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2 results

  • Development of a protein energy malnutrition screening tool for older Thais in public residential homes

  • Thitima Phodhichai, Warapone Satheannoppakao, Mathuros Tipayamongkholgul, Carol Hutchinson, Siriphan Sasat
  • Journal:
    Public Health Nutrition / Volume 25 / Issue 3 / March 2022
    Published online by Cambridge University Press:
    08 October 2021, pp. 565-577
    • Article
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  • Objective:

    This study aimed to develop and validate protein energy malnutrition (PEM) screening tool for older adults in public residential homes, and to test its practicality.

    Design:

    This cross-sectional study consisted of two phases: tool development/validation and tool practicality evaluation. In Phase 1, the questionnaire was developed based on literature review and tested for content validity. Older residents were interviewed using this questionnaire to identify potential PEM risk factors. A 24-h recall was used to collect dietary data, and body composition and serum albumin were measured. In Phase 2, practicality of new PEM screening tool was evaluated by intended users. Data were analysed by χ2 test, Fisher’s exact test, t-test, Mann–Whitney U test and multiple logistic regression. Akaike Information Criterion (AIC) was used to estimate the best fit model.

    Setting:

    Four public residential homes in central region, Thailand.

    Participants:

    249 older residents residing in public residential homes and eight intended users.

    Results:

    26·9 % had PEM (serum albumin <3·5 g/dl). According to multiple logistic regression and AIC values, PEM predictors were having pressure ulcer, experiencing significant weight loss and taking ≥ 9 types of medicine daily. These predictors were included in PEM screening tool. Regarding the tool performance test, area under the ROC curve was 0·8 (P < 0·001) with sensitivity and specificity of 83·9 and 45·5 %, respectively. For its practicality, eight intended users reported that it was useful and easy to use.

    Conclusions:

    New screening tool may be capable of identifying PEM in older residents, and further testing is required before being recommended for use.

  • Returning Home from Residential Care? Patient Preferences and their Determinants

  • ANJA NORO, SEPPO ARO
  • Journal:
    Ageing & Society / Volume 17 / Issue 3 / May 1997
    Published online by Cambridge University Press:
    01 May 1997, pp. 305-321
    Print publication:
    May 1997

  • The objective of the study was to discover what fairly independent residents living in long-term residential care think about home care as an alternative. A stratified systematic sample was drawn from a one-day census of patients in all residential homes in Finland on 2 December, 1991. A postal survey was used for data collection in December, 1992. Respondents who preferred home care were compared with respondents preferring residential care according to length of stay, health, functional ability and health-related quality of life. Most respondents preferred institutional care. Preference for home care was explained most strongly by emotional factors, unwillingness for residential care at admission, and still having a home to return to. Shorter length of stay also predicted preference for home care. Those who preferred home care admitted they would need much formal care after discharge. People living in residential homes are rarely ready for discharge home, because of limitations in their physical ability or of their unwillingness to change their site of care.