Evaluating Nonverbal Behavior of Individuals with Dementia During Feeding: A Survey of the Nursing Staff in Residential Care Homes for Elderly Adults

Détails

ID Serval
serval:BIB_ECF6FAFBA554
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Evaluating Nonverbal Behavior of Individuals with Dementia During Feeding: A Survey of the Nursing Staff in Residential Care Homes for Elderly Adults
Périodique
Journal of the American Geriatrics Society
Auteur⸱e⸱s
Kuehlmeyer K., Schuler A.F., Kolb C., Borasio G.D., Jox R.J.
ISSN
1532-5415 (Electronic)
ISSN-L
0002-8614
Statut éditorial
Publié
Date de publication
2015
Peer-reviewed
Oui
Volume
63
Numéro
12
Pages
2544-2549
Langue
anglais
Notes
Publication types: JOURNAL ARTICLE Publication Status: ppublish
Résumé
OBJECTIVES: To determine how nursing staff evaluate nonverbal behavior related to hand and tube feeding of residents with dementia.
DESIGN: Cross-sectional survey.
SETTING: A stratified sample of nurses and nursing assistants in residential nursing homes in a major German city.
PARTICIPANTS: Nursing staff members (N = 131) in 12 nursing homes.
MEASUREMENTS: Nursing staff perception of nonverbal behavior of residents with dementia in response to hand and tube feeding.
RESULTS: Ninety-three percent of survey participants considered the nonverbal behavior of residents with advanced dementia crucial for decisions about artificial nutrition and hydration (ANH). The same percentage had at some point encountered residents who did not open their mouths when feeding was attempted. Fifty-three percent of the participants interpreted residents' expressions of pleasure while eating as a will to live. The most frequent interpretation of residents' aversive behavior was discomfort. When residents did not open their mouth during nurse's hand feeding, 41% of the participants inferred a will to die.
CONCLUSION: Most nurses and nursing assistants consider residents' behavior during hand or tube feeding to be important, but their interpretations are heterogeneous. Various professional caregivers assume a will to live or die. Further reflection is necessary to determine how behavioral expressions should be factored into treatment decisions.
Pubmed
Web of science
Création de la notice
11/10/2016 15:30
Dernière modification de la notice
20/08/2019 16:14
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