Cultural Perspectives in Feeding Difficulty in Taiwanese Elderly With Dementia
Article first published online: 25 AUG 2008
© 2008 Sigma Theta Tau International
Journal of Nursing Scholarship
Volume 40, Issue 3, pages 235–240, September 2008
How to Cite
Chang, C.-C. and Roberts, B. L. (2008), Cultural Perspectives in Feeding Difficulty in Taiwanese Elderly With Dementia. Journal of Nursing Scholarship, 40: 235–240. doi: 10.1111/j.1547-5069.2008.00231.x
- Issue published online: 25 AUG 2008
- Article first published online: 25 AUG 2008
- Accepted for publication April 14, 2008.
- feeding difficulty;
- dementia elderly;
- nursing home
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.