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Recommendations Summary

UWL: Resident Involvement in Meal Planning 2009

Click here to see the explanation of recommendation ratings (Strong, Fair, Weak, Consensus, Insufficient Evidence) and labels (Imperative or Conditional). To see more detail on the evidence from which the following recommendations were drawn, use the hyperlinks in the Supporting Evidence Section below.

• Recommendation(s)

  UWL: Resident Involvement in Meal Planning

  The Registered Dietitian (RD) should collaborate with other health care professionals and administrators to encourage older adults' involvement in planning menus and meal patterns, since studies show that this may result in improved food and fluid intake.

  Rating: Strong
  Imperative

  • Risks/Harms of Implementing This Recommendation

    None.

  • Conditions of Application

    Older adults' involvement in planning menus and meal patterns is an important component of person-centered care. 

  • Potential Costs Associated with Application

    None.

  • Recommendation Narrative

    • Resident involvement in menu planning, as well as flexibility of the meal pattern and composition, may result in improved intake of food and fluid (Young and Greenwood, 2001; Kofod and Birkemose, 2004; Young et al, 2005; Taylor and Barr, 2006).

  • Recommendation Strength Rationale

    • Conclusion Statement in support of these recommendations received Grade I

  • Minority Opinions

    Consensus reached.

• Supporting Evidence

  The recommendations were created from the evidence analysis on the following questions. To see detail of the evidence analysis, click the blue hyperlinks below (recommendations rated consensus will not have supporting evidence linked).

  What is the relationship between diet liberalization (selective diets, non-restrictive diets) and weight gain in adults over age 65?

  • References

    Kofod J and Birkemose A. Meals in nursing homes. Scand J Caring Sci. 2004; 18(2): 128-134.
    
    Taylor KA, Barr SI. Provision of small, frequent meals does not improve energy intake of elderly residents with dysphagia who live in an extended-care facility. J Am Diet Assoc. 2006; 106: 1,115-1,118.
    
    Young KWH, Greenwood CE. Shift in diurnal feeding patterns in nursing home residents with Alzheimer's disease. J Gerontol A Biol Sci Med Sci. 2001; 56 (11): M700-M706. 
    
    Young KWH, Greenwood CE, van Reekum R, Binns MA. A randomized, crossover trial of high-carbohydrate foods in nursing home residents with Alzheimer's disease:  associations among intervention response, body mass index, and behavioral and cognitive function. J Gerontol A Biol Sci Med Sci. 2005; 60 (8): 1,039-1,045.