Challenges for Nurses, Care Workers and Registered Dietician's Support Methods in Preventing of Dehydration in Frail Elderly Residents of Long-term Care Insurance Facilities Fumiko Kajii 1 1St. Luke's College of Nursing, Gerontological Nursing Keyword: 介護保険施設 , 要介護高齢者 , 脱水予防 , 水分摂取 , 課題 , long-term care insurance facilities , elderly individuals requiring long-term care , prevention of dehydration , taking in water , challenges pp.55-65
Published Date 2012/11/30
  • Abstract
  • Reference

 The purpose of the present study was to clarify the challenges to the methods by which nurses, care workers and registered dieticians provided water in order to prevent dehydration in frail elderly at long-term care facilities. The methods of data collection were questionnaire and focus group interview. The subjects of the questionnaire were 168 nurses (40.2%), 160 care workers (38.1%) and 84 registered dieticians (20.0%), and 412 subjects (14.8%) responded with valid answers. The subjects of the focus group interviews were 3 nurses, 5 care workers and 3 registered dieticians. The results were as follows.

 The nurses and the care workers carried out observation of the elderly people's meal situation and their health condition every day with an assessment of dehydration.

 The registered dieticians collected data about the health status of elderly from other professionals.

 The main problems from the side of the elderly were several physical factors, such as loss of appetite, swallowing difficulty, dysphagia and low intake of water among older persons with dementia and terminal disease, while problems from the side of professionals were selection of unsuitable forms of food and low level of meal care skill.

 A form of support accompanied by various resources, such as introduction of jelly foods and their favorite food for prevention of dehydration, was considered among professionals. On the other hand, there were many problems with the selection of inappropriate forms of food, lack of skill in giving water, weakness of risk assessment and low safety of meal environment from the assistance side. It was suggested that the care skill of giving water incurred challenges to the individuality and dignity of elderly people, and professional education in this regard is required at long-term care facilities in the future.

Copyright © 2012, Japan Academy of Gerontological Nursing All rights reserved.


電子版ISSN 印刷版ISSN 1346-9665 日本老年看護学会