Weight Loss Prevention
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REGARDING THE MEALTIME INTERVENTION….
Double-Duty Assessment:
Our mealtime intervention protocol can be used as an educational tool during in-service training sessions to teach nurse aides and other workers, such as supplementary "feeding assistants," how to provide high-quality feeding assistance.
Time-Saving Tips:
- Group together residents with similar assistance needs during meals in order to facilitate efficient delivery of feeding assistance and allocation of staff based on residents' needs (e.g., full physical assistance versus social stimulation and verbal cueing alone).
- Residents who are bed-bound or who refuse to come to the dining room for meals may be assessed first for responsiveness to the snack intervention.
- Mealtime feeding assistance trials can be targeted toward residents at particularly high risk for weight loss based on other criteria such as: eats less than 50% of most meals; has a history of or recent weight loss; or has a Body Mass Index below 20. The MDS criterion "leaves 25% or more of food uneaten" will capture some residents who do not, in fact, need intervention.
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