Aims And Objectives: To use the evolutionary method of concept analysis to identify attributes, antecedents and consequences of mealtime difficulties providing direction for assessment and management in older adults with dementia.
Background: Mealtimes encompass more than the physical act of feeding a person with dementia. Social and contextual considerations are vital considerations to improving nutritional intake. While feeding difficulties in dementia have been analysed in the literature, this paper proposes a broader scope of mealtime considerations to alleviate nutritional deficiencies often associated with dementia.
Design: Evolutionary method of concept analysis.
Methods: In 2008, literature searches using keywords (meal, history, sociology, mealtime, culture, habit, dementia, dementia) were done in CINAHL, Academic Search Premiere, MasterFILE, Americal Life and History, Communication and Mass Media Complete, EJS, Health Source Plus-Academic, PsychARTICLES and PsychINFO, ScienceDirect, Sociological Abstracts and Google. Year limits were from 1988-2008. A total of 659 abstracts were reviewed, Google, books and textbooks with relevant content.
Results: Fourty-eight sources were used in the final analysis of mealtime difficulties in older adults with dementia. A model of mealtime difficulties delineates attributes, antecedents and consequences.
Conclusions: Mealtime difficulties in dementia emerged as a concept with supporting evidence-based practice guidelines in 2003. Most research has been conducted in institutional settings, but community research is growing as the shifting demographics of ageing demand attention for this setting. Interventions vary in effectiveness for alleviating sequelae of mealtime difficulties in older adults with dementia.
Relevance To Clinical Practice: The conceptual model of mealtime difficulties provides a broader scope of mealtime difficulties in dementia that considers environmental, social, cultural and contextual implications with nutritional intake. The model can be used to guide future research to alleviate mealtime difficulties in older adults with dementia.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1111/j.1365-2702.2009.02969.x | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Comorbidity of Histamine Intolerance and Polyvalent Allergy: A Case Report and Literature Review.
Healthcare (Basel)
January 2025
Department of Prevention of Environmental Hazards Allergology and Immunology, Medical University of Warsaw, 02-097 Warsaw, Poland.
Histamine intolerance is becoming a critical medical problem across numerous clinical specialties, due to the absence of a standardized diagnostic and therapeutic strategy to manage patients with a suspicion of or diagnosis of this condition. Histamine intolerance is a type of non-immune food hypersensitivity, characterized by heterogenous etiologies and a very broad range of symptoms. The condition is the result of an imbalance between the amount of histamine accumulated within the body and the body's systemic ability to degrade it.
View Article and Find Full Text PDFTowards developing a "baby translator" - An exploration of how infant appetite cues are understood.
Appetite
February 2025
School of Psychology, University of Leeds, Leeds, LS2 9JT, UK. Electronic address:
Caregivers' feeding practices shape their child's eating patterns and subsequent health. Research shows that sensitive feeding is linked to healthy development and self-regulation but depends on caregiver responsiveness to infant needs and appetite cues. Responsive feeding (RF) is influenced both by characteristics of the caregiver and expressiveness of the infant.
View Article and Find Full Text PDFFeasibility and Usage of a Virtual Assistant Device in Cognitively Impaired Homebound Older Adults.
J Appl Gerontol
January 2025
Joan and Stanford Alexander Division of Geriatric and Palliative Medicine, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, TX, USA.
Social technology in older adults can improve self-rated health; however, there can also be difficulties using it. Our study aimed to evaluate the feasibility and acceptance of virtual assistant device (VAD) use in cognitively impaired homebound older adults. 52 newly referred Meals on Wheels clients aged 60 and older were recruited for a three-phase study: 6 weeks of meals alone (control), followed by 6 weeks of meals+Alexa Echo Show 8 (AES8) basic usage, and lastly 6 weeks of meals+AES8 advanced usage.
View Article and Find Full Text PDFBarriers and Facilitators to Implementing Food is Medicine for the Management of Type 2 Diabetes in China.
J Gen Intern Med
December 2024
School of Public Health, Harbin Medical University, Harbin, China.
Article Synopsis
- The study explores the feasibility of implementing the 'Food is Medicine' intervention for managing type 2 diabetes in China, considering the distinct dietary culture and habits.
- Interviews and focus groups were conducted with 97 individuals across three Chinese provinces, revealing concerns about meal costs and dietary knowledge, while identifying key facilitators like clinician support and community collaboration.
- Despite some barriers, the research suggests that tailored 'Food is Medicine' interventions could be effective in addressing type 2 diabetes in China by leveraging local resources and practices.
Nutritional management and autism spectrum disorder: A systematic review.
World J Clin Pediatr
December 2024
Department of Pediatric, Faculty of Medicine, Tanta University, Tanta 31511, Alghrabia, Egypt.
Background: Autism spectrum disorder (ASD) presents unique challenges related to feeding and nutritional management. Children with ASD often experience feeding difficulties, including food selectivity, refusal, and gastrointestinal issues. Various interventions have been explored to address these challenges, including dietary modifications, vitamin supplementation, feeding therapy, and behavioral interventions.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!