Canadian Journal of Dietetic Practice and Research最新文献

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Improving Malnutrition Screening among Hemodialysis Patients. 改善血液透析患者的营养不良筛查。
IF 0.7 4区 医学
Canadian Journal of Dietetic Practice and Research Pub Date : 2024-09-01 Epub Date: 2024-07-10 DOI: 10.3148/cjdpr-2024-002
Arti Sharma Parpia, Teresa J Valenzano, Rachael Bosma, Brianna Bavota, Gabrielle Deveaux, Ron Wald, Kimberley Bradley
{"title":"Improving Malnutrition Screening among Hemodialysis Patients.","authors":"Arti Sharma Parpia, Teresa J Valenzano, Rachael Bosma, Brianna Bavota, Gabrielle Deveaux, Ron Wald, Kimberley Bradley","doi":"10.3148/cjdpr-2024-002","DOIUrl":"10.3148/cjdpr-2024-002","url":null,"abstract":"<p><p>Individuals receiving hemodialysis are at increased risk of malnutrition; however, regular diagnosis of malnutrition using subjective global assessment (SGA) is time-consuming. This study aimed to determine whether the Canadian Nutrition Screening Tool (CNST) or the Geriatric Nutrition Risk Index (GNRI) screening tools could accurately identify hemodialysis patients at risk for malnutrition. A retrospective medical chart review was conducted for in-centre day shift hemodialysis patients (n = 95) to obtain the results of the SGA assessment and the CNST screener and to calculate the GNRI score. Sensitivity and specificity analyses showed only a fair agreement between the SGA and CNST (sensitivity = 20%; specificity 96%; κ = .210 (95% CI, -0.015 to .435), <i>p</i> < .05) and between the SGA and GNRI (sensitivity = 35%; specificity = 88%; κ = .248 (95% CI, .017 to .479), <i>p</i> < .05). There was no significant statistical difference between the accuracy of either tool in identifying patients at risk of malnutrition (<i>p</i> = .50). The CNST and GNRI do not accurately screen for risk of malnutrition in the hemodialysis population; therefore, further studies are needed to determine an effective malnutrition screening tool in this population.</p>","PeriodicalId":56135,"journal":{"name":"Canadian Journal of Dietetic Practice and Research","volume":" ","pages":"157-160"},"PeriodicalIF":0.7,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141581658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dietary Sugar and Anthropometrics among Young Children in the Guelph Family Health Study: Longitudinal Associations. 圭尔夫家庭健康研究》中幼儿的膳食糖和人体测量指标:纵向关联。
IF 0.7 4区 医学
Canadian Journal of Dietetic Practice and Research Pub Date : 2024-09-01 Epub Date: 2024-06-05 DOI: 10.3148/cjdpr-2024-001
Anisha Mahajan, Alison M Duncan, Gerarda Darlington, Jess Haines, David W L Ma, Andrea C Buchholz
{"title":"Dietary Sugar and Anthropometrics among Young Children in the Guelph Family Health Study: Longitudinal Associations.","authors":"Anisha Mahajan, Alison M Duncan, Gerarda Darlington, Jess Haines, David W L Ma, Andrea C Buchholz","doi":"10.3148/cjdpr-2024-001","DOIUrl":"10.3148/cjdpr-2024-001","url":null,"abstract":"<p><p><b>Purpose:</b> Our understanding of the influence of sugar intake on anthropometrics among young children is limited. Most existing research is cross-sectional and has focused on sugar-sweetened beverages. The study objective was to investigate longitudinal associations between young children's total, free, and added sugar intake from all food sources at baseline with anthropometric measures at baseline and 18 months.<b>Methods:</b> The Guelph Family Health Study (GFHS) is an ongoing randomized controlled trial and a family-based health promotion study. Food records and anthropometric data were collected at baseline (n = 109, 55 males; 3.7 ± 1.1 y, mean ± SD) and 18 months (n = 109, 55 males; 5.1 ± 1.1 y) of the GFHS pilots. Associations between sugar intakes and anthropometrics were estimated using linear regression models with generalized estimating equations adjusted for age, sex, household income, and intervention status.<b>Results:</b> Total sugar intake was inversely associated with body weight at 18 months (<i>P</i> = 0.01). There was no effect of time on any other associations between total, free, and added sugar intakes and anthropometrics.<b>Conclusions:</b> Early life dietary sugar intakes may not relate to anthropometric measures in the short term. Further investigation into potential associations between dietary sugar intakes and anthropometric variables over longer time periods is warranted.</p>","PeriodicalId":56135,"journal":{"name":"Canadian Journal of Dietetic Practice and Research","volume":" ","pages":"132-139"},"PeriodicalIF":0.7,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141249261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Co-Development of Three Dietary Indices to Facilitate Dietary Intake Assessment of Pediatric Crohn's Disease Patients. 共同开发三种膳食指标,促进对小儿克罗恩病患者的膳食摄入评估。
IF 0.7 4区 医学
Canadian Journal of Dietetic Practice and Research Pub Date : 2024-09-01 Epub Date: 2024-04-18 DOI: 10.3148/cjdpr-2024-005
Antonia Harvey, Jessica Mannette, Rotem Sigall-Boneh, Brad Macintyre, Matthew Parrott, Leah Cahill, Jessica Connors, Anthony Otley, Jennifer Haskett, Johan van Limbergen, Shannan Grant
{"title":"Co-Development of Three Dietary Indices to Facilitate Dietary Intake Assessment of Pediatric Crohn's Disease Patients.","authors":"Antonia Harvey, Jessica Mannette, Rotem Sigall-Boneh, Brad Macintyre, Matthew Parrott, Leah Cahill, Jessica Connors, Anthony Otley, Jennifer Haskett, Johan van Limbergen, Shannan Grant","doi":"10.3148/cjdpr-2024-005","DOIUrl":"10.3148/cjdpr-2024-005","url":null,"abstract":"<p><p>Literature on dietary behaviours of the pediatric Crohn's Disease (CD) population and the relationship between dietary intake and CD activity is limited. Three dietary indices were developed and tested to conduct dietary pattern analysis in pediatric patients with CD consuming a free diet following remission induction via exclusive enteral nutrition (<i>n</i> = 11). Index scores underwent descriptive and inferential analysis. The mean adjusted scores (out of 100) for the <i>Pediatric Western Diet Index, Pediatric Prudent Diet Index,</i> and <i>Pediatric-Adapted 2010 Alternate Healthy Eating Index (PA2010-AHEI)</i> were 29.82 ± 15.22, 34.25 ± 15.18, and 51.50 ± 11.69, respectively. The mean Western-to-Prudent ratio was 0.94 ± 0.55. A significant correlation (<i>r</i> = -0.71) and relationship (F<sub>[1, 9]</sub> = 9.04, <i>P</i> < 0.05, <i>R</i><sup>2</sup> = 0.501) between the Western-to-Prudent ratio and PA2010-AHEI was found. The results suggest participants were not following a Western or Prudent diet, and were consuming foods not captured by the indices. More research is needed to describe dietary intake of individuals with CD, validate dietary indices in diverse samples, and explore the utility of these indices in CD assessment and treatment. The co-authors hope this work will stimulate/inspire subsequent interprofessional, dietitian-led research on this topic.</p>","PeriodicalId":56135,"journal":{"name":"Canadian Journal of Dietetic Practice and Research","volume":" ","pages":"161-168"},"PeriodicalIF":0.7,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140869250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
CELEBRATE Feeding: A Responsive Approach to Food and Feeding in Early Learning Settings. 庆祝喂养:早期教育机构中的食物和喂养应对方法》(CELEBRATE Feeding: A Responsive Approach to Food and Feeding in Early Learning Settings)。
IF 0.7 4区 医学
Canadian Journal of Dietetic Practice and Research Pub Date : 2024-09-01 Epub Date: 2024-07-26 DOI: 10.3148/cjdpr-2024-009
Melissa D Rossiter, Margaret Young, Elizabeth Dickson, Julie E Campbell, Sarah Caldwell, Jessie-Lee Mcisaac
{"title":"CELEBRATE Feeding: A Responsive Approach to Food and Feeding in Early Learning Settings.","authors":"Melissa D Rossiter, Margaret Young, Elizabeth Dickson, Julie E Campbell, Sarah Caldwell, Jessie-Lee Mcisaac","doi":"10.3148/cjdpr-2024-009","DOIUrl":"10.3148/cjdpr-2024-009","url":null,"abstract":"<p><p>Early learning and child care (ELCC) settings in Canada follow nutrition standards that outline food provisions, with many also encouraging responsive feeding practices that help to create a supportive environment for children. Caregivers who lack confidence in children's ability to regulate their own intake, or those who feel stressed about mealtime, may unknowingly engage in less responsive feeding practices. The CELEBRATE Feeding Approach is a flexible framework, driven by behaviour change theory, that builds on previous definitions and concepts of responsive feeding in ELCC environments. Through this approach, there is an intentional focus on supporting early childhood educators to implement feeding practices that are more responsive. The approach incorporates 13 target educator behaviours related to the three overlapping categories of CELEBRATE language, CELEBRATE Mealtime, and CELEBRATE Play. These practices recognize and support the development of a child's sense of autonomy, confidence, and self-regulation not only at mealtimes but also through play-based exploration and language that is used throughout the day around food and feeding. The goal is that children will be open to a wide variety of food, develop their self-regulation skills, and build the foundation for a positive relationship with food throughout their lifetime.</p>","PeriodicalId":56135,"journal":{"name":"Canadian Journal of Dietetic Practice and Research","volume":" ","pages":"169-173"},"PeriodicalIF":0.7,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141762966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Social factors associated with changes in nutrition risk scores measured using SCREEN-8: data from the Canadian Longitudinal Study on Aging. 与使用 SCREEN-8 测量的营养风险评分变化相关的社会因素:来自加拿大老龄化纵向研究的数据。
IF 0.9 4区 医学
Canadian Journal of Dietetic Practice and Research Pub Date : 2024-06-01 Epub Date: 2024-06-03 DOI: 10.3148/cjdpr-2024-014
Christine Marie Mills, Heather Keller, Vincent G DePaul, Catherine Donnelly
{"title":"Social factors associated with changes in nutrition risk scores measured using SCREEN-8: data from the Canadian Longitudinal Study on Aging.","authors":"Christine Marie Mills, Heather Keller, Vincent G DePaul, Catherine Donnelly","doi":"10.3148/cjdpr-2024-014","DOIUrl":"10.3148/cjdpr-2024-014","url":null,"abstract":"<p><p><b>Purpose:</b> To examine the social network factors associated with changes in nutrition risk scores, measured by SCREEN-8, over three years, in community-dwelling Canadians aged 45 years and older, using data from the Canadian Longitudinal Study on Aging (CLSA).<b>Methods:</b> Change in SCREEN-8 scores between the baseline and first follow-up waves of the CLSA was calculated by subtracting SCREEN-8 scores at follow-up from baseline scores. Multivariable linear regression was used to examine the factors associated with change in SCREEN-8 score.<b>Results:</b> The mean SCREEN-8 score at baseline was 38.7 (SD = 6.4), and the mean SCREEN-8 score at follow-up was 37.9 (SD = 6.6). The mean change in SCREEN-8 score was -0.90 (SD = 5.99). Higher levels of social participation (participation in community activities) were associated with increases in SCREEN-8 scores between baseline and follow-up, three years later.<b>Conclusions:</b> Dietitians should be aware that individuals with low levels of social participation may be at risk for having their nutritional status decrease over time and consideration should be given to screening them proactively for nutrition risk. Dietitians can develop and support programs aimed at combining food with social participation.</p>","PeriodicalId":56135,"journal":{"name":"Canadian Journal of Dietetic Practice and Research","volume":" ","pages":"83-90"},"PeriodicalIF":0.9,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141201321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Monitoring Food Affordability: Reliability and Validity of an Online Nutritious Food Basket. 监测食品负担能力:在线营养菜篮子的可靠性和有效性。
IF 0.9 4区 医学
Canadian Journal of Dietetic Practice and Research Pub Date : 2024-06-01 Epub Date: 2024-03-11 DOI: 10.3148/cjdpr-2023-022
Liza Boyar, Ellis Lakhani, Ivan Ho, Bridget King, Lauren Kennedy, Mary Ellen Prange, Daniel Harrington, Rachel Prowse
{"title":"Monitoring Food Affordability: Reliability and Validity of an Online Nutritious Food Basket.","authors":"Liza Boyar, Ellis Lakhani, Ivan Ho, Bridget King, Lauren Kennedy, Mary Ellen Prange, Daniel Harrington, Rachel Prowse","doi":"10.3148/cjdpr-2023-022","DOIUrl":"10.3148/cjdpr-2023-022","url":null,"abstract":"<p><p><b>Purpose:</b> This study aimed to assess the reliability and validity of an online approach to monitoring food affordability in Ontario using the updated Ontario Nutritious Food Basket (ONFB).<b>Methods:</b> The ONFB was priced online in 12 large multi-chain grocery stores to test intra-/inter-rater reliability using percent agreement and intra-class correlations (ICCs). Then, the ONFB was priced in-store and online in 28 stores to estimate food price differences using paired t-tests and Pearson's correlation for all (n =1708) and matched items (same product/brand and purchase unit) (n = 1134).<b>Results:</b> Intra-/inter-rater agreement was high (95.4%/81.6%; ICC = 0.972, F = 69.9, <i>p</i> < 0.001). On average, in-store prices were less than $0.02 lower than online prices. There were no significant differences between mean in-store and online prices for all items (t = 0.504 <i>p</i> = 0.614). The mean price was almost perfectly correlated between in-store and online (fully matched: R = 0.993 <i>p</i> < 0.001; all items: R = 0.967 <i>p</i> < 0.001). Online monthly ONFB estimates for a family of four were strongly correlated (R = 0.937 <i>p</i> < 0.001) with estimates calculated using in-store data.<b>Conclusions:</b> Online pricing is a reliable and valid approach to food costing in Ontario that contributes to modernizing the monitoring of food affordability in Canada and abroad.</p>","PeriodicalId":56135,"journal":{"name":"Canadian Journal of Dietetic Practice and Research","volume":" ","pages":"59-65"},"PeriodicalIF":0.9,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140095228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Nutrition for Older Adults: Nourishing Body AND Soul. 老年人的营养:滋养身体和灵魂。
IF 0.9 4区 医学
Canadian Journal of Dietetic Practice and Research Pub Date : 2024-06-01 DOI: 10.3148/cjdpr-2024-015
Naomi Cahill
{"title":"Nutrition for Older Adults: Nourishing Body AND Soul.","authors":"Naomi Cahill","doi":"10.3148/cjdpr-2024-015","DOIUrl":"https://doi.org/10.3148/cjdpr-2024-015","url":null,"abstract":"","PeriodicalId":56135,"journal":{"name":"Canadian Journal of Dietetic Practice and Research","volume":"85 2","pages":"58"},"PeriodicalIF":0.9,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141422031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Indigenous Identity and Household Food Insecurity are Associated with Poor Health Outcomes in Canada. 加拿大原住民身份和家庭粮食不安全与不良健康结果有关。
IF 0.7 4区 医学
Canadian Journal of Dietetic Practice and Research Pub Date : 2024-06-01 Epub Date: 2024-03-13 DOI: 10.3148/cjdpr-2023-024
Noreen D Willows, Olivia K Loewen, Rosanne Blanchet, Stephanie L Godrich, Paul J Veugelers, Alexander Research Committee
{"title":"Indigenous Identity and Household Food Insecurity are Associated with Poor Health Outcomes in Canada.","authors":"Noreen D Willows, Olivia K Loewen, Rosanne Blanchet, Stephanie L Godrich, Paul J Veugelers, Alexander Research Committee","doi":"10.3148/cjdpr-2023-024","DOIUrl":"10.3148/cjdpr-2023-024","url":null,"abstract":"<p><p><b>Purpose:</b> To examine whether Indigenous identity and food insecurity combined were associated with self-reported poor health.<b>Methods:</b> Data from the 2015-2016 Canadian Community Health Survey and multiple logistic regression were employed to evaluate the association between Indigenous identity, household food insecurity, and health outcomes, adjusted for individual and household covariates. The Alexander Research Committee in Alexander First Nation (Treaty 6) reviewed the manuscript and commented on the interpretation of study findings.<b>Results:</b> Data were from 59082 adults (3756 Indigenous). The prevalence of household food insecurity was 26.3% for Indigenous adults and 9.8% for non-Indigenous adults (weighted to the Canadian population). Food-secure Indigenous adults, food-insecure non-Indigenous adults, and food-insecure Indigenous adults had significantly (<i>p</i> < 0.001) greater odds of poor health outcomes than food-secure non-Indigenous adults (referent group). Food-insecure Indigenous adults had 1.96 [95% CI:1.53,2.52], 3.73 [95% CI: 2.95,4.72], 3.00 [95% CI:2.37,3.79], and 3.94 [95% CI:3.02,5.14] greater odds of a chronic health condition, a chronic mental health disorder, poor general health, and poor mental health, respectively, compared to food-secure non-Indigenous adults.<b>Conclusions:</b> Health policy decisions and programs should focus on food security initiatives for all Canadians, including addressing the unique challenges of Indigenous communities, irrespective of their food security status.</p>","PeriodicalId":56135,"journal":{"name":"Canadian Journal of Dietetic Practice and Research","volume":" ","pages":"76-82"},"PeriodicalIF":0.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140112313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Older Adults' Perceptions of the 2019 Canada's Food Guide: A Qualitative Study. 老年人对 2019 年《加拿大食品指南》的看法:定性研究。
IF 0.9 4区 医学
Canadian Journal of Dietetic Practice and Research Pub Date : 2024-06-01 Epub Date: 2024-04-05 DOI: 10.3148/cjdpr-2023-029
Virginie Drolet-Labelle, Danielle Laurin, Alexandra Bédard, Vicky Drapeau, Sophie Desroches
{"title":"Older Adults' Perceptions of the 2019 Canada's Food Guide: A Qualitative Study.","authors":"Virginie Drolet-Labelle, Danielle Laurin, Alexandra Bédard, Vicky Drapeau, Sophie Desroches","doi":"10.3148/cjdpr-2023-029","DOIUrl":"10.3148/cjdpr-2023-029","url":null,"abstract":"<p><p><b>Purpose:</b> Major changes were made to Canada's Food Guide (CFG) in 2019. This study aimed to understand the perceptions of older adults toward this newest version.<b>Methods:</b> Older adults were invited to participate via newsletters sent to older adults and retirees' organizations in the Province of Quebec. Participants completed an online survey about their baseline familiarity with the 2019 CFG using a 5-point Likert scale and took part in an individual semi-structured online interview, which explored their perceptions toward the 2019 CFG. A thematic qualitative analysis of the interview transcripts was performed.<b>Results:</b> Fifty-eight older adults (>65 years, 30 women, 28 men, including 19 consumers and 39 non-consumers of plant-based protein (PBP) foods) participated in the study. Older adults were mostly familiar with the 2019 CFG and had a positive perception of its features. They appreciated the design, proposed recipes, and healthy eating recommendations. Perceptions about the three food groups were mixed, mainly regarding the decreased emphasis on dairy products. Some appreciated that animal proteins were less prominent, while others raised issues on how to integrate PBP into their diet. Perceptions appeared to be influenced by sex and PBP consumption.<b>Conclusion:</b> Older adults in the Province of Quebec view most of the 2019 CFG recommendations positively. Our observations may be useful to dietitians and public health practitioners when developing strategies to improve adherence.</p>","PeriodicalId":56135,"journal":{"name":"Canadian Journal of Dietetic Practice and Research","volume":" ","pages":"111-114"},"PeriodicalIF":0.9,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140872316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Eating at Risk within Long-Term Care: A Case for the Relational Ethics Lens. 长期护理中的饮食风险:关系伦理学透镜案例。
IF 0.7 4区 医学
Canadian Journal of Dietetic Practice and Research Pub Date : 2024-06-01 Epub Date: 2024-03-15 DOI: 10.3148/cjdpr-2023-028
Rebekah Sandhu, Meara Brown, Jodi Webber
{"title":"Eating at Risk within Long-Term Care: A Case for the Relational Ethics Lens.","authors":"Rebekah Sandhu, Meara Brown, Jodi Webber","doi":"10.3148/cjdpr-2023-028","DOIUrl":"10.3148/cjdpr-2023-028","url":null,"abstract":"<p><p>Within long-term care homes (LTCHs), conflicts occur between residents' desires, LTCH constraints, and healthcare providers' concerns about risks of harm. Due to the high prevalence of dysphagia and malnutrition in these settings, decisions regarding food choices are a common source of such tensions. Existing biomedical ethical models fail to capture the complexity of the interprofessional chronic care environment. This article proposes an alternative ethical lens, the relational ethics model. We describe a case illustrating the application of a decision-making framework with a relational ethics lens for a resident with severe dysphagia and malnutrition. We highlight how the bioethics model excludes important actors from ethical decision making. We encourage registered dietitians working in LTCH to incorporate a relational ethics model into their practice to help identify resident's values and bring attention to the interconnectedness of caring relationships and contextual factors. This approach can inform difficult decisions regarding the food and nutrition choices of residents and may facilitate meaningful outcomes for both individuals and the long-term care community.</p>","PeriodicalId":56135,"journal":{"name":"Canadian Journal of Dietetic Practice and Research","volume":" ","pages":"91-94"},"PeriodicalIF":0.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140137534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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