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Enhancing Health and Quality of Life...

Bayne, David Frederick.

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Enhancing Health and Quality of Life for Persons With Dementia and Their Caregivers Through a Biopsychosocial Approach to Mealtime Management.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Enhancing Health and Quality of Life for Persons With Dementia and Their Caregivers Through a Biopsychosocial Approach to Mealtime Management./
Author:	Bayne, David Frederick.
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 2023,
Description:	142 p.
Notes:	Source: Dissertations Abstracts International, Volume: 85-06, Section: B.
Contained By:	Dissertations Abstracts International85-06B.
Subject:	Speech therapy. -
Online resource:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=30572430
ISBN:	9798381143911

Enhancing Health and Quality of Life for Persons With Dementia and Their Caregivers Through a Biopsychosocial Approach to Mealtime Management.
Bayne, David Frederick.

Enhancing Health and Quality of Life for Persons With Dementia and Their Caregivers Through a Biopsychosocial Approach to Mealtime Management. - Ann Arbor : ProQuest Dissertations & Theses, 2023 - 142 p.

Source: Dissertations Abstracts International, Volume: 85-06, Section: B.

Thesis (Ph.D.)--University of Oregon, 2023.

Dementia is a progressive neurodegenerative disease characterized by sensorimotor, psychosocial, and physiological deficits. As a result of this neurological damage, persons with dementia (PWD) often experience difficulty with memory, attention, cognition, sensation, and motor functioning (Gordon et al., 2018; Hesmann et al., 2016; Jack et al., 2009). As neurological damage progresses, PWD require greater reliance on caregivers for completion of activities of daily living (ADLs) like showering, clothing, and eating (Isik et al., 2019; Petersen et al., 2018).One major contributor to the deaths associated with dementia progression is the development of swallowing disorders (dysphagia), with nearly all PWD developing some form of eating or swallowing impairment (Affoo et al., 2013; Ranier Wirth et al., 2017). Associated with these mealtime deficits, individuals with cognitive impairment are at increased risk for malnutrition, dehydration, and the development of pneumonia (Namasivayam & Steele, 2015; Rainer Wirth et al., 2016).The following study utilized a person-centered, holistic model of patient care to identify areas for caregivers to support PWD during mealtimes. Person-centered care, as opposed to disease-centered care, shifts the perspective away from disease management to treat the PWD as a whole person. A person-centered, holistic model of mealtime management addresses the cognitive, social, psychological, and physiological domains that effect mealtime performance. Utilizing a person-centered model of patient care for mealtime management leads to improved patient outcomes, increased quality of life, and increased satisfaction with care (Bangerter et al., 2017; Cartwright et al., 2022; Gallant, 2019; Han et al., 2016; Reimer & Keller, 2009). The following study utilized the Biopsychosocial Model of Mealtime Management in Persons with Dementia (Bayne & Shune, 2022), as a framework to create individualized caregiver training sessions that address the multifactorial issues leading to deficits in mealtime performance for PWD. Individualized caregiver training was provided with the goal of increasing mealtime performance in PWD, decreasing caregiver burden, and optimizing the dyadic relationship of caregiver/care recipient surrounding mealtime management.Participants with dementia in this study demonstrated increased intake, better quality of life, and mealtime related impairment and their caregivers demonstrated increase quality of life, increased confidence, and decreased difficulty with provision of mealtime assistance. The findings of this study provide further support for multicomponent intervention to best support mealtimes for persons with dementia and their caregivers.

ISBN: 9798381143911Subjects--Topical Terms:

520446
Speech therapy.
Subjects--Index Terms:

Biopsychosocial

Enhancing Health and Quality of Life for Persons With Dementia and Their Caregivers Through a Biopsychosocial Approach to Mealtime Management.
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500 $a Source: Dissertations Abstracts International, Volume: 85-06, Section: B.
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520 $a Dementia is a progressive neurodegenerative disease characterized by sensorimotor, psychosocial, and physiological deficits. As a result of this neurological damage, persons with dementia (PWD) often experience difficulty with memory, attention, cognition, sensation, and motor functioning (Gordon et al., 2018; Hesmann et al., 2016; Jack et al., 2009). As neurological damage progresses, PWD require greater reliance on caregivers for completion of activities of daily living (ADLs) like showering, clothing, and eating (Isik et al., 2019; Petersen et al., 2018).One major contributor to the deaths associated with dementia progression is the development of swallowing disorders (dysphagia), with nearly all PWD developing some form of eating or swallowing impairment (Affoo et al., 2013; Ranier Wirth et al., 2017). Associated with these mealtime deficits, individuals with cognitive impairment are at increased risk for malnutrition, dehydration, and the development of pneumonia (Namasivayam & Steele, 2015; Rainer Wirth et al., 2016).The following study utilized a person-centered, holistic model of patient care to identify areas for caregivers to support PWD during mealtimes. Person-centered care, as opposed to disease-centered care, shifts the perspective away from disease management to treat the PWD as a whole person. A person-centered, holistic model of mealtime management addresses the cognitive, social, psychological, and physiological domains that effect mealtime performance. Utilizing a person-centered model of patient care for mealtime management leads to improved patient outcomes, increased quality of life, and increased satisfaction with care (Bangerter et al., 2017; Cartwright et al., 2022; Gallant, 2019; Han et al., 2016; Reimer & Keller, 2009). The following study utilized the Biopsychosocial Model of Mealtime Management in Persons with Dementia (Bayne & Shune, 2022), as a framework to create individualized caregiver training sessions that address the multifactorial issues leading to deficits in mealtime performance for PWD. Individualized caregiver training was provided with the goal of increasing mealtime performance in PWD, decreasing caregiver burden, and optimizing the dyadic relationship of caregiver/care recipient surrounding mealtime management.Participants with dementia in this study demonstrated increased intake, better quality of life, and mealtime related impairment and their caregivers demonstrated increase quality of life, increased confidence, and decreased difficulty with provision of mealtime assistance. The findings of this study provide further support for multicomponent intervention to best support mealtimes for persons with dementia and their caregivers.
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650 4 $a Gerontology. $3 533633
650 4 $a Aging. $3 543123
650 4 $a Nutrition. $3 517777
653 $a Biopsychosocial
653 $a Dementia
653 $a Dysphagia
653 $a Swallowing
653 $a Caregivers
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710 2 $a University of Oregon. $b Department of Special Education and Clinical Sciences. $3 3172615
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