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Bell, Alison; Tapsell, Linda; Walton, Karen; Yoxall, Alaster (2017)
Publisher: Wiley
Languages: English
Types: Article
Subjects:

Classified by OpenAIRE into

mesheuropmc: human activities
Identifiers:doi:10.1111/jhn.12430
Background: Hospitalised and community dwelling older people (65 years and over), have difficulties opening food and beverage items such as cheese portions and tetra packs served in public hospitals. Previously, the role of hand strength on successful pack opening has been explored in a seated position. However, as many people in hospital eat in bed, this laboratory study examined the differences between participants opening a selection of products both in a hospital bed and a chair.\ud Methods: This study used a qualitative method (satisfaction) and quantitative methods (grip and pinch strength, dexterity, time and attempts) in two conditions (bed; chair) with a sample of well older community dwelling adults (n=34). Packs tested included foil sealed thickened pudding, foil sealed thickened water, tetra pack, dessert, custard, jam, cereal, honey sachet and cheese portions.\ud Results: Honey sachets, cheese portions, foil sealed thickened pudding and tetra packs were the most difficult packs to open, with 15% of cheese portions unable to be opened in either the bed or chair posture. While grip strength was consistent for each posture, pinch grips and dexterity were adversely affected by the bed posture. Lying in a hospital bed required greater pinch strength and dexterity to open packs.\ud Conclusions: Eating in a seated position while in hospital has been shown to improve intake. This study demonstrates that eating in a seated posture is also advantageous for opening food and beverage packs used in NSW hospital food service and supports the notion that patients should sit to eat in hospital.
  • The results below are discovered through our pilot algorithms. Let us know how we are doing!

    • 1. Rechbauer C (2013) Healthcare NSW plates up 22 million meals. Hospital & Aged Care Sept-Oct 2013.
    • 2. Australian Institute of Health and Welfare (2013) Australian Hospital statistics 2011 - 12. Canberra, ACT: Australian Government.
    • 3. Johns N, Edwards, J SA, Hartwell, H J (2013) Hungry in hospital, well-fed in prison? A comparative analysis of food service systems. Appetite 68, 45-50.
    • 4. Gout BS, Barker L A, Crowe, TC (2009) Malnutrition identification, diagnosis and dietetic referrals: Are we doing a good enough job? Nutr Diet 66, 206-211.
    • 5. Naithani S, Whelan K, Thomas J et al. (2008) Hospital inpatients' experiences of access to food: a qualitative interview and observational study. Health Expect 11, 294-303.
    • 6. Hartwell HJ, Edwards J S A, Symonds C(2006) Foodservice in hospital: development of a theoretical model for patient experience and satisfaction using one hospital in the UK National Health Service as a case study. J Food Serv 17, 226-238.
    • 7. Walton K, Williams P, Tapsell L (2012) Improving food services for elderly, long-stay patients in Australian hospitals: Adding food fortification, assistance with packaging and feeding assistance. Nutr Diet 69, 137-144.
    • 8. Manning F, Harris K, Duncan R et al. (2012) Additional feeding assistance improves the energy and protein intakes of hospitalised elderly patients. A health services evaluation. Appetite 59, 471-477.
    • 9. Walton K, Williams P, Tapsell L, et al. (2013) Observations of mealtimes in hospital aged care rehabilitation wards. Appetite 67, 16-21.
    • 10. Edwards JSA, Hartwell H J (2004) A comparison of energy intake between eating positions in a NHS hospital-a pilot study. Appetite 43, 323-325.
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