title: Mealtime interruptions, assistance and nutritional intake in subacute care.
abstract: Protected mealtimes is an initiative to support increased nutritional intake for all hospitalised patients, particularly those who are malnourished. The increased focus on maximising independence of patients in the subacute setting may provide a supportive environment for implementing these strategies. The aim of the present study was to gain insight into subacute ward practices at mealtimes under usual conditions (i.e. at baseline) where no protected mealtimes policy was implemented. Participants were patients aged ≥65 years recruited from subacute care facilities at a large healthcare network in Victoria, Australia. Participants were observed at mealtimes and mid meals (i.e. morning tea, afternoon tea and supper) to determine daily energy and protein intake, provision of mealtime assistance and mealtime interruptions. Almost all participants received assistance when it was needed, with positive and negative interruptions experienced by 56.2% and 76.2% of participants, respectively. There was an energy deficit of approximately 2 MJ per day between average intake and estimated requirements. In conclusion, mealtime practices were suboptimal, with particularly high rates of negative interruptions. Protected mealtimes is one strategy that may improve the mealtime environment to support patients' dietary intake. Prospective studies are needed to evaluate its implementation and effects.
authors.affiliation: Monash University Department of Nutrition and Dietetics, 264 Ferntree Gully Road, Notting Hill, Vic. 3168, Australia. Email.
authors.forename: Judi
authors.initials: J
authors.lastname: Porter
authors.affiliation: Eastern Health, 5 Arnold Street, Box Hill, Vic. 3128, Australia. Email.
authors.forename: Anita
authors.initials: A
authors.lastname: Wilton
authors.affiliation: Monash University Department of Nutrition and Dietetics, 264 Ferntree Gully Road, Notting Hill, Vic. 3168, Australia. Email.
authors.forename: Jorja
authors.initials: J
authors.lastname: Collins
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002149:Energy Intake; D005260:Female; D005521:Food Service, Hospital; D006760:Hospitalization; D006801:Humans; D007297:Inpatients; D008297:Male; D044342:Malnutrition / Q000517:prevention & control*; D062407:Meals; D019467:Subacute Care; D014739:Victoria