Dementia: Weight Loss and Mealtime Challenges
Weight loss and problems with mealtime are challenges for people with Alzheimer’s disease and related dementias. These challenges are also difficult for caregivers who struggle to ensure that their family members have adequate nutritional intake. Although feeding tubes were once considered an effect...
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| Veröffentlicht in: | Journal for nurse practitioners 2018-03, Vol.14 (3), p.153-159 |
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| container_title | Journal for nurse practitioners |
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| creator | Lopez, Ruth Palan Molony, Sheila L. |
| description | Weight loss and problems with mealtime are challenges for people with Alzheimer’s disease and related dementias. These challenges are also difficult for caregivers who struggle to ensure that their family members have adequate nutritional intake. Although feeding tubes were once considered an effective solution, there is no evidence that they are effective, they may cause harm, and many authorities suggest that they not be used in people with advanced dementia. This article presents evidence-based recommendations for the assessment and management of weight loss in those with dementia and suggests supportive strategies for families striving to create meaningful mealtimes.
•Weight loss and mealtimes challenge people with Alzheimer’s disease.•Identifying weight loss and nutritional risk is critically important.•Management of weight loss requires addressing reversible conditions.•Caregivers require education and support to aid feeding and mealtime.•Intensive individual comfort care may provide an alternative to aggressive care. |
| doi_str_mv | 10.1016/j.nurpra.2017.09.024 |
| format | Article |
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•Weight loss and mealtimes challenge people with Alzheimer’s disease.•Identifying weight loss and nutritional risk is critically important.•Management of weight loss requires addressing reversible conditions.•Caregivers require education and support to aid feeding and mealtime.•Intensive individual comfort care may provide an alternative to aggressive care.</description><identifier>ISSN: 1555-4155</identifier><identifier>EISSN: 1878-058X</identifier><identifier>DOI: 10.1016/j.nurpra.2017.09.024</identifier><language>eng</language><publisher>Philadelphia: Elsevier Inc</publisher><subject>Activities of daily living ; Alzheimer's disease ; Appetite ; Body measurements ; Caregivers ; Cognitive ability ; Dementia ; family caregivers ; Food ; Food quality ; Geriatrics ; Malnutrition ; Meals ; mealtime difficulties ; Nursing homes ; Nutrition ; Older people ; Relatives ; Weight loss</subject><ispartof>Journal for nurse practitioners, 2018-03, Vol.14 (3), p.153-159</ispartof><rights>2017 Elsevier Inc.</rights><rights>Copyright Elsevier Limited Mar 1, 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c380t-ee8da81803e527b45d0ef7f7d3ba242c582433d478ccb89189f4d63532d617853</citedby><cites>FETCH-LOGICAL-c380t-ee8da81803e527b45d0ef7f7d3ba242c582433d478ccb89189f4d63532d617853</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1555415517307869$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,12825,27901,27902,30976,65306</link.rule.ids></links><search><creatorcontrib>Lopez, Ruth Palan</creatorcontrib><creatorcontrib>Molony, Sheila L.</creatorcontrib><title>Dementia: Weight Loss and Mealtime Challenges</title><title>Journal for nurse practitioners</title><description>Weight loss and problems with mealtime are challenges for people with Alzheimer’s disease and related dementias. These challenges are also difficult for caregivers who struggle to ensure that their family members have adequate nutritional intake. Although feeding tubes were once considered an effective solution, there is no evidence that they are effective, they may cause harm, and many authorities suggest that they not be used in people with advanced dementia. This article presents evidence-based recommendations for the assessment and management of weight loss in those with dementia and suggests supportive strategies for families striving to create meaningful mealtimes.
•Weight loss and mealtimes challenge people with Alzheimer’s disease.•Identifying weight loss and nutritional risk is critically important.•Management of weight loss requires addressing reversible conditions.•Caregivers require education and support to aid feeding and mealtime.•Intensive individual comfort care may provide an alternative to aggressive care.</description><subject>Activities of daily living</subject><subject>Alzheimer's disease</subject><subject>Appetite</subject><subject>Body measurements</subject><subject>Caregivers</subject><subject>Cognitive ability</subject><subject>Dementia</subject><subject>family caregivers</subject><subject>Food</subject><subject>Food quality</subject><subject>Geriatrics</subject><subject>Malnutrition</subject><subject>Meals</subject><subject>mealtime difficulties</subject><subject>Nursing homes</subject><subject>Nutrition</subject><subject>Older people</subject><subject>Relatives</subject><subject>Weight loss</subject><issn>1555-4155</issn><issn>1878-058X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>BENPR</sourceid><recordid>eNp9UMtOwzAQtBBIlMIfcIjEOcHP2OGAhEp5SEFcQHCzXHvTOkqTYqdI_D2uwpnL7h5mZmcGoUuCC4JJed0W_T7sgikoJrLAVYEpP0IzoqTKsVCfx-kWQuQ8zVN0FmOLMVMl4zOU38MW-tGbm-wD_HozZvUQY2Z6l72A6Ua_hWyxMV0H_RriOTppTBfh4m_P0fvD8m3xlNevj8-Luzq3TOExB1DOKKIwA0HliguHoZGNdGxlKKdWKMoZc1wqa1eqIqpquCuZYNSVRCrB5uhq0t2F4WsPcdTtsA99eqlTRMoxEYQnFJ9QNiTPARq9C35rwo8mWB-K0a2eijmwpMaVTsUk2u1Eg5Tg20PQ0XroLTgfwI7aDf5_gV_25Gvk</recordid><startdate>201803</startdate><enddate>201803</enddate><creator>Lopez, Ruth Palan</creator><creator>Molony, Sheila L.</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AN0</scope><scope>ASE</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>HEHIP</scope><scope>K6X</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M2S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope></search><sort><creationdate>201803</creationdate><title>Dementia: Weight Loss and Mealtime Challenges</title><author>Lopez, Ruth Palan ; Molony, Sheila L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c380t-ee8da81803e527b45d0ef7f7d3ba242c582433d478ccb89189f4d63532d617853</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Activities of daily living</topic><topic>Alzheimer's disease</topic><topic>Appetite</topic><topic>Body measurements</topic><topic>Caregivers</topic><topic>Cognitive ability</topic><topic>Dementia</topic><topic>family caregivers</topic><topic>Food</topic><topic>Food quality</topic><topic>Geriatrics</topic><topic>Malnutrition</topic><topic>Meals</topic><topic>mealtime difficulties</topic><topic>Nursing homes</topic><topic>Nutrition</topic><topic>Older people</topic><topic>Relatives</topic><topic>Weight loss</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lopez, Ruth Palan</creatorcontrib><creatorcontrib>Molony, Sheila L.</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>British Nursing Database</collection><collection>British Nursing Index</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Sociology Collection</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Sociology Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><jtitle>Journal for nurse practitioners</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lopez, Ruth Palan</au><au>Molony, Sheila L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Dementia: Weight Loss and Mealtime Challenges</atitle><jtitle>Journal for nurse practitioners</jtitle><date>2018-03</date><risdate>2018</risdate><volume>14</volume><issue>3</issue><spage>153</spage><epage>159</epage><pages>153-159</pages><issn>1555-4155</issn><eissn>1878-058X</eissn><abstract>Weight loss and problems with mealtime are challenges for people with Alzheimer’s disease and related dementias. 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•Weight loss and mealtimes challenge people with Alzheimer’s disease.•Identifying weight loss and nutritional risk is critically important.•Management of weight loss requires addressing reversible conditions.•Caregivers require education and support to aid feeding and mealtime.•Intensive individual comfort care may provide an alternative to aggressive care.</abstract><cop>Philadelphia</cop><pub>Elsevier Inc</pub><doi>10.1016/j.nurpra.2017.09.024</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1555-4155 |
| ispartof | Journal for nurse practitioners, 2018-03, Vol.14 (3), p.153-159 |
| issn | 1555-4155 1878-058X |
| language | eng |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); Elsevier ScienceDirect Journals |
| subjects | Activities of daily living Alzheimer's disease Appetite Body measurements Caregivers Cognitive ability Dementia family caregivers Food Food quality Geriatrics Malnutrition Meals mealtime difficulties Nursing homes Nutrition Older people Relatives Weight loss |
| title | Dementia: Weight Loss and Mealtime Challenges |
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