Skip to main content
Log in

Nature, nurture, nutrition: Interdisciplinary programs to address the prevention of malnutrition and dehydration

  • Published:
Dysphagia Aims and scope Submit manuscript

Abstract

Malnutrition and dehydration are common problems in nursing home patients. One explanation for this may be the large number of patients requiring feeding assistance. The Dysphagia Team at the Department of Veterans Affairs Medical Center in Miami, Florida served as the primary source in the expansion of a nutritionally supportive environment to assist in the prevention of malnutrition and dehydration in patients with feeding/swallowing disorders. “Silver Spoons,” a program in which volunteers provide supervised feeding, “Happy Hour,” a time each day during which an atmosphere is provided that encourages socialization and hydration, and “Second Seating,” during which lunch is provided for patients who require modification of eating style, food texture, or timing are described. Analysis of the program's outcomes show it to be timely, pleasing to patients, and cost-effective.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Sandman P, Adolfsson R, Nygren C, Hallmans G, Winblad B: Nutritional status and dietary intake in Alzheimer's disease and multiinfarct dementia.J Am Geriatr Soc 35:31–38, 1987

    CAS  PubMed  Google Scholar 

  2. Cooper JW, Cobb HH: patient nutritional correlates and changes in a geriatric nursing home.Nutrit Support Serv 8:5–7, 1988

    Google Scholar 

  3. Kolasa KM, Schmidt C, Bartlett JA: Feeding Alzheimer's patients.Am J Alzheimer's Care Rel Disord Res 4:17, 1989

    Google Scholar 

  4. Silver AJ, Morley JE, Strome S, Jones D, Vickers L: Nutritional status in an academic nursing home.J Am Geriatr Soc 36:487–491, 1988

    CAS  PubMed  Google Scholar 

  5. Rudman D, Feller AG: Protein calorie undernutrition in the nursing home.J Am Geriatr Soc 37:173–183, 1989

    CAS  PubMed  Google Scholar 

  6. Siebens H, Trupe E, Siebens A, Cook F, Anshen S, Hanauer R, Oster G: Correlates and consequences of eating dependanty in institutionalized elderly.J Am Geriatr Soc 34:192–198, 1986

    CAS  PubMed  Google Scholar 

  7. Tuchman DN: Dysfunctional swallowing in pediatric patients: critical considerations.Dysphagia 2:203–208, 1989

    Article  Google Scholar 

  8. Phillips PA, Rolls BJ, Ledinghan JG, Forsling ML, Morton JJ, Crowe MJ, Wollner L: Reduced thirst after water deprivation in healthy elderly men.N Engl J Med 311:753–759, 1984

    Article  CAS  PubMed  Google Scholar 

  9. Hogstel MO, Robinson NB: Feeding the frail elderly.J Gerontol Nurs 15:16–20, 1989

    CAS  PubMed  Google Scholar 

  10. Rogers JC, Snow T: An assessment of the feeding behaviors of the institutionalized elderly.Am J Occup Ther 36:375–380, 1982

    CAS  PubMed  Google Scholar 

  11. Dwyer JT, Coleman KA, Krall E, Yang GA, Scanlan M, Galper L, Winthrop E, Sullivan P: Changes in relative weight among institutionalized elderly adults.J Gerontol 42:246–251, 1987

    CAS  PubMed  Google Scholar 

  12. Morley JE, Silver AJ: Anorexia in the elderly.Neurobiol Aging 9:9–16, 1988

    CAS  PubMed  Google Scholar 

  13. Hu T, Huang L, Cartwright WS: Evaluation of the cost of caring for the senile demented elderly: a pilot study.Gerontologist 26:158–163, 1986

    CAS  PubMed  Google Scholar 

  14. Morley JE, Silver AJ, Fiatarone M, Mooradian AD: Geriatric grand rounds: nutrition and elderly.J Am Geriatr Soc 34:823–832, 1986

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Musson, N.D., Kincaid, J., Ryan, P. et al. Nature, nurture, nutrition: Interdisciplinary programs to address the prevention of malnutrition and dehydration. Dysphagia 5, 96–101 (1990). https://doi.org/10.1007/BF02412651

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02412651

Key words

Navigation