Nutritional Care for Institutionalized Persons with Dementia: An Integrative Review

María Elisa Moreno-Fergusson, Gabriela Rabe Caez-Ramírez, Luz Indira Sotelo-Díaz and Beatriz Sánchez-Herrera ()
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María Elisa Moreno-Fergusson: Nursing and Rehabilitation School, Campus Puente del Común, Universidad de La Sabana, Chía 250001, Colombia
Gabriela Rabe Caez-Ramírez: Engineering School, Campus Puente del Común, Universidad de La Sabana, Chía 250001, Colombia
Luz Indira Sotelo-Díaz: EICEA Department of Gastronomy, Campus Puente del Común, Universidad de La Sabana, Chía 250001, Colombia
Beatriz Sánchez-Herrera: Nursing and Rehabilitation School, Campus Puente del Común, Universidad de La Sabana, Chía 250001, Colombia

IJERPH, 2023, vol. 20, issue 18, 1-22

Abstract: Background: Older people are at risk of malnutrition, especially when they suffer from cognitive impairment. Guidelines that orient nursing care in this regard need to be updated. The aim of this review is to address the best available evidence on interventions that can benefit nutritional nursing care for institutionalized older adults with dementia. Methods: Integrative review using the Dimensions and Eureka search engines, and the PubMed, Embase, Scielo, CINAHL, and ScienceDirect databases. We searched from the year 2015 through to 2021. We employed the MMAT guidelines for mixed, qualitative, and quantitative studies, and the PRISMA, CASP, and JBI guidelines to value the reviews. Results: A total of 55 studies met the inclusion criteria. The best available evidence to support nutritional nursing care for institutionalized older adults with dementia highlights several aspects related to the assessment and caring interventions that are focused on people with dementia, their caregivers, and their context. Conclusions: Both the assessment and nutritional care interventions for older people with dementia should consider the patient–caregiver dyad as the subject of care and understand the context as a fundamental part of it. The analysis of the context should look further than the immediate environment.

Keywords: dementia; Alzheimer’s; nutrition; meal environment; eating performance; feeding methods; nursing care (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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