Weight Loss Prevention
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TARGET FIRST THOSE RESIDENTS RESPONSIVE TO THE MEALTIME INTERVENTION
As noted earlier, most nursing homes do not have enough workers to provide adequate feeding assistance to all residents at risk of undernutrition. The usual result is that all residents receive substandard care, so no one gets what they really need. If a facility is short-staffed, wouldn't it be ethically and clinically preferable to concentrate first on providing proper feeding assistance to those residents most likely to increase their food and fluid consumption as a result? Our Step 2 trial of mealtime feeding assistance enables nursing homes to accurately and reliably identify these "responsive" residents. "Nonresponsive" residents, who are unlikely to eat more even if offered extra help, need not receive such intensive feeding assistance. They should, however, be offered our snack intervention.
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