Document Detail

Factors influencing the proportion of food consumed by nursing home residents with dementia.
MedLine Citation:
PMID:  10404936     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Assessment of and interventions for promoting eating in persons with late-stage dementia have primarily focused on facilitation of safe feeding and methods to promote ingestion of nutrients via several routes. Using Social Exchange Theory, this study examined how the quality of the interaction between care giver and care receiver influenced the proportion of food consumed by persons with late-stage dementia. METHODS: Fifty-three dyads composed of nursing home residents with late-stage dementia and Certified Nursing Assistants (CNAs) were observed during the breakfast meal. The proportion of food consumed by the residents was measured by weight. The study included measures of the quality of interaction between the resident and the CNA (Interaction Behavior Measure-Modified (IBM-M) and the IBM), CNA empathy (Interpersonal Reactivity Index), and CNA power (Control subscale of the FIRO-B). RESULTS: Specific resident behaviors and the CNA's ability to allow another person to control a relationship were most predictive of the variance in the proportion of food consumed (R2 = .41; F(3,49) = 12.54; P < .001). The quality of the resident-CNA interaction accounted for 32% of the variance in the proportion of food consumed. One aspect of power was correlated significantly to the proportion of food consumed whereas CNA empathy was not. CONCLUSIONS: Because eating is the most social of all ADLs and is culturally bound, clinicians need to examine the interactional components of meals within the caregiving dyad when a person with late-stage dementia fails to ingest adequate nutrients.
E J Amella
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of the American Geriatrics Society     Volume:  47     ISSN:  0002-8614     ISO Abbreviation:  J Am Geriatr Soc     Publication Date:  1999 Jul 
Date Detail:
Created Date:  1999-07-22     Completed Date:  1999-07-22     Revised Date:  2008-03-10    
Medline Journal Info:
Nlm Unique ID:  7503062     Medline TA:  J Am Geriatr Soc     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  879-85     Citation Subset:  IM    
College of Nursing, Medical University of South Carolina, Charleston 29425, USA.
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MeSH Terms
Aged, 80 and over
Analysis of Variance
Dementia / complications*
Eating Disorders / diagnosis,  etiology*,  prevention & control,  psychology*
Energy Intake*
Geriatric Assessment
Internal-External Control
Middle Aged
Models, Psychological
Nurses' Aides / psychology*
Nursing Homes*
Patient Participation
Power (Psychology)
Predictive Value of Tests
Professional-Patient Relations*
Risk Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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