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Additional feeding assistance improves the energy and protein intakes of hospitalised elderly patients. A health services evaluation

Journal Article


Abstract


  • Malnutrition is a serious issue that is prevalent in elderly hospitalised patients. Traditionally the role of feeding was designated to the nurse; however competing tasks mean that additional support for feeding assistance is needed. A program that utilises volunteers during weekday lunchtimes to assist, feed and socialise with patients at a Sydney hospital began during 2005. Twenty-three patients (mean age: 83.2 +/- 8.9 years) participated in this study. Observations and weighed plate waste were recorded for each patient for all meals on two weekdays (when volunteers present) and two weekend days (when volunteers not present). Grip strength, Mini-Nutritional Assessments and interviews were conducted with patients, and surveys with volunteers and staff. Lunchtime energy and protein intakes increased significantly (396 kJ and 4.3 g respectively) when volunteers were present. Volunteers spent an average of 12.3 min with each patient at lunchtime, compared to 4.7 min for nurses. Nurses indicated time barriers to feeding patients but were positive about the value of the program. Volunteers were commonly observed feeding, setting up meals and providing encouragement to patients. Additional feeding assistance is one effective strategy to increase the energy and protein intakes and combat malnutrition in elderly inpatients. (C) 2012 Elsevier Ltd. All rights reserved.

Authors


  •   Manning, Fiona (external author)
  •   Harris, Kerri (external author)
  •   Duncan, Rhys (external author)
  •   Walton, Karen L.
  •   Bracks, Julie (external author)
  •   Larby, Lyndal (external author)
  •   Vari, Linda (external author)
  •   Jukkola, Katja (external author)
  •   Bell, Janet P.
  •   Chan, Maria C.
  •   Batterham, Marijka

Publication Date


  • 2012

Citation


  • Manning, F., Harris, K., Duncan, R., Walton, K., Bracks, J., Larby, L., Vari, L., Jukkola, K., Bell, J., Chan, M. & Batterham, M. (2012). Additional feeding assistance improves the energy and protein intakes of hospitalised elderly patients. A health services evaluation. Appetite, 59 (2), 471-477.

Scopus Eid


  • 2-s2.0-84863759356

Ro Metadata Url


  • http://ro.uow.edu.au/hbspapers/3073

Has Global Citation Frequency


Number Of Pages


  • 6

Start Page


  • 471

End Page


  • 477

Volume


  • 59

Issue


  • 2

Place Of Publication


  • Netherlands

Abstract


  • Malnutrition is a serious issue that is prevalent in elderly hospitalised patients. Traditionally the role of feeding was designated to the nurse; however competing tasks mean that additional support for feeding assistance is needed. A program that utilises volunteers during weekday lunchtimes to assist, feed and socialise with patients at a Sydney hospital began during 2005. Twenty-three patients (mean age: 83.2 +/- 8.9 years) participated in this study. Observations and weighed plate waste were recorded for each patient for all meals on two weekdays (when volunteers present) and two weekend days (when volunteers not present). Grip strength, Mini-Nutritional Assessments and interviews were conducted with patients, and surveys with volunteers and staff. Lunchtime energy and protein intakes increased significantly (396 kJ and 4.3 g respectively) when volunteers were present. Volunteers spent an average of 12.3 min with each patient at lunchtime, compared to 4.7 min for nurses. Nurses indicated time barriers to feeding patients but were positive about the value of the program. Volunteers were commonly observed feeding, setting up meals and providing encouragement to patients. Additional feeding assistance is one effective strategy to increase the energy and protein intakes and combat malnutrition in elderly inpatients. (C) 2012 Elsevier Ltd. All rights reserved.

Authors


  •   Manning, Fiona (external author)
  •   Harris, Kerri (external author)
  •   Duncan, Rhys (external author)
  •   Walton, Karen L.
  •   Bracks, Julie (external author)
  •   Larby, Lyndal (external author)
  •   Vari, Linda (external author)
  •   Jukkola, Katja (external author)
  •   Bell, Janet P.
  •   Chan, Maria C.
  •   Batterham, Marijka

Publication Date


  • 2012

Citation


  • Manning, F., Harris, K., Duncan, R., Walton, K., Bracks, J., Larby, L., Vari, L., Jukkola, K., Bell, J., Chan, M. & Batterham, M. (2012). Additional feeding assistance improves the energy and protein intakes of hospitalised elderly patients. A health services evaluation. Appetite, 59 (2), 471-477.

Scopus Eid


  • 2-s2.0-84863759356

Ro Metadata Url


  • http://ro.uow.edu.au/hbspapers/3073

Has Global Citation Frequency


Number Of Pages


  • 6

Start Page


  • 471

End Page


  • 477

Volume


  • 59

Issue


  • 2

Place Of Publication


  • Netherlands