Document Detail

Nursing home staff delivery of oral liquid nutritional supplements to residents at risk for unintentional weight loss.
MedLine Citation:
PMID:  16970644     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: To describe nursing home (NH) staff delivery of oral liquid nutritional supplements to residents with an order to receive supplementation. DESIGN: Descriptive. SETTING: Six skilled NHs. PARTICIPANTS: One hundred thirty-two long-stay residents. MEASUREMENTS: Research staff conducted direct observations for 2 days during and between meals and documented NH staff delivery of supplements, amount consumed (fluid ounces), and amount of assistance (minutes) provided by staff to encourage consumption. RESULTS: Eighty-eight percent had an order to receive a supplement one to three times daily (mode = 3); 12% had an order to receive a supplement four to six times daily. Fewer than 10% received the supplement consistent with their orders during the 2 observation days. On average, NH staff provided a supplement less than once per participant per day during or between meals. When a supplement was provided, residents consumed an average+/-standard deviation of 4.91+/-2.19 fluid ounces during meals with 6.16+/-7.46 minutes of staff assistance and 3.98+/-2.60 fluid ounces between meals with less than 1 minute of staff assistance. Participants with orders that specified time of delivery received the supplement at a significantly higher frequency between meals. CONCLUSION: Oral liquid nutritional supplements are not provided consistent with orders in NH practice. Staff spends little time promoting supplement consumption during or between meals. The specificity of the order related to time of delivery may influence when and how often supplements are provided to residents.
Sandra F Simmons; Ashish V Patel
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Journal of the American Geriatrics Society     Volume:  54     ISSN:  0002-8614     ISO Abbreviation:  J Am Geriatr Soc     Publication Date:  2006 Sep 
Date Detail:
Created Date:  2006-09-14     Completed Date:  2006-10-20     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:  1372-6     Citation Subset:  IM    
Department of Geriatrics, Borun Center for Gerontological Research, School of Medicine, University of California, Los Angeles, Los Angeles, California, USA.
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MeSH Terms
Administration, Oral
Aged, 80 and over
Dietary Supplements*
Guideline Adherence
Nursing Staff*
Nutrition Therapy / nursing*
Pharmaceutical Solutions
Skilled Nursing Facilities*
Weight Loss*
Grant Support
Reg. No./Substance:
0/Pharmaceutical Solutions
Comment In:
J Am Geriatr Soc. 2006 Sep;54(9):1463-4   [PMID:  16970659 ]

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

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