Optimising Nutrition and Hydration in Care Homes: Getting It Right in Person Rather than in Policy

Research output: Contribution to journalArticle

3 Downloads (Pure)

Abstract

The scoping review by Bunn et al. identifies an important, but often invisible, challenge of malnutrition and specifically sub-optimal hydration and nutrition in the care home environment. Those requiring residential care are generally the frailest members of society, and likely to be affected by the anorexia of ageing: a multifactorial process whereby older people fail to adequately regulate food and nutrient intake resulting in unintentional weight loss. Adequate training of all healthcare professionals to recognise the risk of malnutrition at an early stage is fundamentally important, and the window of opportunity for intervention may be at a much earlier stage than admission to the care home. The specific needs of older adults must be considered in planning interventions with regard to the effects of ageing on physiology, digestion, and absorption of nutrients. Most importantly, we must offer person-centred care which offers residents an element of personal choice in whether or not they wish nutritional intervention, and any intervention offered must have the effect of improving quality of life rather than numbers on a scale.
Original languageEnglish
Article number1
Number of pages3
JournalGeriatrics
Volume4
Issue number1
Early online date20 Dec 2018
DOIs
Publication statusPublished - 1 Mar 2019

Fingerprint

Home Care Services
Malnutrition
Food
Anorexia
Weight Loss
Digestion
Eating
Quality of Life
Delivery of Health Care

Keywords

  • nutrition
  • dehydration
  • care homes
  • ageing
  • frailty

Cite this

@article{978aa030fdab41d4a2655edb5afacbd3,
title = "Optimising Nutrition and Hydration in Care Homes: Getting It Right in Person Rather than in Policy",
abstract = "The scoping review by Bunn et al. identifies an important, but often invisible, challenge of malnutrition and specifically sub-optimal hydration and nutrition in the care home environment. Those requiring residential care are generally the frailest members of society, and likely to be affected by the anorexia of ageing: a multifactorial process whereby older people fail to adequately regulate food and nutrient intake resulting in unintentional weight loss. Adequate training of all healthcare professionals to recognise the risk of malnutrition at an early stage is fundamentally important, and the window of opportunity for intervention may be at a much earlier stage than admission to the care home. The specific needs of older adults must be considered in planning interventions with regard to the effects of ageing on physiology, digestion, and absorption of nutrients. Most importantly, we must offer person-centred care which offers residents an element of personal choice in whether or not they wish nutritional intervention, and any intervention offered must have the effect of improving quality of life rather than numbers on a scale.",
keywords = "nutrition, dehydration, care homes, ageing, frailty",
author = "Alison Donaldson and Alexandra Johnstone and Phyo Myint",
year = "2019",
month = "3",
day = "1",
doi = "10.3390/geriatrics4010001",
language = "English",
volume = "4",
journal = "Geriatrics",
issn = "2308-3417",
number = "1",

}

TY - JOUR

T1 - Optimising Nutrition and Hydration in Care Homes

T2 - Getting It Right in Person Rather than in Policy

AU - Donaldson, Alison

AU - Johnstone, Alexandra

AU - Myint, Phyo

PY - 2019/3/1

Y1 - 2019/3/1

N2 - The scoping review by Bunn et al. identifies an important, but often invisible, challenge of malnutrition and specifically sub-optimal hydration and nutrition in the care home environment. Those requiring residential care are generally the frailest members of society, and likely to be affected by the anorexia of ageing: a multifactorial process whereby older people fail to adequately regulate food and nutrient intake resulting in unintentional weight loss. Adequate training of all healthcare professionals to recognise the risk of malnutrition at an early stage is fundamentally important, and the window of opportunity for intervention may be at a much earlier stage than admission to the care home. The specific needs of older adults must be considered in planning interventions with regard to the effects of ageing on physiology, digestion, and absorption of nutrients. Most importantly, we must offer person-centred care which offers residents an element of personal choice in whether or not they wish nutritional intervention, and any intervention offered must have the effect of improving quality of life rather than numbers on a scale.

AB - The scoping review by Bunn et al. identifies an important, but often invisible, challenge of malnutrition and specifically sub-optimal hydration and nutrition in the care home environment. Those requiring residential care are generally the frailest members of society, and likely to be affected by the anorexia of ageing: a multifactorial process whereby older people fail to adequately regulate food and nutrient intake resulting in unintentional weight loss. Adequate training of all healthcare professionals to recognise the risk of malnutrition at an early stage is fundamentally important, and the window of opportunity for intervention may be at a much earlier stage than admission to the care home. The specific needs of older adults must be considered in planning interventions with regard to the effects of ageing on physiology, digestion, and absorption of nutrients. Most importantly, we must offer person-centred care which offers residents an element of personal choice in whether or not they wish nutritional intervention, and any intervention offered must have the effect of improving quality of life rather than numbers on a scale.

KW - nutrition

KW - dehydration

KW - care homes

KW - ageing

KW - frailty

UR - http://www.mendeley.com/research/optimising-nutrition-hydration-care-homesgetting-it-right-person-rather-policy

U2 - 10.3390/geriatrics4010001

DO - 10.3390/geriatrics4010001

M3 - Article

VL - 4

JO - Geriatrics

JF - Geriatrics

SN - 2308-3417

IS - 1

M1 - 1

ER -