Change search
Link to record
Permanent link

Direct link
BETA
Wikby, Kerstin
Publications (6 of 6) Show all publications
Wikby, K., Ek, A.-C. & Christensson, L. (2009). Implementation of a nutritional programme in elderly people admitted to resident homes. Scandinavian Journal of Caring Sciences, 23(3), 421-430
Open this publication in new window or tab >>Implementation of a nutritional programme in elderly people admitted to resident homes
2009 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 23, no 3, p. 421-430Article in journal (Refereed) Published
National Category
Other Social Sciences not elsewhere specified
Identifiers
urn:nbn:se:hj:diva-11287 (URN)10.1111/j.1471-6712.2008.00632.x (DOI)
Available from: 2010-01-12 Created: 2010-01-12 Last updated: 2017-12-12Bibliographically approved
Wikby, K., Ek, A.-C. & Christensson, L. (2008). The two-step Mini Nutritional Assessment procedure in community resident homes. Journal of Clinical Nursing, 17(9), 1211-1218
Open this publication in new window or tab >>The two-step Mini Nutritional Assessment procedure in community resident homes
2008 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 17, no 9, p. 1211-1218Article in journal (Refereed) Published
Identifiers
urn:nbn:se:hj:diva-5515 (URN)
Available from: 2008-07-08 Created: 2008-07-08 Last updated: 2017-12-12Bibliographically approved
Christensson, L. & Wikby, K. (2007). A nutritional nursing care model introduced to elderly people admitted to resident homes. In: 11th International Nursing Research Conference, Madrid, November 14th-16th, 2007: .
Open this publication in new window or tab >>A nutritional nursing care model introduced to elderly people admitted to resident homes
2007 (English)In: 11th International Nursing Research Conference, Madrid, November 14th-16th, 2007, 2007Conference paper, Published paper (Other (popular science, discussion, etc.))
Abstract [en]

11th INTERNATIONAL NURSING RESEARCH CONFERENCE

Madrid, November 14th – 16th 2007

PAPER TITLE: A Nutritional Nursing Care Model introduced to Elderly People admitted to Resident Homes

AUTHOR/S: Lennart Christensson, RN, PhD and Kerstin Wikby, RN PhD.

WORK PLACE: School of Health Sciences, Department of Nursing, Jönköping University.

ADDRESS: Box 1026, 551 11 Jönköping, Sweden

TELEPHONE: +46 36 101249 FAX: +46 36 101250

E-MAIL: lennart.christensson@hhj.hj.se

Malnutrition among the elderly is a multidimensional concept, involving medical, psychological and social factors. Fulfilling nutritional requirements in residents with eating problems is often a challenge for both the person in need of help and for the care giver.

Objectives: The primary objective of this study was to determine whether educating care givers have effects on the improvement of nutritional status among elderly people, newly admitted to resident homes.

Methods: The study was based on an earlier single-case study, where a model for nutritional nursing care was developed. In this study a pre-post test design was used, including 62 residents in the experimental (20 men, 42 women) and 53 in the control group (14 men, 39 women). The residents were newly admitted to a resident home and were consecutively included in the study. Mean age was 85 years. At admission and after four months protein-energy malnutrition (PEM) was assessed, using a combination of anthropometry (weight index, arm muscle circumference and triceps skinfold thickness) and biochemical measurements (serum protein and transthyretin). Functional capacity and overall cognitive function were also assessed. In the experimental unit, a nutritional nursing care model was introduced and the staff received education about nutritional needs, and how to individualise nutritional care.

Findings: Twenty residents in the experimental and 17 in the control group were assessed as PEM at admission. After four months the number of residents assessed as PEM decreased to seven in the experimental (p=0.004), and to ten in the control group (p=0.1). Motor activity (p=0.006) and cognitive function (p=0.02) increased in the experimental group, while motor activity decreased in the control group (p=0.02). The care givers in the experimental group estimated the extra work, caused by the changed way of work during the meals, to 11/2 minute per resident and day.

Discussion: Individualised actions directed towards PEM residents are in line with the recommendation by the European Society of Parenteral and Enteral Nutrition (ESPEN) and with the Swedish goals of nursing action. Nursing actions towards nutritional problems include more than merely to offer a standard care plan, such as giving oral supplementation. As the nutritional problems often demands a deeper analysis of the underlying causes, individualized nursing actions may be a more optimal approach. This study shows that implementing an individualised nutritional programme increase nutritional status, motor activity and cognitive function in PEM residents. The nutritional care programme was implemented with a minimum of extra work.

Identifiers
urn:nbn:se:hj:diva-4686 (URN)
Available from: 2007-11-22 Created: 2007-11-22Bibliographically approved
Wikby, K. (2006). Nutritional Intervention in Elderly People Admitted to Resident Homes. (Doctoral dissertation). Linköping: Linköpings universitet
Open this publication in new window or tab >>Nutritional Intervention in Elderly People Admitted to Resident Homes
2006 (English)Doctoral thesis, monograph (Other academic)
Place, publisher, year, edition, pages
Linköping: Linköpings universitet, 2006. p. 50
Series
Linköping University medical dissertations, ISSN 0345-0082 ; 951
Identifiers
urn:nbn:se:hj:diva-3858 (URN)91-85497-87-8 (ISBN)
Public defence
(English)
Available from: 2007-10-15 Created: 2007-10-15Bibliographically approved
Wikby, K., Ek, A.-C. & Christensson, L. (2006). Nutritional status in elderly people admitted to community residential homes: Comparisons between two cohorts.. The Journal of Nutrition, Health & Aging, 10(3), 232-238
Open this publication in new window or tab >>Nutritional status in elderly people admitted to community residential homes: Comparisons between two cohorts.
2006 (English)In: The Journal of Nutrition, Health & Aging, ISSN 1279-7707, E-ISSN 1760-4788, Vol. 10, no 3, p. 232-238Article in journal (Refereed) Published
National Category
Other Social Sciences not elsewhere specified
Identifiers
urn:nbn:se:hj:diva-1702 (URN)
Available from: 2007-10-16 Created: 2007-10-16 Last updated: 2017-12-12Bibliographically approved
Wikby, K. & Fägerskiöld, A. (2004). The willingness to eat: An investigation of appetite among elderly people.. Scandinavian Journal of Caring Sciences, 18(2), 120-127
Open this publication in new window or tab >>The willingness to eat: An investigation of appetite among elderly people.
2004 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 18, no 2, p. 120-127Article in journal (Refereed) Published
National Category
Nursing Other Social Sciences not elsewhere specified
Identifiers
urn:nbn:se:hj:diva-3857 (URN)
Available from: 2008-07-08 Created: 2008-07-08 Last updated: 2017-12-12Bibliographically approved
Organisations

Search in DiVA

Show all publications