A Systematic Review of Malnutrition Screening Tools for the Nursing Home Setting

2014 ◽  
Vol 15 (3) ◽  
pp. 171-184 ◽  
Author(s):  
Marian A.E. van Bokhorst–de van der Schueren ◽  
Patrícia Realino Guaitoli ◽  
Elise P. Jansma ◽  
Henrica C.W. de Vet
Keyword(s):  
Systematic Review ◽  
Nursing Home ◽  
Screening Tools ◽  
Home Setting ◽  
Nursing Home Setting

scholarly journals Comparing Assessment Tools as Candidates for Personalized Nutritional Evaluation of Senior Citizens in a Nursing Home

Nutrients ◽  
2021 ◽  
Vol 13 (11) ◽  
pp. 4160
Author(s):  
Diogo Sousa-Catita ◽  
Maria Alexandra Bernardo ◽  
Carla Adriana Santos ◽  
Maria Leonor Silva ◽  
Paulo Mascarenhas ◽  
...  
Keyword(s):  
Nursing Home ◽  
Nutritional Assessment ◽  
Short Form ◽  
Mini Nutritional Assessment ◽  
Assessment Tools ◽  
Screening Tools ◽  
Nutritional Risk ◽  
Risk Status ◽  
Home Setting ◽  
Nursing Home Setting

Nutrition is an important health issue for seniors. In nursing homes, simple, inexpensive, fast, and validated tools to assess nutritional risk/status are indispensable. A multisurvey cross-sectional study with a convenient sample was created, comparing five nutritional screening/assessment tools and the time required for each, in order to identify the most useful instrument for a nursing home setting. Nutrition risk/status was evaluated using the following tools: Subjective Global Assessment (SGA), Mini Nutritional Assessment Short Form (MNA-SF), Malnutrition Universal Screening Tool (MUST), Nutritional Risk Screening 2002 (NRS 2002), and calf girth (CG). The time spent completing each tool was recorded. Eighty-three subjects were included. MNA-SF and CG were the screening tools that ranked highest with regards to malnutrition identification. CG failed to identify nutritional risk/malnutrition in seniors with lower limb edema. CG was the fastest tool while SGA was the slowest. This was the first study comparing non-invasive nutritional tools with time expended as a consideration in the implementation. CG is responsive, fast, and reliable in elders without edema. MNA-SF was more efficient at detecting malnutrition cases in the elderly population. Both MNA-SF and CG are considered the most suitable for the nursing home setting.

scholarly journals Screening Tool of Older Person's Prescriptions/Screening Tools to Alert Doctors to Right Treatment Medication Criteria Modified for U.S. Nursing Home Setting

2016 ◽  
Vol 65 (3) ◽  
pp. 586-591 ◽  
Author(s):  
Dmitry Khodyakov ◽  
Aileen Ochoa ◽  
Brianne L. Olivieri-Mui ◽  
Carla Bouwmeester ◽  
Barbara J. Zarowitz ◽  
...  
Keyword(s):  
Nursing Home ◽  
Screening Tool ◽  
Screening Tools ◽  
Home Setting ◽  
Nursing Home Setting ◽  
Treatment Medication

scholarly journals Between Social Inclusion and Exclusion: Integration of Daycare Guests in the Nursing Home Setting

2020 ◽  
Author(s):  
Kerstin Hämel ◽  
Gundula Röhnsch
Keyword(s):  
Nursing Home ◽  
Social Inclusion ◽  
Nursing Home Residents ◽  
Community Dwelling ◽  
Cognitive Capacity ◽  
Home Setting ◽  
Residential Care Facilities ◽  
Care Approach ◽  
Nursing Home Setting ◽  
Close Relatives

Abstract Background and Objectives In integrated daycare, community-dwelling older people in need of care join existing groups in residential care facilities during the day. This study focuses on how nursing home residents experience the integrative care approach, exploring opportunities for social inclusion and mechanisms of exclusion. Research Design and Methods A purposive sample of residents differing in cognitive capacity and level of (non)conflictual interaction with daycare guests was selected. Episodic interviews with residents (N = 10) and close relatives (N = 2) were conducted in 3 pilot facilities in Germany and analyzed using thematic coding. Results The analysis revealed different orientation patterns towards the presence of daycare guests: respondents (a) demonstrated indifference to the daycare guests, (b) saw bonding with guests as a means to connect to the outside world, and (c) perceived incompatibility between in-group and out-group. Criticisms included disruption of daily routines and loss of privacy. Most interviewees came to terms with the care situation using rational and moral arguments. Discussion and Implications The study reveals the importance of residents’ participation when integrating daycare guests. Institutional procedures are required to prevent exclusion of daycare guests and avoid overtaxing residents.

scholarly journals To what extent is clinical and laboratory information used to perform medication reviews in the nursing home setting? the CLEAR study

2015 ◽  
pp. 767 ◽  
Author(s):  
Carlota Gonzalvo ◽  
Kim Hurkens ◽  
Hugo de Wit ◽  
Brigit van Oijen ◽  
Rob Janknegt ◽  
...  
Keyword(s):  
Nursing Home ◽  
Home Setting ◽  
Nursing Home Setting ◽  
Medication Reviews

scholarly journals The Burden of a Remote Trial in a Nursing Home Setting: Qualitative Study (Preprint)

2017 ◽  
Author(s):  
Susie Donnelly ◽  
Brenda Reginatto ◽  
Oisin Kearns ◽  
Marie Mc Carthy ◽  
Bill Byrom ◽  
...  
Keyword(s):  
Nursing Home ◽  
Data Collection ◽  
Lived Experience ◽  
Personal Space ◽  
Future Research ◽  
Home Setting ◽  
Research Engagement ◽  
Research Activities ◽  
Key Characteristics ◽  
Nursing Home Setting

BACKGROUND Despite an aging population, older adults are typically underrecruited in clinical trials, often because of the perceived burden associated with participation, particularly travel associated with clinic visits. Conducting a clinical trial remotely presents an opportunity to leverage mobile and wearable technologies to bring the research to the patient. However, the burden associated with shifting clinical research to a remote site requires exploration. While a remote trial may reduce patient burden, the extent to which this shifts burden on the other stakeholders needs to be investigated. OBJECTIVE The aim of this study was to explore the burden associated with a remote trial in a nursing home setting on both staff and residents. METHODS Using results from a grounded analysis of qualitative data, this study explored and characterized the burden associated with a remote trial conducted in a nursing home in Dublin, Ireland. A total of 11 residents were recruited to participate in this trial (mean age: 80 years; age range: 67-93 years). To support research activities, we also recruited 10 nursing home staff members, including health care assistants, an activities co-ordinator, and senior nurses. This study captured the lived experience of this remote trial among staff and residents and explored the burden associated with participation. At the end of the trial, a total of 6 residents and 8 members of staff participated in semistructured interviews (n=14). They reviewed clinical data generated by mobile and wearable devices and reflected upon their trial-related experiences. RESULTS Staff reported extensive burden in fulfilling their roles and responsibilities to support activities of the trial. Among staff, we found eight key characteristics of burden: (1) comprehension, (2) time, (3) communication, (4) emotional load, (5) cognitive load, (6) research engagement, (7) logistical burden, and (8) product accountability. Residents reported comparatively less burden. Among residents, we found only four key characteristics of burden: (1) comprehension, (2) adherence, (3) emotional load, and (4) personal space. CONCLUSIONS A remote trial in a nursing home setting can minimize the burden on residents and enable inclusive participation. However, it arguably creates additional burden on staff, particularly where they have a role to play in locally supporting and maintaining technology as part of data collection. Future research should examine how to measure and minimize the burden associated with data collection in remote trials.

Recognition and assessment of resident’ deterioration in the nursing home setting: A critical ethnography

2018 ◽  
Vol 27 (7-8) ◽  
pp. 1452-1463 ◽  
Author(s):  
Bridget Laging ◽  
Amanda Kenny ◽  
Michael Bauer ◽  
Rhonda Nay
Keyword(s):  
Nursing Home ◽  
Critical Ethnography ◽  
Home Setting ◽  
Nursing Home Setting

Choice

2021 ◽  
pp. 47-60
Author(s):  
Joe Ungemah
Keyword(s):  
Nursing Home ◽  
Conventional Wisdom ◽  
Farmers Market ◽  
Home Setting ◽  
Cause And Effect ◽  
Cognitive Overload ◽  
Nursing Home Setting ◽  
Worker Autonomy ◽  
Successes And Failures

This chapter dives into why people sometime feel paralyzed by decisions. Challenging conventional wisdom that more choice is better, the chapter explains how choice can lead to cognitive overload, as demonstrated first by the story of a failed electronics retailer and then by a study involving a fruit jam display at a California farmers market. Yet choice is critical to a happy and prolonged life, as shown with some novel research involving houseplants in a nursing home setting. The chapter concludes on the compounding nature of decisions, where cause and effect is never as simple as it seems, as demonstrated by the Hindenburg disaster. Implications for the workplace include providing employee choice where it matters most, promoting worker autonomy, and recognizing human biases toward oversimplifying successes and failures.

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