurses and care staff with regard to managing mealtime difficulties in PWD, (b) to describe existing training interventions on this topic, and (c) to investigate the extent to which these interventions are relevant to the needs of nurses and care staff. Method A systematic search was carried out to identify studies relevant to the aims of the review. Data were extracted and then synthesized using thematic analysis and a synthesis matrix. Study quality was appraised using a validated appraisal tool. Results Various themes were identified in relation to the training needs of nurses and other care staff who manage mealtime difficulties in PWD. These were as follows: person-centered care; dealing with uncertainty; strategies, skills, and knowledge; and creating the right environment. Existing training interventions were described and compared against the training needs. The review found some correspondence between interventions and staff needs, but also some gaps. Conclusions Training interventions on this topic should be more systematically developed and better reported to facilitate effective implementation. Evidence to date indicates that training should do more to help staff deal with uncertainty. Further research assessing the benefits of speech-language pathologists' involvement in the development of training interventions is recommended because of this profession's specialist skills and knowledge with regard to both dysphagia and communication.

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“…35 Enteral tube feeding is inevitable when patients with end-stage AD stop eating or experience significant difficulty in swallowing.…”

Section: Food Refusalmentioning

confidence: 99%

End-Stage Care of Persons with Alzheimer’s Disease

Mckenzie¹,

Kim²

2017

HPMIJ

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Alzheimer's disease is a devastating neurodegerative disorder that irreversibly affects our cognitive functions, especially memory. This review will give an overview of clinical issues associated with the end-of-life care of AD. By the time end-stage AD is present, the ability to communicate their pain and discomfort with caregivers as well as having significant ability to perform ADL have significantly decreased. These changes are frequently accompanied by neuropsychiatric symptoms that further complicate the patient's EOL care. Delirium is additionally a common clinical challenge among the patients in this stage. When the patients start becoming indifferent towards eating, refusing food or experiencing impaired swallowing, their caregiver involvement plays a substantial role in decision-making. In the process of all these changes, caregivers often experience the burden of emotional, physical, and financial stressors. The authors address the importance of healthcare systems and clinicians making efforts to ameliorate the sufferings of the patients with end-stage AD and their caregivers.

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Effects of a feeding intervention in patients with Alzheimer's disease and dysphagia

Cited by 35 publications

References 21 publications

Factors influencing the pace of food intake for nursing home residents with dementia: Resident characteristics, staff mealtime assistance and environmental stimulation

Factors influencing the pace of food intake for nursing home residents with dementia: Resident characteristics, staff mealtime assistance and environmental stimulation

Equipping Nurses and Care Staff to Manage Mealtime Difficulties in People With Dementia: A Systematic Scoping Review of Training Needs and Interventions

End-Stage Care of Persons with Alzheimer’s Disease

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