Barriers to nutrition care for nursing home residents

Author(s): Crogan NL, Shultz JA, Adams CE, Massey LK


The prevalence of protein-calorie malnutrition (PCM) in nursing home residents has reached 85% in some nursing homes and is linked to increased mortality among residents. Separate survey questionnaires were developed and administered to 99 nursing assistants and 44 nurses (35 RNs, 9 LPNs) from five eastern Washington nursing homes. The purpose was to assess nurse (RN, LPN) and nursing assistant perceived beliefs and views related to nutritional needs of nursing home residents that have a potential impact on PCM of residents. Experienced nursing assistants did not view the nurse as an active participant during mealtime. Specific barriers such as a lack of time and training, too many residents, working short staffed, poor food quality, and a lack of nurse-nursing-assistant teamwork may contribute to residents not getting enough food to eat. An education program addressing staff relationships and nutrition training of nursing assistants could improve the ability of nursing staff to ensure residents' food intake and improve the quality of life for residents in nursing homes.

Similar Articles

Upper gastrointestinal pH in seventy-nine healthy, elderly, North American men and women

Author(s): Russell TL, Berardi RR, Barnett JL, Dermentzoglou LC, Jarvenpaa KM, et al.

Enhanced oral cyclosporine absorption with water-soluble vitamin E early after liver transplantation

Author(s): Pan SH, Lopez RR Jr, Sher LS, Hoffman AL, Podesta LG, et al.

Enhancement of the bioavailability of propranolol and metoprolol by food

Author(s): Melander A, Danielson K, Scherstén B, Wåhlin E

Recent patterns of medication use in the ambulatory adult population of the United States: the Slone survey

Author(s): Kaufman DW, Kelly JP, Rosenberg L, Anderson TE, Mitchell AA

Intake of medication and vitamin status in the elderly

Author(s): Fabian E, Bogner M, Kickinger A, Wagner KH, Elmadfa I

Risk of malnutrition in retirement homes elderly persons measured by the "mini-nutritional assessment"

Author(s): Griep MI, Mets TF, Collys K, Ponjaert-Kristoffersen I, Massart DL

Taste loss in hospitalized multimorbid elderly subjects

Author(s): Toffanello ED, Inelmen EM, Imoscopi A, Perissinotto E, Coin A, et al.

Use of proton-pump inhibitors and their associated risks among frail elderly nursing home residents

Author(s): Teramura-Grönblad M, Hosia-Randell H, Muurinen S, Pitkala K

Bacterial overgrowth without clinical malabsorption in elderly hypochlorhydric subjects

Author(s): Saltzman JR, Kowdley KV, Pedrosa MC, Sepe T, Golner B, et al.

Food-drug interactions

Author(s): Schmidt LE, Dalhoff K