Processes of identifying and managing eating problems among non-demented elderly residents in a nursing home: A preliminary report

Abstract

The purpose of this multi-part qualitative study is to describe the range and patterns of staff-identified problem eating behaviors, and the process of managing these eating problems among 10 non-demented elderly residents in a nursing home. Previous research has described several causes of eating problems, but has not focused on the actual process of managing eating problems. Data were collected over a 6-month period by conducting general and resident-specific mealtime observations, resident, family member and staff interviews, and record review. Preliminary findings have identified higher frequencies in the diminished eating competency areas of dentition, physical-motor function, depression, and environmental areas of drug-induced anorexia, and inadequate feeding assistance and food choices. Two approaches to eating problem interventions, general and specific, have been identified from the data. Processes used for preventing and managing eating problems need to include holistic resident and environmental assessment, and timely reassessment by staff to recognize eating problems early and differentiate root causes.