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  • Mamhidir, Anna-GretaUppsala universitet,Centrum för klinisk forskning, Gävleborg,Neurotec Department, Division of Gerontological Caring Science, Karolinska Institutet, Stockholm, Sweden (författare)

Weight increase in patients with dementia, and alteration in meal routines and meal environment after integrity promoting care.

  • Artikel/kapitelEngelska2007

Förlag, utgivningsår, omfång ...

  • Wiley-Blackwell,2007
  • printrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:umu-6952
  • https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-6952URI
  • https://doi.org/10.1111/j.1365-2702.2006.01780.xDOI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-11092URI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-2951URI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-506URI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:1946219URI
  • https://gup.ub.gu.se/publication/82206URI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

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  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • Aims. To follow weight changes in patients with moderate and severe dementia and analyse how these changes related to biological and psychological parameters after staff education and support in integrity promoting care. A further aim was to describe meal environment and routines relative to the intervention.Background. Weight loss in patients with dementia and in particular Alzheimer's disease is common. The aetiology appears multifactorial with the meal environment and a decreased independence while eating among the factors.Method. Over a three-month intervention period, an integrity-promoting care training programme was conducted with the staff of a long-term ward. Alzheimer's disease patients, 18 from an intervention ward and 15 from a control ward were included and possible effects were evaluated. Weighing was conducted at the start and after completion of the intervention. Weight changes were analysed in relation to psychological and biochemical parameters. In addition, the staff wrote diaries about, for example changes made in the environment and in their work.Results. The most prominent difference observed was weight increases in 13 of 18 patients compared with two of 15 patients in the control ward. No weight changes were related to the type of dementia. The individual weight changes correlated significantly to changes in the intellectual functions. Relationships between weight change, increased motor function and increased appetite were non-significant. There was no significant relationship between weight changes and changes in biochemical parameters. According to the staff, increased contact with the patients and a more pleasant atmosphere resulted when the meal environment and routines were changed.Relevance to clinical practice. Weight gain in patients with moderate and severe dementia was achieved by adjusting the meal environment to the individual's needs. Staff education was profitable, as increased competence seemed to promote individually adapted feeding situations. Ensuring good meal situations need to be given high priority.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Karlsson, Ingvar,1941Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för psykiatri och neurokemi,Institute of Neuroscience and Physiology, Department of Psychiatry and Neurochemistry(Swepub:gu)xkaing (författare)
  • Norberg, AstridErsta Sköndal högskola,Umeå universitet,Institutionen för omvårdnad,Department of Nursing, Umeå University, Umeå , Sweden,Enheten för forskning om vård i livets slutskede,Institutionen för vårdvetenskap(Swepub:esh)astnor (författare)
  • Mona, KihlgrenNeurotec Department, Division of Gerontological Caring Science, Karolinska Institutet, Stockholm, Sweden; Centre for Nursing Science, Örebro University Hospital, Örebro, Sweden (författare)
  • Uppsala universitetCentrum för klinisk forskning, Gävleborg (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:Journal of Clinical Nursing: Wiley-Blackwell16:5, s. 987-960962-10671365-2702

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Norberg, Astrid
Mona, Kihlgren
Om ämnet
MEDICIN OCH HÄLSOVETENSKAP
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och Geriatrik
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MEDICIN OCH HÄLS ...
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Umeå universitet
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Högskolan i Gävle
Marie Cederschiöld högskola
Karolinska Institutet
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