{"id":427415,"date":"2022-04-06T15:30:01","date_gmt":"2022-04-06T12:30:01","guid":{"rendered":"https:\/\/en.buradabiliyorum.com\/how-meals-are-enjoyed-is-about-more-than-whats-on-the-plate\/"},"modified":"2022-04-06T15:30:01","modified_gmt":"2022-04-06T12:30:01","slug":"how-meals-are-enjoyed-is-about-more-than-whats-on-the-plate","status":"publish","type":"post","link":"https:\/\/buradabiliyorum.com\/en\/how-meals-are-enjoyed-is-about-more-than-whats-on-the-plate\/","title":{"rendered":"#How meals are enjoyed is about more than what&#8217;s on the plate"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_85 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<label for=\"ez-toc-cssicon-toggle-item-6a4168fd05363\" class=\"ez-toc-cssicon-toggle-label\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #dd3333;color:#dd3333\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #dd3333;color:#dd3333\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/label><input type=\"checkbox\"  id=\"ez-toc-cssicon-toggle-item-6a4168fd05363\" checked aria-label=\"Toggle\" \/><nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-1'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/buradabiliyorum.com\/en\/how-meals-are-enjoyed-is-about-more-than-whats-on-the-plate\/#%E2%80%9CHow_meals_are_enjoyed_is_about_more_than_whats_on_the_plate%E2%80%9D\" >&#8220;How meals are enjoyed is about more than what&#8217;s on the plate&#8221;<\/a><\/li><\/ul><\/nav><\/div>\n<h1><span class=\"ez-toc-section\" id=\"%E2%80%9CHow_meals_are_enjoyed_is_about_more_than_whats_on_the_plate%E2%80%9D\"><\/span>&#8220;How meals are enjoyed is about more than what&#8217;s on the plate&#8221;<span class=\"ez-toc-section-end\"><\/span><\/h1>\n<div>\n<div class=\"article-gallery lightGallery\">\n<div data-thumb=\"https:\/\/scx1.b-cdn.net\/csz\/news\/tmb\/2022\/serving-up-choice-and.jpg\" data-src=\"https:\/\/scx2.b-cdn.net\/gfx\/news\/2022\/serving-up-choice-and.jpg\" data-sub-html=\"Meals are about sharing food and coming together. Credit: &lt;a class=&quot;source&quot; href=&quot;https:\/\/image.shutterstock.com\/image-photo\/senior-woman-eating-her-lunch-600w-163582757.jpg&quot;&gt;Shutterstock&lt;\/a&gt;\">\n<figure class=\"article-img\">\n            <img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/scx1.b-cdn.net\/csz\/news\/800a\/2022\/serving-up-choice-and.jpg\" alt=\"Serving up choice and dignity in aged care \u2014 how meals are enjoyed is about more than what's on the plate\" title=\"Meals are about sharing food and coming together. Credit: &lt;a class=&quot;source&quot; href=&quot;https:\/\/image.shutterstock.com\/image-photo\/senior-woman-eating-her-lunch-600w-163582757.jpg&quot;&gt;Shutterstock&lt;\/a&gt;\" width=\"800\" height=\"530\"\/><figcaption class=\"text-darken text-low-up text-truncate-js text-truncate mt-3\">\n                Meals are about sharing food and coming together. Credit: <a rel=\"nofollow noopener\" target=\"_blank\" class=\"source\" href=\"https:\/\/image.shutterstock.com\/image-photo\/senior-woman-eating-her-lunch-600w-163582757.jpg\">Shutterstock<\/a><br \/>\n            <\/figcaption><\/figure>\n<\/p><\/div>\n<\/div>\n<p>Meals are rituals built around pleasures and choices. While what is served at mealtimes in aged care homes has received recent <a rel=\"nofollow noopener\" target=\"_blank\" href=\"https:\/\/www.abc.net.au\/news\/2018-09-17\/food-in-aged-care\/10212880?nw=0&amp;r=HtmlFragment\">attention<\/a> and Labor has pledged to improve the food offered, new research highlights that how meals are offered is just as important.\n                                                <\/p>\n<p>                                                                                More than <a rel=\"nofollow noopener\" target=\"_blank\" href=\"https:\/\/www.aihw.gov.au\/reports\/dementia\/dementia-in-aus\/contents\/aged-care-and-support-services-used-by-people-with-dementia\/residential-aged-care\">50% of aged care residents live with dementia<\/a>, and outside of mealtimes, spend the majority of their days <a rel=\"nofollow noopener\" target=\"_blank\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32396600\/\">alone<\/a>. Mealtimes are the time of the day when people come together, providing opportunities for <a href=\"https:\/\/buradabiliyorum.com\/en\/category\/social-mediaa\/\" data-internallinksmanager029f6b8e52c=\"1\" title=\"Social Media\" target=\"_blank\" rel=\"noopener\">social<\/a> connection, celebration, and <a rel=\"nofollow noopener\" target=\"_blank\" href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0890406510000046?casa_token=pwOucRx12WUAAAAA:cC0RMR5Oq3T4ly2vFOvuW7_DziNLkHy1QyWoClwfV04zQFLtqm8_7rgQrZ-xhhta_ONxYwsLqY8\">honoring<\/a> individual preferences and culture.<\/p>\n<p>And yet, staffing shortages and insufficient time to help residents eat and drink means mealtimes are frequently highly structured and depersonalized, with the focus being on food intake rather than the dining experience.<\/p>\n<p>Further, current aged care funding does not incentivize quality in food, or mealtime autonomy.<\/p>\n<p>Innovation in mealtime care is needed to turn this around and give aged care residents back their basic rights. One <a rel=\"nofollow noopener\" target=\"_blank\" href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S152586101500643X\">proven<\/a> <a href=\"https:\/\/buradabiliyorum.com\/en\/category\/download-scripts-themes-apps\/\" data-internallinksmanager029f6b8e52c=\"9\" title=\"Download Scripts &amp; Themes &amp; Apps\" target=\"_blank\" rel=\"noopener\">app<\/a>roach draws on Montessori principles traditionally used within the early childhood field.<\/p>\n<p><b>Careful planning allows more freedom<\/b><\/p>\n<p>The revolutionary thinking of Italian physician and educator <a rel=\"nofollow noopener\" target=\"_blank\" href=\"https:\/\/amshq.org\/About-Montessori\/History-of-Montessori\/Who-Was-Maria-Montessori\">Maria Montessori<\/a> has been increasingly applied to dementia care\u2014introduced to the field by psychologist <a rel=\"nofollow noopener\" target=\"_blank\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3600589\/\">Cameron Camp<\/a> in the 1990s. The Montessori approach respects the abilities and preferences of the person\u2014young or old\u2014engaging people at their own pace and rhythm.<\/p>\n<p>Montessori methods focus on a carefully prepared environment and work with the retained strengths of a person with dementia to enable <a rel=\"nofollow noopener\" target=\"_blank\" href=\"https:\/\/www.cambridge.org\/core\/journals\/international-psychogeriatrics\/article\/randomized-crossover-trial-to-study-the-effect-of-personalized-onetoone-interaction-using-montessoribased-activities-on-agitation-affect-and-engagement-in-nursing-home-residents-with-dementia\/0C0011B4FDE4DE33BD4A674738239AA0\">engagement<\/a> and involvement in everyday life. This helps people with dementia reclaim skills, such as the ability to <a rel=\"nofollow noopener\" target=\"_blank\" href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S152586101500643X\">eat independently<\/a>.<br \/>\n                                            <!-- Google middle Adsense block --><\/p>\n<p>The approach can change people&#8217;s expectations of what a person with dementia is capable of and promote a sense of community.<\/p>\n<p><a rel=\"nofollow noopener\" target=\"_blank\" href=\"https:\/\/journals.sagepub.com\/doi\/full\/10.1177\/14713012211057414\">Our study<\/a> looked at how applying Montessori strategies changed mealtimes for staff and residents in a residential aged care setting. We periodically filmed mealtimes, starting before any changes were made and ending with new practices in place. <\/p>\n<p>Routines, materials, and external aids were established to support memory loss and independence. For example, signage invited residents to help themselves to snacks, and a buffet encouraged residents to serve their own meals.<\/p>\n<p>Extending the duration of the breakfast service enabled residents to eat at their own pace, while the preparation of additional food ensured residents had the opportunity for second or third helpings.<\/p>\n<p>Staff across all levels of the organization were trained and mentored in the Montessori approach. For example, the Montessori mantra &#8220;Everything you do for me; you take away from me&#8221; was introduced to staff\u2014transforming the way they thought about empowering residents and their own caring roles.<\/p>\n<p>Care staff were encouraged to involve residents in mealtime routines and create meaningful roles, such as setting the table, filling water jugs or writing up the daily menu.<\/p>\n<p><b>What we saw<\/b><\/p>\n<p>Our observational research evaluated mealtime routines before and after the Montessori model of care was introduced and the findings were promising for everyone involved\u2014residents, families, and staff. We can see this by examining the experience of a resident we&#8217;ll call &#8220;Marjory.&#8221; <\/p>\n<p>Before Montessori, Marjory&#8217;s meal was chosen by a staff member and there were no second options should she not like the selection. Marjory&#8217;s main meal and dessert were placed together on the bare table, with no explanation as to what they were. She did not choose who she sat with, or which drink was served with her meal. Marjory ate her meal in silence.<\/p>\n<p>We noted this as a familiar pattern, highlighted in <a rel=\"nofollow noopener\" target=\"_blank\" href=\"https:\/\/www.tandfonline.com\/doi\/full\/10.3109\/17549507.2014.987816\">previous research<\/a>, that featured very little social interaction between care staff and residents.<\/p>\n<p>Since Montessori strategies were introduced, Marjory selects what and how much she would like from the labeled buffet. She eats at a table that is beautifully set with a tablecloth, cutlery, and condiments. Marjory can help herself to a second helping if she likes and she socializes during her meal. Afterwards, she helps staff by taking her dishes to the sink.<\/p>\n<p>We watched on as opportunities for choice significantly increased, as did social interaction between staff and residents. Mealtime care had become more respectful and centered around people.<\/p>\n<blockquote class=\"twitter-tweet\">\n<p lang=\"en\" dir=\"ltr\">The federal government has committed to minimum staffing levels in aged care homes by 2023.<\/p>\n<p>&#13;<br \/>\nNew research shows over 96% of homes have work to do before then. <a rel=\"nofollow noopener\" target=\"_blank\" href=\"https:\/\/t.co\/XAsYKpNAPP\">https:\/\/t.co\/XAsYKpNAPP<\/a><\/p>\n<p>\u2014 The Conversation (@ConversationEDU) <a rel=\"nofollow noopener\" target=\"_blank\" href=\"https:\/\/twitter.com\/ConversationEDU\/status\/1445373382351114241?ref_src=twsrc%5Etfw\">October 5, 2021<\/a><\/p><\/blockquote>\n<p><b>Transforming care<\/b><\/p>\n<p>Examples of positive innovation in aged care need to be shared if we are to change public perceptions of dementia and show how more humanistic models of care are possible.<\/p>\n<p>The Montessori approach is an innovative way to transform care\u2014helping aged care staff rethink their role in enabling people with dementia. With mealtimes occurring several times each day, improved mealtime experiences can provide a pathway to person-centered care.<\/p>\n<p><a rel=\"nofollow noopener\" target=\"_blank\" href=\"https:\/\/academic.oup.com\/gerontologist\/article\/57\/5\/e94\/2852108?login=true\">Cultural change<\/a> isn&#8217;t easy and creative strategies and commitment are needed. Care staff require quality training and ongoing support.<\/p>\n<p>The aged care sector must place greater emphasis on quality outcomes for residents, rewarding providers who enable residents to live well\u2014engaged, involved, and connected.\n                                                                                                                        <\/p>\n<hr\/>\n<div class=\"article-main__explore my-4 d-print-none\">\n<p>                                                                                        Staff assumptions about race play a role in the variability of care of nursing homes residents with advanced dementia\n                                                                                    <\/p><\/div>\n<hr class=\"mb-4\"\/>\n<div class=\"d-inline-block text-medium my-4\">\n                                                Provided by<br \/>\n                                                                                                    The Conversation<br \/>\n                                                                                                        <a rel=\"nofollow noopener\" target=\"_blank\" class=\"icon_open\" href=\"https:\/\/theconversation.com\"><br \/>\n                                                        <svg>\n                                                            <use href=\"https:\/\/medx.b-cdn.net\/tmpl\/v6\/img\/svg\/sprite.svg#icon_open\" x=\"0\" y=\"0\"\/>\n                                                        <\/svg><br \/>\n                                                    <\/a><\/p><\/div>\n<p class=\"article-main__note mt-4\">\n                                                This article is republished from <a rel=\"nofollow noopener\" target=\"_blank\" href=\"https:\/\/theconversation.com\">The Conversation<\/a> under a Creative Commons license. Read the <a rel=\"nofollow noopener\" target=\"_blank\" href=\"https:\/\/theconversation.com\/serving-up-choice-and-dignity-in-aged-care-how-meals-are-enjoyed-is-about-more-than-whats-on-the-plate-179669\">original article<\/a>.<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/counter.theconversation.com\/content\/179669\/count.gif?distributor=republish-lightbox-advanced\" alt=\"The Conversation\" width=\"1\" height=\"1\"\/><\/p>\n<p>                                        <!-- print only --><\/p>\n<div class=\"d-none d-print-block\">\n<p>                                                 <strong>Citation<\/strong>:<br \/>\n                                                 Serving up choice and dignity in aged care: How meals are enjoyed is about more than what&#8217;s on the plate (2022, April  6)<br \/>\n                                                 retrieved  6 April 2022<br \/>\n                                                 from https:\/\/medicalxpress.com\/<a href=\"https:\/\/buradabiliyorum.com\/en\/category\/news\/\" data-internallinksmanager029f6b8e52c=\"2\" title=\"News\" target=\"_blank\" rel=\"noopener\">news<\/a>\/2022-04-choice-dignity-aged-meals-plate.html<\/p>\n<p>                                            This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no<br \/>\n                                            part may be reproduced without the written permission. The content is provided for information purposes only.<\/p><\/div>\n<\/p><\/div>\n<p><script async src=\"\/\/platform.twitter.com\/widgets.js\" charset=\"utf-8\"><\/script><script id=\"facebook-jssdk\" async=\"\" src=\"https:\/\/connect.facebook.net\/en_US\/sdk.js\"><\/script><\/p>\n<blockquote><p><strong><span style=\"color: #ff6600;\">If you liked the article, do not forget to share it with your friends. Follow us on\u00a0<span style=\"color: #ff0000;\"><a style=\"color: #ff0000;\" href=\"https:\/\/news.google.com\/publications\/CAAqBwgKMLG0nwswvr63Aw\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">Google News<\/a><\/span>\u00a0too, click on the star and choose us from your favorites.<\/span><\/strong><\/p><\/blockquote>\n<blockquote>\n<p style=\"text-align: center;\">For forums sites go to <span style=\"color: #ff9900;\"><a style=\"color: #ff9900;\" href=\"https:\/\/forum.buradabiliyorum.com\/\" target=\"_blank\" rel=\"noopener\">Forum.BuradaBiliyorum.Com<\/a><\/span><\/strong><\/p>\n<\/blockquote>\n<blockquote>\n<p style=\"text-align: center;\"><strong>If you want to read more Like this articles, you can visit our <span style=\"color: #ff9900;\"><a style=\"color: #ff9900;\" href=\"https:\/\/en.buradabiliyorum.com\/science\/\" target=\"_blank\" rel=\"noopener\">Science category.<\/a><\/span><\/strong><\/p>\n<\/blockquote>\n<p><span style=\"color: black;\"><a style=\"color: #ff9900;\" href=\"https:\/\/medicalxpress.com\/news\/2022-04-choice-dignity-aged-meals-plate.html\" target=\"_blank\" rel=\"noopener\">Source<\/a><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>&#8220;How meals are enjoyed is about more than what&#8217;s on the plate&#8221; Meals are about sharing food and coming together. Credit: Shutterstock Meals are rituals built around pleasures and choices. While what is served at mealtimes in aged care homes has received recent attention and Labor has pledged to improve the food offered, new research&#8230;<\/p>\n","protected":false},"author":1,"featured_media":427416,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"fifu_image_url":"https:\/\/scx2.b-cdn.net\/gfx\/news\/2022\/serving-up-choice-and.jpg","fifu_image_alt":"","footnotes":""},"categories":[16],"tags":[],"class_list":["post-427415","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sciencee"],"_links":{"self":[{"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/posts\/427415","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/comments?post=427415"}],"version-history":[{"count":0,"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/posts\/427415\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/media\/427416"}],"wp:attachment":[{"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/media?parent=427415"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/categories?post=427415"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/tags?post=427415"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}