Use of Oral Nutrition Supplements In Long-term Care Facilities

Author:

Johnson Shanthi1,Nasser Roseann2,Banow Tiffany2,Cockburn Tanya2,Voegeli Leah2,Wilson Orina2,Coleman Jean2

Affiliation:

1. Faculty of Kinesiology and Health Studies, Saskatchewan Population Health and Evaluation Research Unit, University of Regina, Regina, SK

2. Dietetic Internship Programme and Clinical Nutrition Services, Department of Nutrition and Food Services, Regina Qu’Appelle Health Region, Regina, SK

Abstract

Purpose: Practices related to oral nutrition supplement (ONS) use were examined in elderly people living in longterm care (LTC) facilities. Methods: Thirteen LTC facilities within a large regional health authority participated, and 17 people responsible for prescribing ONS in their facilities were interviewed, using a key informant telephone survey. A survey on ONS practice wasmodified, pilot tested, and used. Results:Oral nutrition supplements were primarily prescribed by nursing staff (59%), followed by physicians, registered dietitians, or other staff; ONS use was prescribed for decreased intake, unintentional weight loss, or wound healing. Various ONS products (e.g., Ensure, Boost, or Resource 2.0) were prescribed. Only 18% of respondents reported using alternative food options first to supplement nutritional intake, before introducing ONS. In terms of follow-up and evaluation, the measures of improvement included weight gain, wound healing, or improved well-being; reasons for discontinuation included weight gain, increased intake, or death. Conclusions: Within LTC settings, the prescription and monitoring of ONS vary considerably. Evidence-based guidelines for the prescription and monitoring of ONS and for the use of a food-first strategy should be developed, implemented, and evaluated to optimize the nutritional health of the elderly in LTC facilities.

Publisher

Dietitians of Canada

Subject

Nutrition and Dietetics,General Medicine,Medicine (miscellaneous)

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