title: Recently hospital-discharged older adults are vulnerable and may be underserved by the Older Americans Act Nutrition Program.
abstract: The home-delivered meal (HDM) program of the Older Americans Act Nutrition Program (OAANP) has traditionally served frail homebound older adults; however, due to gaps in the continuum of care, enrollment in this program following hospital discharge remains a challenge. Trained interviewers at 6 HDM sites in 6 U.S. states assigned 566 hospital-discharged individuals, ages 60-96 years, into either early (48 hour) or delayed (2 weeks) enrollment groups and assessed their health and nutrition status. Regardless of elapsed time at enrollment, more than 80% reported at least one limitation in activities and instrumental activities of daily living. About 20% had impaired cognition and more than 40% had depressive symptoms. Also, 40% reported fair or poor appetite. Despite intense recruitment from hospitals, only 30% of participants were referred from hospitals. The recently hospital-discharged older adult population may include a higher prevalence of individuals with poor functional status and at nutritional risk than participants in the OAANP HDM program and yet may be underserved by this program.
authors.affiliation: Department of Nutrition and Food Science, University of Maryland, College Park, MD 20742, USA. nsahyoun@umd.edu
authors.forename: Nadine R
authors.initials: NR
authors.lastname: Sahyoun
authors.forename: Ucheoma O
authors.initials: UO
authors.lastname: Anyanwu
authors.forename: Joseph R
authors.initials: JR
authors.lastname: Sharkey
authors.forename: Linda
authors.initials: L
authors.lastname: Netterville
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D003266:Continuity of Patient Care; D005260:Female; D005522:Food Services / Q000592:standards*; D016330:Frail Elderly; D006299:Health Services for the Aged / Q000592:standards*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009752:Nutritional Status; D010351:Patient Discharge; D012307:Risk Factors; D035862:Vulnerable Populations