Improving Food and Fluid Intake for Older Adults Living in Long-Term Care: A Research Agenda

2015 ◽  
Vol 16 (2) ◽  
pp. 93-100 ◽  
Author(s):  
Heather Keller ◽  
Anne Marie Beck ◽  
Ashwini Namasivayam
Keyword(s):  
Older Adults ◽  
Research Agenda ◽  
Long Term Care ◽  
Fluid Intake ◽  
Term Care ◽  
Food And Fluid Intake

scholarly journals Beverage Type and Hydration Parameters in Older Persons Following a Texture-Modified Diet and Living in Long-term Care Residences

2020 ◽  
Author(s):  
Jose CE Serrano ◽  
Meritxell Martín-Gari ◽  
Jèssica Miranda ◽  
Anna Cassanye ◽  
Mireia Badia ◽  
...  
Keyword(s):  
Older Adults ◽  
Older People ◽  
Water Intake ◽  
Long Term Care ◽  
Fluid Intake ◽  
Daily Intake ◽  
Plain Water ◽  
Term Care ◽  
Modified Diet

Abstract Background: Dehydration due to insufficient fluid intake is a common feature in older adults, a situation that is exacerbated in those who follow a texture modified diet. Most studies have been focused on the total amount of fluid intake without taking into consideration hydration capacities from different beverages. This study aimed to evaluate which is the relationship between the intake of different beverage types and their relationship with hydration parameters in older adults. Methods: A prospective observational study in 22 volunteers that followed a texture-modified diet and thickened liquids with a monthly follow-up for 4 months was performed with older people living in long-term care residences. Beverage intake was assessed daily, and hydration parameters were determined at the end of each month. Results: 50% of the volunteers presented an inadequate fluid intake (< 90% of the recommended daily intake of 30 mL/kg of body weight). Gelatine was the preferred hydration drink, providing 54% of the water intake outside the diet, while water and fruit juices constituted approximately 18% of the intake each, and other beverages such as milk and yogurt, the remaining 10%. No correlation was observed between the total amounts of liquids taken during the day with any of the biomarkers of hydration analysed. Contrary, plain water intake inversely correlated with blood levels of sodium (r= -0.25), and Angiotensin-Converting-Enzyme (ACE) activity (r= -0.29); while gelatine directly correlated with haematocrit (r= 0.25). Since different beverages were consumed during the day, cluster analysis was performed to determine patterns of beverage intake. Three patterns of beverage intake were identified, mainly high in plain water, high in gelatine, and mixed beverage intake. The pattern with a higher intake of gelatine, as a source of water, reported the worst parameters of hydration. Similarly, it was observed that a pattern with high plain water intake showed higher levels of fluid intake. Conclusions: It was concluded that besides the focus on total fluid intake, an appropriate selection of beverages is another important criterion that should be taken into consideration for hydration in older people.

scholarly journals Beverage Intake and Drinking Patterns—Clues to Support Older People Living in Long-Term Care to Drink Well: DRIE and FISE Studies

Nutrients ◽  
2019 ◽  
Vol 11 (2) ◽  
pp. 447 ◽  
Author(s):  
Oluseyi Jimoh ◽  
Tracey Brown ◽  
Diane Bunn ◽  
Lee Hooper
Keyword(s):  
Older Adults ◽  
Food Safety ◽  
Older People ◽  
Long Term Care ◽  
Fluid Intake ◽  
Hydration Status ◽  
Drinking Patterns ◽  
Term Care ◽  
Mortality And Morbidity

Low-intake dehydration, due to insufficient beverage intake, is common in older people and associated with increased mortality and morbidity. We aimed to document the drinking patterns of older adults living in long-term care and compared patterns in those drinking well with those not drinking enough. One-hundred-and-eighty-eight people aged ≥ 65 years living in 56 UK long-term care homes were interviewed and hydration status was assessed in the Dehydration Recognition In our Elders (DRIE) study. In 22 DRIE residents, the Fluid Intake Study in our Elders (FISE) directly observed, weighed and recorded all drinks intake over 24 h. Twenty percent of DRIE participants and 18% of FISE participants had low-intake dehydration (serum osmolality > 300 mOsm/kg). Mean total drinks intake was 1787 mL/day (SD 693) in FISE participants (2033 ± 842 mL/day in men; 1748 ± 684 mL/day in women). Most drinks intake was between meals (59%, including 10% with medications). Twelve (55%) FISE participants achieved European Food Safety Authority drinks goals (3/6 men drank ≥ 2.0 L/day, 9/16 women drank ≥ 1.6 L/day). Those drinking well were offered beverages more frequently and drank more with medications and before breakfast (beverage variety did not differ). Promising strategies to support healthy drinking include offering drinks more frequently, particularly before and during breakfast and with medication.

scholarly journals Characteristics Associated With Low Food and Fluid Intake in Long-Term Care Residents With Dementia

2005 ◽  
Vol 45 (suppl_1) ◽  
pp. 74-81 ◽  
Author(s):  
Peter S. Reed ◽  
Sheryl Zimmerman ◽  
Philip D. Sloane ◽  
Christianna S. Williams ◽  
Malaz Boustani
Keyword(s):  
Long Term Care ◽  
Fluid Intake ◽  
Term Care ◽  
Food And Fluid Intake

Uitbraak COVID-19 in de verpleeghuiszorg

2020 ◽  
Keyword(s):  
Older Adults ◽  
Nursing Home ◽  
Nursing Homes ◽  
Long Term Care ◽  
Informal Caregivers ◽  
Rapid Review ◽  
Daily Routine ◽  
Term Care ◽  
Care Facilities

Long-term care for older adults is highly affect by the COVID-19 outbreak. The objective of this rapid review is to understand what we can learn from previous crises or disasters worldwide to optimize the care for older adults in long term care facilities during the outbreak of COVID-19. We searched five electronic databases to identify potentially relevant articles. In total, 23 articles were included in this study. Based on the articles, it appeared that nursing homes benefit from preparing for the situation as best as they can. For instance, by having proper protocols and clear division of tasks and collaboration within the organization. In addition, it is helpful for nursing homes to collaborate closely with other healthcare organizations, general practitioners, informal caregivers and local authorities. It is recommended that nursing homes pay attention to capacity and employability of staff and that they support or relieve staff where possible. With regard to care for the older adults, it is important that staff tries to find a new daily routine in the care for residents as soon as possible. Some practical tips were found on how to communicate with people who have dementia. Furthermore, behavior of people with dementia may change during a crisis. We found tips for staff how to respond and act upon behavior change. After the COVID-19 outbreak, aftercare for staff, residents, and informal caregivers is essential to timely detect psychosocial problems. The consideration between, on the one hand, acute safety and risk reduction (e.g. by closing residential care facilities and isolating residents), and on the other hand, the psychosocial consequences for residents and staff, were discussed in case of other disasters. Furthermore, the search of how to provide good (palliative) care and to maintain quality of life for older adults who suffer from COVID-19 is also of concern to nursing home organizations. In the included articles, the perspective of older adults, informal caregivers and staff is often lacking. Especially the experiences of older adults, informal caregivers, and nursing home staff with the care for older adults in the current situation, are important in formulating lessons about how to act before, during and after the coronacrisis. This may further enhance person-centered care, even in times of crisis. Therefore, we recommend to study these experiences in future research.

scholarly journals Frailty and hospitalization-associated disability after pneumonia: A prospective cohort study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Chan Mi Park ◽  
Wonsock Kim ◽  
Hye Chang Rhim ◽  
Eun Sik Lee ◽  
Jong Hun Kim ◽  
...  
Keyword(s):  
Older Adults ◽  
Primary Outcome ◽  
Long Term Care ◽  
Functional Decline ◽  
Tube Feeding ◽  
Term Care ◽  
Pneumonia Severity ◽  
Frailty Assessment ◽  
Nasogastric Tube Feeding

Abstract Background Pneumonia is a major cause of morbidity and mortality in older adults. The role of frailty assessment in older adults with pneumonia is not well defined. Our purpose of the study was to investigate 30-day clinical course and functional outcomes of pneumonia in older adults with different levels of frailty. Methods A prospective cohort was conducted at a university hospital in Seoul, Korea with 176 patients who were 65 years or older and hospitalized with pneumonia. A 50-item deficit-accumulation frailty index (FI) (range: 0–1; robust < 0.15, pre-frail 0.15–0.24, mild-to-moderately frail 0.25–0.44, and severely frail ≥ 0.45) and the pneumonia severity CURB-65 score (range: 0–5) were measured. Primary outcome was death or functional decline, defined as worsening dependencies in 21 daily activities and physical tasks in 30 days. Secondary outcomes were intensive care unit admission, psychoactive drug use, nasogastric tube feeding, prolonged hospitalization (length of stay > 15 days), and discharge to a long-term care institution. Results The population had a median age 79 (interquartile range, 75–84) years, 68 (38.6 %) female, and 45 (25.5 %) robust, 36 (47.4 %) pre-frail, 37 (21.0 %) mild-to-moderately frail, and 58 (33.0 %) severely frail patients. After adjusting for age, sex, and CURB-65, the risk of primary outcome for increasing frailty categories was 46.7 %, 61.1 %, 83.8 %, and 86.2 %, respectively (p = 0.014). The risk was higher in patients with frailty (FI ≥ 0.25) than without (FI < 0.25) among those with CURB-65 0–2 points (75 % vs. 52 %; p = 0.022) and among those with CURB-65 3–5 points (93 % vs. 65 %; p = 0.007). In addition, patients with greater frailty were more likely to require nasogastric tube feeding (robust vs. severe frailty: 13.9 % vs. 60.3 %) and prolonged hospitalization (18.2 % vs. 50.9 %) and discharge to a long-term care institution (4.4 % vs. 59.3 %) (p < 0.05 for all). Rates of intensive care unit admission and psychoactive drug use were similar. Conclusions Older adults with frailty experience high rates of death or functional decline in 30 days of pneumonia hospitalization, regardless of the pneumonia severity. These results underscore the importance of frailty assessment in the acute care setting.

Older Adults Diagnosed With Schizophrenia in Long-term Care Facilities: Life Course Theory for Holistic Nursing Research and Practice

2021 ◽  
pp. 089801012110253
Author(s):  
Verónica G. Walker ◽  
Elizabeth K. Walker
Keyword(s):  
Older Adults ◽  
Life Course ◽  
Health Beliefs ◽  
Long Term Care ◽  
Life Course Theory ◽  
Nursing Research ◽  
Term Care ◽  
Holistic Nursing ◽  
Care Facilities

Older adults diagnosed with schizophrenia (OADWS) often enter long-term care facilities with unique challenges related to trauma and stress experienced throughout their life course. Health care workers often report that when they work with this population, they feel unprepared due to limited training. In this article, life course theory is presented as a lens for holistic nursing research and as a way for nurses to adapt interventions already used with cognitively impaired older adults (e.g., those diagnosed with Alzheimer's disease) for OADWS in long-term care. It is hoped that these ideas will facilitate discussion of ways to inform training for holistic long-term care of OADWS. Holistic principles of nursing addressed with life course theory as a lens include the following: (a) accounting for strengths and challenges; (b) honoring experiences, values, and health beliefs; (c) viewing interrelationships with the environment; and (d) nurturing of peace, wholeness, and healing.

LGBTQ Older Adults in Long-Term Care Settings: An Integrative Review to Inform Best Practices

2021 ◽  
pp. 1-16
Author(s):  
Katherine Fasullo ◽  
Erik McIntosh ◽  
Susan W. Buchholz ◽  
Todd Ruppar ◽  
Sarah Ailey
Keyword(s):  
Older Adults ◽  
Best Practices ◽  
Long Term Care ◽  
Integrative Review ◽  
Term Care

scholarly journals Person-Centered Health Care: An Approach That Integrates Acute and Long-Term Care

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 704-704
Author(s):  
Yuchi Young ◽  
Barbara Resnick
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Health Systems ◽  
Long Term Care ◽  
The United States ◽  
World Population ◽  
Term Care ◽  
The Usa ◽  
Aged Society

Abstract The world population is aging. The proportion of the population over 60 will nearly double from 12% in 2015 to 22% in 2050. Global life expectancy has more than doubled from 31 years in 1900 to 72.6 years in 2019. The need for long-term care (LTC) services is expanding with the same rapidity. A comprehensive response is needed to address the needs of older adults. Learning from health systems in other countries enables health systems to incorporate best long-term care practices to fit each country and its culture. This symposium aims to compare long-term care policies and services in Taiwan, Singapore, and the USA where significant growth in aging populations is evidenced. In 2025, the aging population will be 20% in Taiwan, 20% in Singapore and 18 % in the USA. In the case of Taiwan, it has moved from aging society status to aged society, and to super-aged society in 27 years. Such accelerated rate of aging in Taiwan is unparalleled when compared to European countries and the United States. In response to this dramatic change, Taiwan has passed long-term care legislation that expands services to care for older adults, and developed person-centered health care that integrates acute and long-term care services. Some preliminary results related to access, care and patterns of utilization will be shared in the symposium. International Comparisons of Healthy Aging Interest Group Sponsored Symposium.

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