Cultural perspectives in feeding difficulty in Taiwanese elderly with dementia

Chia Chi Chang, Beverly L. Roberts

Research output: Contribution to journalArticlepeer-review

20 Citations (Scopus)

Abstract

Objective: To investigate factors related to feeding difficulty that is shown in the interaction between nursing assistants and elderly residents with dementia. Methods: Forty-eight residents and 31 nursing assistants were observed during meal times in a congregate dining room of a Taiwanese nursing home specializing in dementia care. Residents' eating behaviors, the dining environment, interactions between the nursing assistant and the residents, and feeding strategies used by nursing assistants were observed. Nutritional data for residents were collected from medical charts. The EdFED Scale #2 and interviews of nursing assistants provided information about feeding difficulty. Interviews also provided data on strategies used to address feeding difficulties. Findings: The most frequent feeding difficulty was refusal to eat (37.5%). The strategies used by nursing assistants were limited. Nursing assistants stated they needed more training to address feeding difficulty in residents with dementia. Conclusions: Future research should be focused on the interface between the residents and nursing assistants who must identify various feeding difficulties and select appropriate interventions. Clinical Relevance: Results might provide information that can be used to develop effective interventions and promote high-quality mealtime care in patients with dementia.

Original languageEnglish
Pages (from-to)235-240
Number of pages6
JournalJournal of Nursing Scholarship
Volume40
Issue number3
DOIs
Publication statusPublished - Sep 2008

Keywords

  • Dementia elderly
  • Feeding difficulty
  • Nursing home
  • Taiwan

ASJC Scopus subject areas

  • Nursing(all)

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