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Appetite for life: what can help improve the mealtime experience
- Author:
- MALLOY Lynn
- Journal article citation:
- Journal of Dementia Care, 19(6), November 2011, pp.35-37.
- Publisher:
- Hawker
For older people with dementia, mealtimes can be describes as an essential rhythm for each day, and can also be the source of the greatest contact between residents and care workers. In this article, the author describes her review of 13 studies from the UK on the mealtime experience for people with dementia in formal care settings. The article focuses specifically on what can help mealtimes to provide ‘food for the soul’ as much as they provide fuel for the body, and the importance of guidance and emotional support for care staff. The author concludes that mealtimes are a multifunctional experience for residents with dementia, and how care homes promote this essential activity will significantly impact on how effectively mealtimes enhance overall well-being for residents.
Implementing nutrition education programs in congregate dining service settings: a scoping review
- Authors:
- JUCKETT Lisa A., et al
- Journal article citation:
- Gerontologist, 62(2), 2022, pp.e82-e96.
- Publisher:
- Oxford University Press
Background and Objectives: Nutrition education programs implemented in congregate dining service (CDS) settings have the potential to improve healthy eating behaviors among older adult populations. However, little is understood about the types of nutrition education programs that are implemented at CDS sites and the factors that impede or promote implementation efforts. The purpose of this scoping review was to examine the characteristics of CDS nutrition education programs, barriers and supports to program implementation, and opportunities to enhance implementation of programming. Research Design and Methods: We adopted a scoping review methodology to assess the relevant literature published between January 2000 and 2020 by accessing CINAHL, SocINDEX, MEDLINE, AgeLine, and Academic Search Complete. Results: We identified 18 studies that met our inclusion criteria. The majority of nutrition education programs were led by trained facilitators, included the use of interactive activities, and also incorporated written or video materials. Programs that were adapted to the needs of older participants were perceived as supports to implementation whereas participants’ needs and resources (e.g., lack of resources and lower health literacy) were occasionally found to limit the effective implementation of programming. Discussion and Implications: As the older adult population continues to access CDS sites to address their health and nutritional needs, purposeful efforts are needed to examine the specific approaches that can support nutrition education program implementation. Future opportunities lie in assessing strategies that are effective for mitigating barriers to implementing nutrition education programming in the CDS setting. (Edited publisher abstract)
The future for meals on wheels? Reviewing innovative approaches to meal provision for ageing populations
- Authors:
- WINTERTON Rachel, WARBUNTON Jeni, OPPENHEIMER Melanie
- Journal article citation:
- International Journal of Social Welfare, 22(2), 2013, pp.141-151.
- Publisher:
- Wiley
The global phenomenon of population ageing is impacting on how community care is delivered, and a key component of health and social care services for the frail elderly is Meals on Wheels (MOW), a service that has traditionally encompassed delivering meals to older people in their homes. However, aspects of this conceptualisation of MOW are being redefined in order to address challenges posed by tightening global financial contexts, a reliance on volunteers and increasing social isolation among ageing populations. Through a review of the literature and websites from selected countries (UK, USA, Canada, Australia), this article explores and critically evaluates models of MOW delivery addressing these challenges. Findings suggest that MOW services are utilising a marketised approach, moving outside of the home and incorporating diverse volunteer roles. These findings demonstrate how services such as MOW can develop sustainable approaches to service delivery in a contemporary context. (Publisher abstract)
Diversification of old-age care services for older people: trade-offs between coverage, diversification and targeting in European countries
- Authors:
- SUNDSTRÖM Gerdt, et al
- Journal article citation:
- Journal of Care Services Management, 5(1), January 2011, pp.35-42.
- Publisher:
- Taylor and Francis
The two major public services for older people are institutional care and home care. In addition to these, a number of other low-level support services have also developed including transportation, meals-on-wheels, alarm systems, and day care. Using secondary analysis of a number of earlier surveys, this paper provides information on the way in which all of these types of support are allocated and who uses them in six different countries: Denmark, Norway, Sweden, Germany, England, Spain, and Israel. It also provides a closer scrutiny of Swedish service profiles. When all types of support are considered, service coverage in these countries is approximately 50% to 100% higher than for the two major types alone. The results suggest that countries with higher service levels target all their services more strictly by needs than countries with lower service levels. In countries with lower user rates, users may get what is available with little differentiation between their needs. The article suggests that a range of services, major and minor, may suit the varying needs of older people, and that minor services may also be used as an inexpensive substitute for full support.