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Demanslı Hastalarda Yeme Güçlüklerinin Yönetiminde Optimal Bakım

Year 2024, , 156 - 166, 31.08.2024
https://doi.org/10.47141/geriatrik.1513630

Abstract

Demans, bilişsel işlevlerde azalmayla karakterize, ilerleyici, dejeneratif bir durumdur ve yaşlılarda sık görülür. Bellek kaybı, düşünme sürecinde ve sorun çözmede bozulma gibi demans semptomları yemek yemeyi güçleştirir. Bu durum malnütrisyon ve dehidratasyona yol açar. Demans hastalarında yeme güçlüklerini azaltmak için çeşitli girişimler uygulanmaktadır. Yeme güçlüklerini önlemek için hastaların düzenli olarak değerlendirilmesi ve onlara en uygun nutrisyonel bakımın sağlanması çok önemlidir. Bu makale demans hastalarının sıklıkla yaşadığı yeme güçlüklerine genel bir bakış sunmayı amaçlamaktadır. Ayrıca malnütrisyonun nedenlerini belirlemek ve demans hastalarına en uygun nutrisyonel bakımı sağlamak için kişi merkezli girişimleri de ele almaktadır. Doğrudan beslenme desteği ve dolaylı girişimler, demanslı hastalarda kompulsif yeme davranışı ve bozulan oral alım üzerinde olumlu etki yaratabilir. Bu nedenle demans hastalarında yeme güçlüklerinin fark edilmesi ve erken müdahale yoluyla malnütrisyon ve dehidratasyon gibi olumsuz sonuçların önlenmesi sağlanabilir.

References

  • Gauthier S, Rosa-Neto P, Morais JA, et al. World Alzheimer Report 2021: Journey through the diagnosis of dementia. Alz-heimer’s Disease International. London, 2021.
  • Long S, Benoist C, Weidner W. World Alzheimer Report 2023: Reducing dementia risk: never too early, never too late. Alz-heimer’s Disease International. London, 2023.
  • Kai K, Hashimoto M, Amano K, et al. Relationship between eating disturbance and dementia severity in patients with alz-heimer’s disease. PloS one. 2015; 10(8): e0133666.
  • Herke M, Fink A, Langer G, et al. Environmental and behavioural modifications for improving food and fluid intake in peo-ple with dementia. Cochrane Database of Systematic Reviews. 2018; 7: 1-82.
  • Cipriani G, Carlesi C, Lucetti C, et al. Eating behaviors and dietary changes in patients with dementia. American Journal of Alzheimer’s Disease & Other Dementias. 2016; 31(8): 706-716.
  • Douglas JW, Jung SE, Noh H, et al. Organizational and health care policy barriers to providing mealtime assistance to nurs-ing home residents with dementia. Seniors Housing & Care Journal. 2020; 28(1): 3-11.
  • Volkert D, Beck AM, Faxén-Irving G, et al. ESPEN guideline on nutrition and hydration in dementia–Update 2024. Clinical Nutrition. 2024; 43(6): 1599-1626.
  • Chang HC, Spencer JC, Ho MH, et al. Effectiveness of interventions on feeding difficulties among people with dementia: A systematic review and meta‐analysis. Australasian Journal on Ageing. 2023; 42(2): 280-292.
  • Alzheimer’s Society. The progression, signs and stages of dementia. Available from: https://www.alzheimers.org.uk/about-dementia/symptoms-and-diagnosis/how-dementia-progresses/progression-stages-dementia. Accessed June 1, 2024.
  • Meyer S, Gräske J, Worch A, et al. Nutritional status of care‐dependent people with dementia in shared‐housing ar-rangements–a one‐year follow‐up. Scandinavian Journal of Caring Sciences. 2015; 29(4): 785-792.
  • Arifin H, Chen R, Banda KJ, et al. Meta-analysis and moderator analysis of the prevalence of malnutrition and malnutri-tion risk among older adults with dementia. International Journal of Nursing Studies. 2024; 150: 104648.
  • Demir HP, Bayram HM, Yavuzel G. Huzurevinde ve kendi evinde yaşayan yaşlıların beslenme durumlarının ve yaşam doyumlarının incelenmesi. İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi. 2019; 7: 641-655.
  • Borders JC, Blanke S, Johnson S, et al. Efficacy of mealtime interventions for malnutrition and oral intake in persons with dementia: A systematic review. Alzheimer Disease and Associated Disorders. 2020; 34(4): 366-379.
  • Ciliz O, Tulek Z, Hanagasi H, et al. Eating difficulties and relationship with nutritional status among patients with dementia. Journal of Nursing Research. 2023; 31(1): e260.
  • Moreno-Fergusson ME, Caez-Ramírez GR, Sotelo-Díaz LI, et al. Nutritional care for ınstitutionalized persons with demen-tia: An integrative review. International Journal of Environmental Research and Public Health. 2023; 20(18): 6763.
  • Murphy JL. Improving nutrition and hydration in older people with dementia in care homes. Nursing Older People. 2022; 34(5): e1389.
  • Suma S, Watanabe Y, Hirano H, et al. Factors affecting the appetites of persons with Alzheimer’s disease and mild cogni-tive impairment. Geriatrics & Gerontology International. 2018; 18(8): 1236-1243.
  • Lauriola M, Mangiacotti A, D’Onofrio G, et al. Neurocognitive disorders and dehydration in older patients: Clinical experi-ence supports the hydromolecular hypothesis of dementia. Nutrients. 2018; 10(5): 562.
  • Nifli A-P. Appetite, metabolism and hormonal regulation in normal ageing and dementia. Diseases. 2018; 6(3): 66.
  • Doorduijn A, De Van Der Schueren M, van de Rest O, et al. Olfactory and gustatory functioning and food preferences of patients with Alzheimer’s disease and mild cognitive impairment compared to controls: The NUDAD project. Journal of Neurology. 2020; 267: 144-152.
  • Payne M, Morley JE. Dysphagia, dementia and frailty. The Journal of Nutrition, Health and Aging. 2018; 22: 562-565.
  • Dunne TE, Neargarder SA, Cipolloni P, et al. Visual contrast enhances food and liquid intake in advanced Alzheimer’s dis-ease. Clinical Nutrition. 2004; 23(4): 533-538.
  • Parlak MM, Altan E, Saylam G. Demanslı bireylerde disfaji. Kulak Burun Boğaz ve Baş Boyun Cerrahisi Dergisi. 2022; 30(2): 88-96.
  • Espinosa-Val MC, Martín-Martínez A, Graupera M, et al. Prevalence, risk factors, and complications of oropharyngeal dysphagia in older patients with dementia. Nutrients. 2020; 12(3): 863.
  • Manabe T, Mizukami K, Akatsu H, et al. Factors associated with pneumonia-caused death in older adults with autopsy-confirmed dementia. Internal Medicine. 2017; 56(8): 907-914.
  • Murphy J, Holmes J, Brooks C. Measurements of daily energy intake and total energy expenditure in people with demen-tia in care homes: The use of wearable technology. The Journal of Nutrition, Health & Aging. 2017; 21: 927-932.
  • Elia M. The ‘MUST’report. Nutritional screening of adults: a multidisciplinary responsibility. 2003.
  • Guigoz Y. The mini nutritional assessment (MNA) review of the literature-what does it tell us? Journal of Nutrition Health and Aging. 2006; 10(6): 466-485.
  • Tully MW, Matrakas KL, Muir J, et al. The eating behavior scale: A simple method of assessing functional ability in patients with Alzheimer’s disease. Journal of Gerontological Nursing. 2013; 23(7): 9-15.
  • Watson R. Measuring feeding difficulty in patients with dementia: Replication and validation of the EdFED Scale# 1. Jour-nal of Advanced Nursing. 1994; 19(5): 850-855.
  • Jung D, Lee K, De Gagne JC, et al. Eating difficulties among older adults with dementia in long-term care facilities: A scop-ing review. International Journal of Environmental Research and Public Health. 2021; 18(19): 10109.
  • NICE. Dementia: Assessment, management and support for people living with dementia and their carers: National Insti-tute for Health Care Excellence. Available from: https://www.nice.org.uk/guidance/ng97/chapter/recommendations#cognitive-training. Accessed June 5, 2024.
  • Liu W, Perkhounkova Y, Hein M. Person‐centred and task‐centred care: Impact on mealtime behaviours in nursing home residents with dementia. International Journal of Older People Nursing. 2023; 18(1): e12512.
  • Chen LL, Li H, Lin R, et al. Effects of a feeding intervention in patients with Alzheimer’s disease and dysphagia. Journal of Clinical Nursing. 2016; 25(5-6): 699-707.
  • Jones S. Nutritional interventions for preventing malnutrition in people with dementia. Nursing Older People. 2019; 31(4): 28-32.
  • Vucea V, Keller HH, Morrison JM, et al. Nutritional quality of regular and pureed menus in Canadian long term care homes: An analysis of the Making the Most of Mealtimes (M3) project. BMC Nutrition. 2017; 3(1): 1-11.
  • Simmons SF, Hollingsworth EK, Long EA, et al. Training nonnursing staff to assist with nutritional care delivery in nursing homes: A cost‐effectiveness analysis. Journal of the American Geriatrics Society. 2017; 65(2): 313-322.
  • Cartwright J, Roberts K, Oliver E, et al. Montessori mealtimes for dementia: A pathway to person-centred care. Dementia. 2022; 21(4): 1098-1119.
  • Liu W, Perkhounkova E, Williams K, et al. Food intake is associated with verbal interactions between nursing home staff and residents with dementia: A secondary analysis of videotaped observations. International Journal of Nursing Studies. 2020; 109: 103654.
  • Lin LC, Huang YJ, Watson R, et al. Using a Montessori method to increase eating ability for institutionalised residents with dementia: A crossover design. Journal of Clinical Nursing. 2011; 20(21‐22): 3092-3101.
  • Wu HS, Lin LC, Wu SC, et al. The effectiveness of spaced retrieval combined with Montessori‐based activities in improving the eating ability of residents with dementia. Journal of Advanced Nursing. 2014; 70(8): 1891-1901.
  • Batchelor‐Murphy MK, McConnell ES, Amella EJ, et al. Experimental comparison of efficacy for three handfeeding tech-niques in dementia. Journal of the American Geriatrics Society. 2017; 65(4): e89-e94.
  • Chen L-L, Li H, Chen X-H, et al. Effects of hand exercise on eating action in patients with Alzheimer’s disease. American Journal of Alzheimer’s Disease & Other Dementias. 2019; 34(1): 57-62.

Optimal Care in the Management of Eating Difficulties in Patients with Dementia

Year 2024, , 156 - 166, 31.08.2024
https://doi.org/10.47141/geriatrik.1513630

Abstract

Dementia is a progressive, degenerative condition characterized by a decline in cognitive function and is most common in older people. Common symptoms of dementia, such as memory loss, impaired thinking and problem solving, make it difficult to eat. This leads to malnutrition and dehydration. Various interventions are implemented to reduce eating difficulties in patients with dementia. To prevent eating difficulties, it is crucial to assess patients regularly and provide them with optimal nutritional care. This article aims to provide an overview of the eating problems commonly experienced by dementia patients. It also discusses person-centered interventions to identify the causes of malnutrition and provide optimal nutritional care for dementia patients. Direct nutritional support and indirect interventions can have a positive impact on compulsive eating behavior and increased or decreased food intake in patients with dementia. Therefore, recognition of eating difficulties in dementia patients and early intervention can prevent negative consequences such as malnutrition and dehydration.

References

  • Gauthier S, Rosa-Neto P, Morais JA, et al. World Alzheimer Report 2021: Journey through the diagnosis of dementia. Alz-heimer’s Disease International. London, 2021.
  • Long S, Benoist C, Weidner W. World Alzheimer Report 2023: Reducing dementia risk: never too early, never too late. Alz-heimer’s Disease International. London, 2023.
  • Kai K, Hashimoto M, Amano K, et al. Relationship between eating disturbance and dementia severity in patients with alz-heimer’s disease. PloS one. 2015; 10(8): e0133666.
  • Herke M, Fink A, Langer G, et al. Environmental and behavioural modifications for improving food and fluid intake in peo-ple with dementia. Cochrane Database of Systematic Reviews. 2018; 7: 1-82.
  • Cipriani G, Carlesi C, Lucetti C, et al. Eating behaviors and dietary changes in patients with dementia. American Journal of Alzheimer’s Disease & Other Dementias. 2016; 31(8): 706-716.
  • Douglas JW, Jung SE, Noh H, et al. Organizational and health care policy barriers to providing mealtime assistance to nurs-ing home residents with dementia. Seniors Housing & Care Journal. 2020; 28(1): 3-11.
  • Volkert D, Beck AM, Faxén-Irving G, et al. ESPEN guideline on nutrition and hydration in dementia–Update 2024. Clinical Nutrition. 2024; 43(6): 1599-1626.
  • Chang HC, Spencer JC, Ho MH, et al. Effectiveness of interventions on feeding difficulties among people with dementia: A systematic review and meta‐analysis. Australasian Journal on Ageing. 2023; 42(2): 280-292.
  • Alzheimer’s Society. The progression, signs and stages of dementia. Available from: https://www.alzheimers.org.uk/about-dementia/symptoms-and-diagnosis/how-dementia-progresses/progression-stages-dementia. Accessed June 1, 2024.
  • Meyer S, Gräske J, Worch A, et al. Nutritional status of care‐dependent people with dementia in shared‐housing ar-rangements–a one‐year follow‐up. Scandinavian Journal of Caring Sciences. 2015; 29(4): 785-792.
  • Arifin H, Chen R, Banda KJ, et al. Meta-analysis and moderator analysis of the prevalence of malnutrition and malnutri-tion risk among older adults with dementia. International Journal of Nursing Studies. 2024; 150: 104648.
  • Demir HP, Bayram HM, Yavuzel G. Huzurevinde ve kendi evinde yaşayan yaşlıların beslenme durumlarının ve yaşam doyumlarının incelenmesi. İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi. 2019; 7: 641-655.
  • Borders JC, Blanke S, Johnson S, et al. Efficacy of mealtime interventions for malnutrition and oral intake in persons with dementia: A systematic review. Alzheimer Disease and Associated Disorders. 2020; 34(4): 366-379.
  • Ciliz O, Tulek Z, Hanagasi H, et al. Eating difficulties and relationship with nutritional status among patients with dementia. Journal of Nursing Research. 2023; 31(1): e260.
  • Moreno-Fergusson ME, Caez-Ramírez GR, Sotelo-Díaz LI, et al. Nutritional care for ınstitutionalized persons with demen-tia: An integrative review. International Journal of Environmental Research and Public Health. 2023; 20(18): 6763.
  • Murphy JL. Improving nutrition and hydration in older people with dementia in care homes. Nursing Older People. 2022; 34(5): e1389.
  • Suma S, Watanabe Y, Hirano H, et al. Factors affecting the appetites of persons with Alzheimer’s disease and mild cogni-tive impairment. Geriatrics & Gerontology International. 2018; 18(8): 1236-1243.
  • Lauriola M, Mangiacotti A, D’Onofrio G, et al. Neurocognitive disorders and dehydration in older patients: Clinical experi-ence supports the hydromolecular hypothesis of dementia. Nutrients. 2018; 10(5): 562.
  • Nifli A-P. Appetite, metabolism and hormonal regulation in normal ageing and dementia. Diseases. 2018; 6(3): 66.
  • Doorduijn A, De Van Der Schueren M, van de Rest O, et al. Olfactory and gustatory functioning and food preferences of patients with Alzheimer’s disease and mild cognitive impairment compared to controls: The NUDAD project. Journal of Neurology. 2020; 267: 144-152.
  • Payne M, Morley JE. Dysphagia, dementia and frailty. The Journal of Nutrition, Health and Aging. 2018; 22: 562-565.
  • Dunne TE, Neargarder SA, Cipolloni P, et al. Visual contrast enhances food and liquid intake in advanced Alzheimer’s dis-ease. Clinical Nutrition. 2004; 23(4): 533-538.
  • Parlak MM, Altan E, Saylam G. Demanslı bireylerde disfaji. Kulak Burun Boğaz ve Baş Boyun Cerrahisi Dergisi. 2022; 30(2): 88-96.
  • Espinosa-Val MC, Martín-Martínez A, Graupera M, et al. Prevalence, risk factors, and complications of oropharyngeal dysphagia in older patients with dementia. Nutrients. 2020; 12(3): 863.
  • Manabe T, Mizukami K, Akatsu H, et al. Factors associated with pneumonia-caused death in older adults with autopsy-confirmed dementia. Internal Medicine. 2017; 56(8): 907-914.
  • Murphy J, Holmes J, Brooks C. Measurements of daily energy intake and total energy expenditure in people with demen-tia in care homes: The use of wearable technology. The Journal of Nutrition, Health & Aging. 2017; 21: 927-932.
  • Elia M. The ‘MUST’report. Nutritional screening of adults: a multidisciplinary responsibility. 2003.
  • Guigoz Y. The mini nutritional assessment (MNA) review of the literature-what does it tell us? Journal of Nutrition Health and Aging. 2006; 10(6): 466-485.
  • Tully MW, Matrakas KL, Muir J, et al. The eating behavior scale: A simple method of assessing functional ability in patients with Alzheimer’s disease. Journal of Gerontological Nursing. 2013; 23(7): 9-15.
  • Watson R. Measuring feeding difficulty in patients with dementia: Replication and validation of the EdFED Scale# 1. Jour-nal of Advanced Nursing. 1994; 19(5): 850-855.
  • Jung D, Lee K, De Gagne JC, et al. Eating difficulties among older adults with dementia in long-term care facilities: A scop-ing review. International Journal of Environmental Research and Public Health. 2021; 18(19): 10109.
  • NICE. Dementia: Assessment, management and support for people living with dementia and their carers: National Insti-tute for Health Care Excellence. Available from: https://www.nice.org.uk/guidance/ng97/chapter/recommendations#cognitive-training. Accessed June 5, 2024.
  • Liu W, Perkhounkova Y, Hein M. Person‐centred and task‐centred care: Impact on mealtime behaviours in nursing home residents with dementia. International Journal of Older People Nursing. 2023; 18(1): e12512.
  • Chen LL, Li H, Lin R, et al. Effects of a feeding intervention in patients with Alzheimer’s disease and dysphagia. Journal of Clinical Nursing. 2016; 25(5-6): 699-707.
  • Jones S. Nutritional interventions for preventing malnutrition in people with dementia. Nursing Older People. 2019; 31(4): 28-32.
  • Vucea V, Keller HH, Morrison JM, et al. Nutritional quality of regular and pureed menus in Canadian long term care homes: An analysis of the Making the Most of Mealtimes (M3) project. BMC Nutrition. 2017; 3(1): 1-11.
  • Simmons SF, Hollingsworth EK, Long EA, et al. Training nonnursing staff to assist with nutritional care delivery in nursing homes: A cost‐effectiveness analysis. Journal of the American Geriatrics Society. 2017; 65(2): 313-322.
  • Cartwright J, Roberts K, Oliver E, et al. Montessori mealtimes for dementia: A pathway to person-centred care. Dementia. 2022; 21(4): 1098-1119.
  • Liu W, Perkhounkova E, Williams K, et al. Food intake is associated with verbal interactions between nursing home staff and residents with dementia: A secondary analysis of videotaped observations. International Journal of Nursing Studies. 2020; 109: 103654.
  • Lin LC, Huang YJ, Watson R, et al. Using a Montessori method to increase eating ability for institutionalised residents with dementia: A crossover design. Journal of Clinical Nursing. 2011; 20(21‐22): 3092-3101.
  • Wu HS, Lin LC, Wu SC, et al. The effectiveness of spaced retrieval combined with Montessori‐based activities in improving the eating ability of residents with dementia. Journal of Advanced Nursing. 2014; 70(8): 1891-1901.
  • Batchelor‐Murphy MK, McConnell ES, Amella EJ, et al. Experimental comparison of efficacy for three handfeeding tech-niques in dementia. Journal of the American Geriatrics Society. 2017; 65(4): e89-e94.
  • Chen L-L, Li H, Chen X-H, et al. Effects of hand exercise on eating action in patients with Alzheimer’s disease. American Journal of Alzheimer’s Disease & Other Dementias. 2019; 34(1): 57-62.
There are 43 citations in total.

Details

Primary Language English
Subjects Geriatrics and Gerontology
Journal Section Review
Authors

Büşra Kul 0000-0002-8196-229X

Zeliha Tülek 0000-0001-8186-6698

Publication Date August 31, 2024
Submission Date July 10, 2024
Acceptance Date August 12, 2024
Published in Issue Year 2024

Cite

APA Kul, B., & Tülek, Z. (2024). Optimal Care in the Management of Eating Difficulties in Patients with Dementia. Geriatrik Bilimler Dergisi, 7(2), 156-166. https://doi.org/10.47141/geriatrik.1513630
AMA Kul B, Tülek Z. Optimal Care in the Management of Eating Difficulties in Patients with Dementia. GBD. August 2024;7(2):156-166. doi:10.47141/geriatrik.1513630
Chicago Kul, Büşra, and Zeliha Tülek. “Optimal Care in the Management of Eating Difficulties in Patients With Dementia”. Geriatrik Bilimler Dergisi 7, no. 2 (August 2024): 156-66. https://doi.org/10.47141/geriatrik.1513630.
EndNote Kul B, Tülek Z (August 1, 2024) Optimal Care in the Management of Eating Difficulties in Patients with Dementia. Geriatrik Bilimler Dergisi 7 2 156–166.
IEEE B. Kul and Z. Tülek, “Optimal Care in the Management of Eating Difficulties in Patients with Dementia”, GBD, vol. 7, no. 2, pp. 156–166, 2024, doi: 10.47141/geriatrik.1513630.
ISNAD Kul, Büşra - Tülek, Zeliha. “Optimal Care in the Management of Eating Difficulties in Patients With Dementia”. Geriatrik Bilimler Dergisi 7/2 (August 2024), 156-166. https://doi.org/10.47141/geriatrik.1513630.
JAMA Kul B, Tülek Z. Optimal Care in the Management of Eating Difficulties in Patients with Dementia. GBD. 2024;7:156–166.
MLA Kul, Büşra and Zeliha Tülek. “Optimal Care in the Management of Eating Difficulties in Patients With Dementia”. Geriatrik Bilimler Dergisi, vol. 7, no. 2, 2024, pp. 156-6, doi:10.47141/geriatrik.1513630.
Vancouver Kul B, Tülek Z. Optimal Care in the Management of Eating Difficulties in Patients with Dementia. GBD. 2024;7(2):156-6.

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