What's on the menu? A qualitative study on the views of care home staff and residents on nutritional practices and implications for oral health.

IF 2.5 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Aditi Mondkar, Maritess Murdoch, Jennifer E Gallagher, Rakhee Patel
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引用次数: 0

Abstract

Introduction: People living in nursing or residential homes are at an increased risk of having or developing oral and dental diseases. This is due to contributing factors such as comorbidities and polypharmacy coupled with poor manual dexterity and lack of disease prevention and access to care. These risk factors combined with frequent and high sugar consumption increases risk of developing dental decay. Care home residents are a diverse population from different backgrounds. Little is known about decision making around nutrition in care settings and nutritional practices of older people in care homes, including the choices and challenges. The purpose of this study was therefore, to understand care home landscape and resident experiences.

Materials and methods: Semi-structured interviews were conducted with participants including residents, care home managers, carers and kitchen staff. Interviews were held face-to-face, recorded and transcribed and the findings were analysed using a thematic approach.

Results: A total of 17 participants across 4 care homes in one outer London borough took part in this study, with findings relating to both nutrition and oral health. Resident food preferences were collected upon admission into the home, including information on the incoming resident's lifestyle, routine and choices. Staff tried to maintain these where possible and accommodate to resident choices when possible. Opportunities for wider food choice was dependent on the residents' ability and willingness to request alternatives, their financial freedom to purchase their own foods, mobility to access food outside of the care home setting and food bought in by family and friends. This was compounded by residents being prescribed high calorie, high sugar meal supplemented for weight management. Participants reported that the structured routine revolved around meals and activities. Most care staff reported that an alternative healthy option was offered at mealtimes, but this was not the case in all homes. Care staff faced challenges managing weight of residents who had appetite loss and tried to accommodate and make provisions for those with these experiences and were aware of how to raise concerns. There was variation in mandatory training expectations, with no integration of oral health and nutrition.

Discussion: The findings provided valuable insight into the disparities between and within homes and highlights the challenges in this complex group with regards to nutritional choices. It is vital that a range of food options are in place to protect residents' rights to choose what they wish to eat, whilst offering healthy options and all care staff are educated on offering balanced, nutritious meal and snack options. By offering a range of foods, the healthier choice can be the easier choice.

菜单上有什么?有关护理院员工及住客对营养做法及对口腔健康影响的看法之质性研究。
简介:住在养老院或寄宿家庭的人患口腔和牙齿疾病的风险增加。这是由于合并症和多种药物治疗等因素造成的,再加上手工灵活性差以及缺乏疾病预防和获得护理的机会。这些危险因素加上频繁和高糖消费增加了患蛀牙的风险。养老院的居民是来自不同背景的多元化人群。关于护理机构的营养决策和养老院老年人的营养实践,包括选择和挑战,所知甚少。因此,本研究的目的是了解疗养院景观和居民体验。材料与方法:采用半结构式访谈,参与者包括住院者、护理院管理人员、护理员和厨房工作人员。访谈面对面进行,记录和转录,并使用专题方法分析调查结果。结果:共有17名参与者参加了这项研究,他们来自伦敦外一个自治市镇的4家养老院,研究结果与营养和口腔健康有关。在入院时收集居民的食物偏好,包括新居民的生活方式、日常生活和选择的信息。工作人员尽可能维护这些设施,并尽可能满足居民的选择。更广泛的食物选择机会取决于居民要求替代品的能力和意愿,他们购买自己食物的财务自由,在养老院之外获取食物的机动性以及家人和朋友购买的食物。更糟糕的是,为了控制体重,医生给居民开了高热量、高糖的膳食。参与者报告说,有组织的日常生活围绕着吃饭和活动展开。大多数护理人员报告说,在用餐时间提供了另一种健康选择,但并非所有家庭都是如此。护理人员面临着管理有食欲减退的居民的体重的挑战,他们试图为有这些经历的人提供食宿,并意识到如何提出关注。强制性培训期望各不相同,没有将口腔健康和营养结合起来。讨论:研究结果对家庭之间和家庭内部的差异提供了有价值的见解,并突出了这一复杂群体在营养选择方面的挑战。至关重要的是,要有一系列的食物选择,以保护居民选择他们想要吃的东西的权利,同时提供健康的选择,并教育所有护理人员提供均衡、营养的膳食和零食选择。通过提供一系列的食物,健康的选择可以是更容易的选择。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
BDJ Open
BDJ Open Dentistry-Dentistry (all)
CiteScore
3.70
自引率
3.30%
发文量
34
审稿时长
30 weeks
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