Umeå universitets logga

umu.sePublikationer
Ändra sökning
RefereraExporteraLänk till posten
Permanent länk

Direktlänk
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Nutritional status and dietary intake in institutionalised patients with Alzheimer's disease and multifarct dementia
Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Psykiatri.ORCID-id: 0000-0002-8114-7615
Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för kostvetenskap.
Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Näringsforskning.ORCID-id: 0000-0001-9581-3845
Visa övriga samt affilieringar
1987 (Engelska)Ingår i: Journal of The American Geriatrics Society, ISSN 0002-8614, E-ISSN 1532-5415, Vol. 35, s. 31-38Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Nutritional status, dietary intake, weight change, and mortality were studied in a sample of severely demented, institutionalized patients. Dietary intake was registered during five days in two periods, five weeks apart. A weighing method was used. Nutritional status was assessed by anthropometric measurements (weight for height index, triceps skinfold thickness, arm muscle circumference) and determination of circulating proteins (albumin, transferrin, and prealbumin). Energy and/or protein malnutrition was found in 50% of the patients. The mean dietary intake was sufficient according to energy (2059 kcal/day), proteins, vitamins, and minerals. A comparison of patients with or without malnutrition showed no differences in dietary intake, diagnoses, age, length of hospital stay, or duration of illness. However, malnourished patients had had four times as many infectious periods treated by antibiotics as patients with no malnutrition. Thirty-nine of 44 patients lost weight during their hospital stay. There was no correlation between loss of weight, length of hospital stay, or duration of illness.

Ort, förlag, år, upplaga, sidor
1987. Vol. 35, s. 31-38
Nyckelord [en]
Alzheimer's disease, multifarct dementia, dietary intake
Nationell ämneskategori
Omvårdnad Geriatrik
Identifikatorer
URN: urn:nbn:se:umu:diva-13673PubMedID: 3098821OAI: oai:DiVA.org:umu-13673DiVA, id: diva2:153344
Tillgänglig från: 2008-12-04 Skapad: 2008-12-04 Senast uppdaterad: 2018-06-09
Ingår i avhandling
1. Aspects of institutional care of patients with dementia
Öppna denna publikation i ny flik eller fönster >>Aspects of institutional care of patients with dementia
1986 (Engelska)Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
Abstract [en]

The aim of the present study was to investigate all long-term institutions in the county of Västerbotten, Northern Sweden, to give a detailed description of the institutionalized population with respect to motor functions, vision, hearing, speech, ADL-functions, prevalence of psychiatric symptoms and behavioral disturbances, staff work load, use of psychoactive drugs and prevalence of dementia. Another aim was to select some specific 'problem areas' in the nursing care of demented patients for further descriptive and interventional studies. For this reason, morning care procedure (hygiene, dressing), meal behavior (eating, communication), nutrition, constipation and relocation between institutions were selected.

The results of the study have been reported in six papers summarized below:

I.The study has shown that the proportion of demented patients is increasing in longterm institutions in Sweden. Furthermore, demented patients were shown to be more impaired in all rated functioning abilities and exhibited more psychiatric symptoms and behavioral symptoms. A high proportion of the demented probands were also prescribed psychoactive drugs, i.e. neuroleptics.

II. Five patients with Alzheimer-type dementia were monitored during morning care. A 12-step classification system was developed to be used as a guide to understand and determine abilities essential for performance of morning care for demented patients. The quantitative assessment showed that none of the patients were able to manage morning care independently, but there was a wide variation in their highest level of performance.

III. Five patients with Alzheimer-type dementia were observed (video taped) during their meals in a changed meal milieu and with new meal routines. When the patients ate without staff participation, the two least demented patients became 'caregivers'. When two mental nurses joined the group, first in civil clothes and then in white uniforms, the patients dropped their roles as helpers. The patients were able to compose complete meals in 0-79 per cent of the meals. The conversation during the meals could be characterized as incomplete, with short sentences and a lot of breaks. Sixty-three per cent of all utterances were about food and eating and almost all conversation concerned the present time.

IV. Thirty-three psychogeriatric patients, with severe constipation were given a high- bran bread instead of their accustomed laxatives. During the high-bran treatment period, the number of bowel evacuations and the volume of faeces increased. The total laxative consumption decreased by 93 per cent.

V. Nutritional status and dietary intake were studied in a sample of severely demented, institutionalized patients. Energy and /or protein malnutrition was found in 50 per cent of the patients. The mean energy intake was 2059 kcal. Malnourished patients had had four times as many infectious periods during their hospital stay as patients without malnutrition. Thirty-nine of 44 patients lost weight during their hospital stay.

VI. Thirty-three psychogeriatric patients were followed for 36 weeks after relocation from a mental hospital to two newly built nursing homes. An intensive pre-relocation program was performed. No negative effects of the relocation were found. On the contrary, the relocated group improved their ADL-functions after the transfer.

Based upon the above cited studies, a model for nursing care of demented patients is presented.

Ort, förlag, år, upplaga, sidor
Umeå: Umeå universitet, 1986. s. 45
Serie
Umeå University medical dissertations, ISSN 0346-6612 ; 181
Nyckelord
Dementia, institutional care, ADL, constipation, conversation, dietary intake, morning, care, relocation
Nationell ämneskategori
Omvårdnad Geriatrik Näringslära
Identifikatorer
urn:nbn:se:umu:diva-100563 (URN)91-7174-270-0 (ISBN)
Disputation
1986-12-19, Hörsal A, Samhällsvetarhuset, Umeå universitet, Umeå, 09:00
Handledare
Projekt
digitalisering@umu
Anmärkning

S. 1-45: sammanfattning, s. 46-192: 6 uppsatser

Tillgänglig från: 2015-03-09 Skapad: 2015-03-04 Senast uppdaterad: 2018-06-07Bibliografiskt granskad

Open Access i DiVA

Fulltext saknas i DiVA

PubMed

Person

Sandman, Per-OlofAdolfsson, RolfNygren, CharlotteHallmans, Göran

Sök vidare i DiVA

Av författaren/redaktören
Sandman, Per-OlofAdolfsson, RolfNygren, CharlotteHallmans, Göran
Av organisationen
Institutionen för omvårdnadPsykiatriInstitutionen för kostvetenskapNäringsforskningUmeå universitet
I samma tidskrift
Journal of The American Geriatrics Society
OmvårdnadGeriatrik

Sök vidare utanför DiVA

GoogleGoogle Scholar

pubmed
urn-nbn

Altmetricpoäng

pubmed
urn-nbn
Totalt: 716 träffar
RefereraExporteraLänk till posten
Permanent länk

Direktlänk
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf