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A Quality Improvement System to Manage Feeding Assistance Care in Assisted-Living.

Abstract：

PURPOSE:To describe a feasible quality improvement system to manage feeding assistance care processes in an assisted living facility (ALF) that provides dementia care and the use of these data to maintain the quality of daily care provision and prevent unintentional weight loss. DESIGN AND METHODS:Supervisory ALF staff used a standardized observational protocol to assess feeding assistance care quality during and between meals for 12 consecutive months for 53 residents receiving dementia care. Direct care staff received feedback about the quality of assistance and consistency of between-meal snack delivery for residents with low meal intake and/or weight loss. RESULTS:On average, 78.4% of the ALF residents consumed more than one-half of each served meal and/or received staff assistance during meals to promote consumption over the 12 months. An average of 79.7% of the residents were offered snacks between meals twice per day. The prevalence of unintentional weight loss averaged 1.3% across 12 months. IMPLICATIONS:A quality improvement system resulted in sustained levels of mealtime feeding assistance and between-meal snack delivery and a low prevalence of weight loss among ALF residents receiving dementia care. Given that many ALF residents receiving dementia care are likely to be at risk for low oral intake and unintentional weight loss, ALFs should implement a quality improvement system similar to that described in this project, despite the absence of regulations to do so.

journal_name

J Am Med Dir Assoc

journal_title

Journal of the American Medical Directors Association

authors

Simmons SF,Coelho CS,Sandler A,Schnelle JF

doi

10.1016/j.jamda.2017.12.012

subject

Has Abstract

pub_date

2018-03-01 00:00:00

pages

262-269

issue

3

eissn

1525-8610

issn

1538-9375

pii

S1525-8610(17)30697-7

journal_volume

19

pub_type

杂志文章

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