Weight Loss Prevention
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SNACK INTERVENTION PROTOCOL
All residents who are not responsive to the mealtime intervention should receive a two-day trial of a between-meal snack intervention. Staff should follow procedures in our Between Meal Snack Protocol to conduct this assessment trial. This protocol is similar to that used for mealtime feeding assistance:
- Staff should offer feeding assistance to groups of four residents three times per day between meals (typically at 10am, 2pm, and 7pm) for about 15-20 minutes per snack period.
- Staff should offer a variety of foods and fluids during each snack period. If possible, present snacks on a moveable, attractive cart so that residents can see their choices. Much like the dessert cart at a restaurant, the visual stimulation may stir the appetite. Recommended snacks include assorted juices, yogurts, ice cream, fresh fruit, puddings, cookies, pastries, cheese/peanut butter, and crackers. Oral supplements as well as snacks appropriate for diabetics and others on special diets should be provided as needed.
- Staff should follow our graduated prompting protocol to encourage residents to feed themselves (see our Between Meal Snack Protocol).
- Staff should casually converse or otherwise socially interact with residents throughout the snack period.
- Residents should be sitting upright so that they are properly positioned to eat.
Throughout this two-day trial, staff must monitor participating residents' food and fluid intake at each meal (breakfast, lunch, and dinner) in order to determine if the calories gained from snacks result in lower intake of meals. Use our Mealtime Observational Protocol to conduct these assessments.
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