Nutritional Management by Dietitian at Elderly Nursing Homes in Gyeonggi-do.
- Author:
Mi Ock YOON
1
;
Hyun Kyung MOON
;
Ju Young JEON
;
Cheong Min SOHN
Author Information
1. Department of Food & Nutrition, Dankook University, Yongin 448-701, Korea. moonhk52@dankook.ac.kr
- Publication Type:Original Article
- Keywords:
Long-term care Insurance;
dietitian;
nutritional status;
assessment;
nursing home;
MNA (Mini Nutrition Assessment)
- MeSH:
Aged*;
Body Mass Index;
Eating;
Humans;
Insurance, Long-Term Care;
Malnutrition;
Meals;
Nursing Homes*;
Nursing*;
Nutrition Assessment;
Nutritional Status;
Postal Service;
Weight Loss
- From:Journal of the Korean Dietetic Association
2013;19(4):400-415
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The purpose of the study was to examine the current status of nutritional management at elderly nursing homes. A survey was performed of 83 nursing homes from January 5, 2011 to January 21, 2011 via mail. A total of 34 nursing homes responded to the survey and 149 elderly subjects were analyzed according to the presence of a dietitian. Among the 34 nursing homes, 70.6% had a dietitian on duty. All of the facilities with a dietitian had the dietitian making the meal plan, whereas 70% of the facilities without dietitian served meals planned by a non-professional person. Overall, however, a low proportion of nursing homes implemented dietetic treatments for residents with diseases. For the nutritional assessment of these residents, a mini nutritional assessment (MNA) was performed. MNA scores were significantly associated with body mass index (BMI), mid-arm circumference (MAC), calf circumference (CC), ingestion problems, and weight loss during the last 3 months (P<0.001). Among the elderly studied, 5.4% were malnourished, and 36.9% were at risk for malnutrition by MNA score. The results of this survey show that the current management of nutrition at nursing homes is insufficient because the elderly who needed dietetic treatment did not receive proper care. Dietetic management is the most important service in all nursing homes. Therefore, to improve the nutritional status of elderly residents in nursing homes, systematic nutrition management by nutrition experts should be implemented.
