Mealtime management in Australian residential aged care : Comparison of documented, reported and observed care

Journal article


Bennett, Michelle, Ward, Elizabeth and Scarinci, Nerina 2014. Mealtime management in Australian residential aged care : Comparison of documented, reported and observed care. International Journal of Speech-Language Pathology. 17 (5), pp. 451 - 459. https://doi.org/10.3109/17549507.2014.987816
AuthorsBennett, Michelle, Ward, Elizabeth and Scarinci, Nerina
Abstract

Purpose: Mealtime management in Residential aged care facilities (RACFs) should be holistic and comply with the principles of person-centred care (PCC) to ensure residents’ medical, nutritional and psychosocial mealtime needs are met. However, this is not always achieved and multiple issues with mealtime management in RACFs exist. The aim of the current study was to compare documented, reported and observed mealtime management to explore factors influencing optimal mealtime care. Method: Data were triangulated from: (a) review of 14 resident files; (b) observation of 41 mealtimes; (c) questionnaires with 14 residents; and (d) questionnaires with 29 staff. Result: Results revealed multiple discrepancies between data sources leading to the delivery of sub-optimal mealtime care. Poor documentation impacted staff knowledge of required mealtime practices resulting in occasions of inconsistent and inappropriate care. Observational and interview data highlighted discrepancies between residents’ mealtime preferences and actual practice. In many instances observed care was not holistic nor consistent with PCC. Conclusion: Given the significant medical, nutritional and psychosocial risks associated with poor mealtime management, systematic changes in policy, staff training and multidisciplinary care are needed.

Year2014
JournalInternational Journal of Speech-Language Pathology
Journal citation17 (5), pp. 451 - 459
ISSN1754-9507
Digital Object Identifier (DOI)https://doi.org/10.3109/17549507.2014.987816
Page range451 - 459
Research GroupSchool of Allied Health
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https://acuresearchbank.acu.edu.au/item/8805v/mealtime-management-in-australian-residential-aged-care-comparison-of-documented-reported-and-observed-care

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