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Addressing the nutritional needs of older people in residential care homes

2011; Wiley; Volume: 20; Issue: 2 Linguagem: Inglês

10.1111/j.1365-2524.2011.01033.x

1365-2524

Joy Merrell, Susan Philpin, Joanne Warring, Debra Hobby, Vic Gregory,

Obesity and Health Practices

Health & Social Care in the CommunityVolume 20, Issue 2 p. 208-215 Addressing the nutritional needs of older people in residential care homes Joy Merrell PhD MSc BSc (Hons) Nursing RGN RHV RNT HV Tut Cert, Joy Merrell PhD MSc BSc (Hons) Nursing RGN RHV RNT HV Tut Cert College of Human and Health Sciences, Swansea University, Swansea, Wales, UKSearch for more papers by this authorSusan Philpin PhD MPhil BSc Econ (Hons) RGN DipDistrict Nursing PGCE (FE), Susan Philpin PhD MPhil BSc Econ (Hons) RGN DipDistrict Nursing PGCE (FE) College of Human and Health Sciences, Swansea University, Swansea, Wales, UKSearch for more papers by this authorJoanne Warring MA, BSc, RN, Joanne Warring MA, BSc, RN College of Human and Health Sciences, Swansea University, Swansea, Wales, UKSearch for more papers by this authorDebra Hobby NVQ Level 4 Care, City and Guilds Care Management, Debra Hobby NVQ Level 4 Care, City and Guilds Care Management Department of Adult Services, City and County of Swansea Directorate of Social Services, Swansea, Wales, UKSearch for more papers by this authorVic Gregory Dip Welfare Studies, Vic Gregory Dip Welfare Studies Department of Adult Services, City and County of Swansea Directorate of Social Services, Swansea, Wales, UKSearch for more papers by this author Joy Merrell PhD MSc BSc (Hons) Nursing RGN RHV RNT HV Tut Cert, Joy Merrell PhD MSc BSc (Hons) Nursing RGN RHV RNT HV Tut Cert College of Human and Health Sciences, Swansea University, Swansea, Wales, UKSearch for more papers by this authorSusan Philpin PhD MPhil BSc Econ (Hons) RGN DipDistrict Nursing PGCE (FE), Susan Philpin PhD MPhil BSc Econ (Hons) RGN DipDistrict Nursing PGCE (FE) College of Human and Health Sciences, Swansea University, Swansea, Wales, UKSearch for more papers by this authorJoanne Warring MA, BSc, RN, Joanne Warring MA, BSc, RN College of Human and Health Sciences, Swansea University, Swansea, Wales, UKSearch for more papers by this authorDebra Hobby NVQ Level 4 Care, City and Guilds Care Management, Debra Hobby NVQ Level 4 Care, City and Guilds Care Management Department of Adult Services, City and County of Swansea Directorate of Social Services, Swansea, Wales, UKSearch for more papers by this authorVic Gregory Dip Welfare Studies, Vic Gregory Dip Welfare Studies Department of Adult Services, City and County of Swansea Directorate of Social Services, Swansea, Wales, UKSearch for more papers by this author First published: 11 October 2011 https://doi.org/10.1111/j.1365-2524.2011.01033.xCitations: 37 Professor Joy Merrell College of Human and Health Sciences Glyndwr Building Swansea University Singleton Park Swansea Wales, UK E-mail: [email protected] Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Abstract In the UK and Europe, malnutrition in older people is a significant and continuing problem. Malnutrition predisposes to disease, impedes recovery from illness, increases mortality and is costly to society. Despite the high number of older people potentially at risk, malnutrition in care homes has been under explored. There is concern that national guidelines regarding the nutritional care of older people in residential care homes are not always implemented. This qualitative study explored the factors that influence the nutritional care provided to residents in two different types of local authority residential care homes (providing personal care) in Wales. One home had communal dining rooms; the other had eight bedded units with their own kitchen and dining facilities. The sample of 45 participants, comprised 19 staff (managers, care and catering staff), 16 residents and 10 residents’ relatives. Data were collected using semi-structured interviews, focus groups, observation and documentary review between August 2009 and January 2010. This paper focuses on how staff assessed and addressed residents’ nutritional needs. In both care homes, staff strove to be responsive to residents’ dietary preferences, provided person-centred care and worked in partnership with residents and their families to provide nutritious food in a homely environment. Neither home conducted nutritional screening to identify those at risk of malnutrition, contrary to national guidelines, but relied on ad hoc observation and monitoring. The staff’s knowledge of special dietary needs was limited. A need for further training for care home staff regarding the importance of nutrition in maintaining health in older people, use of nutritional screening and special dietary needs was identified. 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