| Title | Texture-modified diets in aged care facilities: Nutrition, swallow safety and mealtime experience |
| Publication Type | Journal Article |
| Year of Publication | 2019 |
| Authors | Miles A, Liang V, Sekula J, Broadmore S, Owen P, Braakhuis AJ |
| Journal | Australasian journal on ageing |
| Pagination | 10.1111/ajag.12640 |
| ISBN Number | 1741-6612 |
| Accession Number | 30868723 |
| Keywords | deglutition disorders, dysphagia, food services, Nutritional Status, old age homes |
| Abstract | OBJECTIVES: Over 35 000 people live in residential aged care facilities (RACFs) in New Zealand. Texture-modified diets (TMDs) are commonplace. They are associated with malnutrition. The aim of this study was to characterise TMD prevalence and practice in RACFs. METHODS: Data from 35 460 residents were extracted from the interRAI™ database. Mealtime observations (including 459 residents), meal audits (IDDSI, 2018) and menu audits (Dietitians New Zealand Menu Audit Tool for RACFs 2013) were completed at 10 RACFs. RESULTS: One-third of residents were on TMDs. Half the residents ate full meals. Feeding assistance was more common in residents on TMDs compared to those on regular diets (P < 0.001). The majority of pureed meals met IDDSI standards; none of soft and bite-sized meals complied. TMD carbohydrate and protein servings did not comply with standards. CONCLUSIONS: Texture-modified diets reflect 1/3 of meals produced in RACFs. This study provides insight into TMD use in RACFs and highlights service gaps and training opportunities. |
| DOI | 10.1111/ajag.12640 |
| Link | |
| Short Title | Australasian journal on ageingAustralasian J Ageing |
| Alternate Journal | Australasian J Ageing |
