Nutrition Education Needs and Resources for Dementia Care in the Community

Keller, Heather; Smith, Dana R.; Kasdorf, Cara; Dupuis, Sherry L.; Martin, Lori Schindel; Edward, Gayle; Cook, Carly N.; Genoe, M. Rebecca

doi:10.1177/1533317507312805

Cited by 28 publications

(40 citation statements)

References 30 publications

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“…Care partners in prior research describe being uninformed about the nutritional needs of persons with dementia and the many and diverse challenges they are likely to experience and how these can be managed [9,51]. In response to this lack of knowledge, a variety of educational programs or interventions have been developed.…”

Section: Discussionmentioning

confidence: 99%

Strategies to support engagement and continuity of activity during mealtimes for families living with dementia; a qualitative study

et al. 2015

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BackgroundMealtimes are an essential part of living and quality of life for everyone, including persons living with dementia. A longitudinal qualitative study provided understanding of the meaning of mealtimes for persons with dementia and their family care partners. Strategies were specifically described by families to support meaningful mealtimes. The purpose of this manuscript is to describe the strategies devised and used by these families living with dementia.MethodsA longitudinal qualitative study was undertaken to explore the meaning and experience of mealtimes for families living with dementia over a three-year period. 27 families [older person with dementia and at least one family care partner] were originally recruited from the community of South-Western Ontario. Individual and dyad interviews were conducted each year. Digitally recorded transcripts were analyzed using grounded theory methodology. Strategies were identified and categorized.ResultsStrategies to support quality mealtimes were devised by families as they adapted to their evolving lives. General strategies such as living in the moment, as well as strategies specific to maintaining social engagement and continuity of mealtime activities were reported.ConclusionsIn addition to nutritional benefit, family mealtimes provide important opportunities for persons with dementia and their family care partners to socially engage and continue meaningful roles. Strategies identified by participants provide a basis for further education and support to families living with dementia.

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Section: Discussionmentioning

confidence: 99%

Strategies to support engagement and continuity of activity during mealtimes for families living with dementia; a qualitative study

et al. 2015

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“…Professionals as well as family caregivers of persons with dementia feel responsible to maintain a good meal ambience and nutritional status of the person with dementia and have many concerns about weight changes, inadequate and unbalanced food intake and understanding nutritional needs [67]. Shopping and preparation of food, preservation of being independent, social interaction, cultural issues and rituals during meals, dealing with adverse eating behavior and ensuring an adequate and balanced diet are experienced as daily recurring problems by caregivers [30,68e70].…”

Section: The Role Of Nutrition In Caregiver Burdenmentioning

confidence: 99%

ESPEN guidelines on nutrition in dementia

et al. 2015

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“…Individuals living with dementia often experience unintentional weight loss and subsequently are at risk of malnutrition . Nutritional status can be compromised by impaired appetite, dysphagia, forgetting and/or refusing to eat, and poor food safety practices . Weight loss, as a proxy indicator for energy imbalance, may also be attributed to increased energy expenditure (pacing, wandering) and/or metabolic disturbances associated with the disease process .…”

Section: Introductionmentioning

confidence: 99%

Experiences and nutrition support strategies in dementia care: Lessons from family carers

Ball

Jansen

Desbrow

et al. 2014

Nutrition & Dietetics

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Newcastle, NSW As Accredited Practising Dietitians (APDs) we face a lot of competition from others who claim expertise in food and human nutrition. It is frustrating when the views of non-experts are given air-time over our evidence based advice, or worse still is when it is used to overrule our expertise. At the same time consumers are confused and think we constantly change our minds about what foods should or should not be eaten. It is not surprising that many are sceptical and unsure who to trust for advice on food and nutrition. As dietitians we need to stand united in the face of threats to our credibility. This is where technology can be harnessed to demonstrate our expertise and contrast it with that of our competitors. We need to support DAA in committing funds to market our profession and to embrace technologies to develop support systems for members that deliver cutting edge services, for the benefit of both APDs and their clients, in ways that are dynamic, valuable and irresistible to use. At the same time DAA needs to lead in terms of providing access to the best evidence-based nutrition advice, efficiently and cost-effectively. From a savvy website that connects consumers with advice on common nutrition problems, to DAA endorsed smart online programs that help APDs deliver and monitor medical nutrition therapy, to mobile applications that allow self-monitoring and real-time feedback , to systems for APDs that evaluate and benchmark practice and provide the evidence for client outcomes. We can use smart technologies to exploit and promote our unique selling points and extend our reach to those most vulnerable, who are isolated, disadvantaged by SES, literacy, language or location in ways that makes the best available nutrition evidence easy to digest. We are obliged to embrace technology and make it easier for all people to choose healthy food, no matter the barriers. To do this we need to work in multi-professional teams and across disciplines including IT, computing, design and business. Using technology to deliver cutting edge, evidence based programs that facilitate behaviour change, increase client engagement and enhance outcomes is now and is the future. This will free up time for client support, research and evaluation. We need to work smart, take managed risks, and fully exploit the capabilities technology offers. We can turn the volume up on our professional voices and be heard in the crowded nutrition space. Embrace the opportunities, the future is now. The 21 st century is already presenting some significant challenges for public health nutrition, but there are also opportunities. Some of the obvious challenges include climate change and its impact on agriculture and food production, Australia's long term food security, international free trade agreements such as the Trans Pacific Partnership (TPP) agreement currently being finalized, and the growing epidemic of obesity and related chronic diseases such as diabetes. These issues are not uncon-nected. In relation to the food supply, free t...

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Nutrition Education Needs and Resources for Dementia Care in the Community

Cited by 28 publications

References 30 publications

Strategies to support engagement and continuity of activity during mealtimes for families living with dementia; a qualitative study

Strategies to support engagement and continuity of activity during mealtimes for families living with dementia; a qualitative study

ESPEN guidelines on nutrition in dementia

Experiences and nutrition support strategies in dementia care: Lessons from family carers

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