Meal Services at Long-term Care Facilities in Kyung-In Area

경인지역 요양시설의 식사지원 서비스 실태

  • Received : 2015.05.11
  • Accepted : 2015.06.12
  • Published : 2015.06.30

Abstract

Purpose: This study was aimed at understanding meal services provided at long-term care facilities. Method: Interview survey was conducted using questionnaires at 254 facilities located in the Kyung-In area. Result: Of the residents, 37.4% were eating meals unassisted. Eating places included living rooms and residents' rooms in most facilities. Major noise source was television in 63.8%. Apron was applied to all elderly residents at mealtimes in 49.6% of the facilities. Half of the facilities used feeding utensils except for ordinary spoon and chopsticks. Of the facilities having individual prosthetic devices, dentures were applied before eating in 98%, glasses in 20.2% and hearing aids in 9.2%. Most facilities included the residents' favorite foods in menu: wheres, only 9.4% offered the menu which residents could choose. Conclusion: Standard guidelines and staff education for meal services need to be provided for elderly residents.

Keywords

References

  1. Center for Medicare and Medicaid Services. (2013). Nursing home data compendium 2013. edition.
  2. Crogan, N. L., & Evans, B. C. (2001). Guideline for improving resident dining experiences in long-term care facilities. Journal for Nurses in Staff Development, 17(5), 256-259. https://doi.org/10.1097/00124645-200109000-00009
  3. Chang, C. C., & Roberts, B. L. (2008). Cultural perspectives in feeding difficulty in Taiwanese elderly with dementia. Journal of Nursing Scholarship, 40(3), 235-240. https://doi.org/10.1111/j.1547-5069.2008.00231.x
  4. Evans, B. C., & Crogan, N. L. (2001). Quality improvement practices: enhancing quality of life during mealtimes. Journal for Nurses in Staff Development, 17(3), 131-136. https://doi.org/10.1097/00124645-200105000-00006
  5. Green, S. M., Martin, H. J., Robert H. C., & Aihie, A. (2011). A systematic review of the use of volunteers to improve mealtime care of adult patients or residents in institutional settings. Journal of Clinical Nursing, 20, 1810-1823. https://doi.org/10.1111/j.1365-2702.2010.03624.x
  6. Hwang, H. L,. Tu, C. T,. Chen, S., & Wang, H. H. (2012). Caring behaviors perceived by elderly residents of long-term care facilities: Scale development and psychometric assessment. International Journal of Nursing Studies, 49(2), 183-190. https://doi.org/10.1016/j.ijnurstu.2011.08.013
  7. Israel, G. D. (2013). Determining sample size. University of Florida IFAS Extension1-5. http://edis.ifas.ufl.edu/pdffiles/PD/PD00600.pdf.
  8. Kayser-Jones, J., & Schell, E. (1997). The mealtime experience of a cognitively impaired elder: Ineffective and effective strategies. Journal of Gerontological Nursing, 23(7), 33-39. https://doi.org/10.3928/0098-9134-19970701-11
  9. Kayser-Jones, J. (2009). Nursing homes: a health-promoting or dependency promoting environment. Family and Community Health, 32(1), S66-S74. https://doi.org/10.1097/01.FCH.0000342841.51348.58
  10. Lee, I., & Wang. H. H. (2014). Preliminary development of humanistic care indicators for residents in nursing homes: A delphi technique. Asian Nursing Research, 8(1), 75-81. https://doi.org/10.1016/j.anr.2014.03.001
  11. Lee, K. M., & Song, J. A. (2012). Characteristics of eating behavior in elders with dementia residing in long-term care facilities. Journal of the Korean Academy Nursing, 42(4), 446-476.
  12. Matsuo, K., & Palmer, J. B. (2008). Anatomy and physiology of feeding and swallowing: normal and abnormal. Physical Medicine and Rehabilitation Clinics of North America, 19(4), 691-707. https://doi.org/10.1016/j.pmr.2008.06.001
  13. Ministry of Health & Welfare (2014). 2014 Welfare facilities for the aged present condition.
  14. National Health Insurance Service (2013). The first half of the elderly long-term care insurance statistical yearbook.
  15. Oh, J. J. (2006). Assisting demented patients with feeding in nursing homes. Journal of the Korean Gerontological Society, 26(2), 315-328.
  16. Ort, V, S., & Phillips, L. R. (1995). Nursing interventions to promote functional feeding. Journal of Gerontological Nursing, 21(10), 6-14. https://doi.org/10.3928/0098-9134-19951001-04
  17. Ott, F., Readman T., & Backman C. (1990). Mealtimes of the institutionalized elderly: A literature review. Journal of Occupational Therapy, 57(5), 261-266. https://doi.org/10.1177/000841749005700505
  18. Osborn, C., & Marshall, M. (1992) Promoting mealtime independence. Geriatric Nursing September/October, 254-256.
  19. Seonwoo, D., Oh, Y. H., Kim, Y. M., & Han, Y. M. (2006) Standardization study of nursing care facility services. Korea Institute for Health and Social Affairs.
  20. Siebens. H., Trupe, E., Siebens, A., Cook, F., Anshen, S., Hanauer, R., & Oster, G. (1986). Correlates and consequences of eating dependency in institutionalized elderly. American Geriatrics Society, 34(3), 192-198. https://doi.org/10.1111/j.1532-5415.1986.tb04202.x
  21. Speroff, B. A., Davis, K. H., Dehr, K. L., & Larkins, K. N. (2005). The dining experience in nursing homes. North Carolina Medical Journal, 66(4), 292-295.
  22. Techno Aid Association (2009). Welfare equipment support loan: in order to make their own life style. Kyeong Gi-do: Mi Rae Se UM.
  23. Thomas, D. R., Ashmen, W., & Evans, W. J. (2000). Nutritional management in long-term care: development of a clinical guideline. Journal of Gerontology: Medical Sciences, 55(12), M725-M734. https://doi.org/10.1093/gerona/55.12.M725
  24. Yoon, M. O., Moon, H. K., Jeon, J. Y., & Sohn, J. M. (2013). Nutritional management by dietitian at elderly nursing homes in Gyeonggi-do. Journal of the Korean Diet Association, 19(4), 400-415. https://doi.org/10.14373/JKDA.2013.19.4.400