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What nursing home environment can maximise eating independence best among residents with cognitive impairment? Findings of a secondary analysis

Palese, Alvisa; Gonella, Silvia; Grassetti, Luca; Longobardi, Melania; De Caro, Alessandro; Achil, Illarj; Hayter, Mark; Watson, Roger

Authors

Alvisa Palese

Silvia Gonella

Luca Grassetti

Melania Longobardi

Alessandro De Caro

Illarj Achil



Abstract

To explore the influence of the Nursing Home (NH) environment on eating independence
while taking into account individual and nursing care factors, was the aim of the study. A
secondary analysis was performed based on data collected in a multicentre prospective
observational study involving 13 NHs. Residents aged >65 were included (n=1,027).
Dependence in eating was measured using the Edinburgh Feeding Evaluation in Dementia
scale (EdFED, range 0-20). In addition to individual and nursing care variables, the NHs
environments were assessed with the Therapeutic Environment Screening Survey for Nursing
Homes (TESS-NH, range 0-149). The mean EdFED score was 2.48 (95% Confidence
Interval [CI]=2.22-2.73) and the TESS-NH score was 122.19 (95% CI=115.89−128.49). A
linear regression analysis explained 30.8% of the total variance in eating dependence.
Alongside individual and nursing care factors, in poor NH unit environments, residents with
severe cognitive impairment showed increased eating dependence; in contrast, in better
environments, similar residents showed maximal eating performance.

Journal Article Type Article
Journal Geriatric Nursing
Print ISSN 0197-4572
Publisher Elsevier
Peer Reviewed Peer Reviewed
APA6 Citation Palese, A., Gonella, S., Grassetti, L., Longobardi, M., De Caro, A., Achil, I., …Watson, R. (in press). What nursing home environment can maximise eating independence best among residents with cognitive impairment? Findings of a secondary analysis. Geriatric Nursing, https://doi.org/10.1016/j.gerinurse.2020.03.020
DOI https://doi.org/10.1016/j.gerinurse.2020.03.020
Keywords Cognitive impairment; Dementia; Eating difficulties; Eating performance; Environment; Nursing home; Therapeutic principles; Policy
Publisher URL https://www.sciencedirect.com/science/article/abs/pii/S0197457220301063
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