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PubMedDate not supplied

What's new in long-term care dining?

A number of long-term care facilities in North Carolina have adopted ways to improve the dining experience for long-term care residents. Wall murals and dining room themes help to create a pleasant atmosphere that also might stimulate resident imagination. Aroma therapies are also positive stimulants that increase the appetite and pleasure in eating. Flavor and food presentation are probably some of the most obvious modifications. We can all understand the desire to have our food taste and look good. There are probably even more ideas that could make eating in a nursing home more pleasant and home-like. Efforts Like these are critical to stemming weight loss among residents and also to maintaining resident independence to the extent possible. We hope more facilities across the state will use and build on these ideas as they try to maximize their residents' quality of life.

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PubMedDate not supplied

The dining experience in nursing homes.

The dining experience is an opportunity for residents to experience the independence they once knew and still desire. Through appropriate meal consistencies an optimal dining room setting, and coordination of the total healthcare team, these desires can be reached. The resident benefits from this emphasis on the dining experience, while the interdisciplinary team members gain more insight into the individual needs of residents. The dining experience can be an important part of the clinical care of the resident by assuring appropriate nutritional and fluid intake, and it can help assure a desirable quality of life even while residing in a long-term care facility.

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PubMed2005

Risk factors for severe hypoglycaemia in type 2 diabetic patients admitted to hospital in Piraeus, Greece.

A 3-year study assessed the prevalence and causes of severe treatment-related hypoglycaemia in type 2 diabetes mellitus patients admitted to hospital in Piraeus. Out of the 2858 patients admitted, 207 (7.2%) had severe hypoglycaemia: 72 were being managed with insulin, 132 oral hypoglycaemic drugs and 3 combined insulin/oral drugs. Only 28.5% of patients were attending a diabetes clinic. The cause of the hypoglycaemic attack could be determined for 86.1% of cases; 30.8% were due to a missed meal. Interviews showed that education and level of knowledge about diabetes mellitus, and particularly hypoglycaemia symptoms, was inadequate. Logistic regression analysis showed that knowledge about diabetes mellitus correlated with educational status and with follow-up in a diabetes clinic.

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PubMed2006

Nursing care of the person having bariatric surgery.

The increasing incidence of morbid obesity suggests that the quantity of bariatric surgical procedures will continue to multiply each year. Bariatric surgery has become an accepted approach to weight management with the additional benefit of resolution of several co-morbidities. However, quality nursing care and effective patient teaching are essential to achieve positive patient outcomes. Nursing care along the continuum of the bariatric surgical experience is key to positive outcomes for these patients. Throughout the process from selection for surgery to follow-up visits in the physician's office, the nurse can have a significant impact on the response of the patient and family to the surgical procedure. During the selection process, the nurse can explain the required diagnostic tests and their rationale and conduct a thorough medical history, informing the physician of pertinent information that might affect the patient's outcomes. Patient and family teaching begins at this stage with information about the peri-operative experience. Bariatric surgery results in a major lifestyle change for the patient. This change will evolve over time as weight is lost, and the patient adjusts to changes in eating patterns, body image, and the perceptions of others. The nurse should see that the patient has appropriate referral information for support services and should follow up to see that the patient and family availed themselves of these services. The patient's stay in acute care is usually very short. Clearly the patient and family need to go home with specific information about drinking/eating, caring for drainage tubes, skin and wound care, ambulation, self-care, and signs and symptoms that require medical attention. Nursing care should include written information and demonstrations of such activities as care of the wounds and drains. The nurse should assure that the patient leaves the hospital with a call number if questions arise at home. Ideally the nurse, patient, and family should have an opportunity for private education sessions prior to discharge. During the postoperative period, the nurse in the physician's office can serve as a source of information and a monitor of patient progress. Follow-up calls to patients and families after surgery are very helpful in determining the welfare of the patient, offering suggestions for managing the patient's care, and learning if any complications are developing. At the same time, the nurse can assess the psychological condition of the patient and his or her adjustment to a new way of living.

Bariatric Surgery↗