JAMDA
Volume 3, Issue 3 , Pages 140-145 , May 2002

Accuracy of Minimum Data Set in Identifying Residents at Risk for Undernutrition: Oral Intake and Food Complaints

  • Sandra F. Simmons, PhD

      Affiliations

    • University of California, Los Angeles, School of Medicine, Department of Geriatrics, the Borun Center for Gerontological Research, Los Angeles, and the Jewish Home for the Aging, Reseda
    • Corresponding Author InformationAddress correspondence to: Sandra F. Simmons, PhD, Jewish Home for the Aging/UCLA Borun Center for Gerontological Research, 7150 Tampa Avenue, Reseda, CA 91335
    • ,
  • Betty Lim, BS

      Affiliations

    • State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Buffalo, New York
    • ,
  • John F. Schnelle, PhD

      Affiliations

    • University of California, Los Angeles, School of Medicine, Department of Geriatrics, the Borun Center for Gerontological Research, Los Angeles, and the Jewish Home for the Aging, Reseda
    • Veterans Administration Greater Los Angeles Healthcare System, Sepulveda Geriatric Research, Education, and Clinical Center, Sepulveda, California

References 

  1. Abbasi AA, Rudman D. Observations on the prevalence of protein-calories undernutrition in VA nursing homes. J Am Geriatr Soc. 1993;41:117–121
  2. Ferguson RP, O'Conner P, Crabtree B, et al. Serum albumin and prebumin as predictors of clinical outcomes of hospitalized elderly nursing home residents. J Am Geriatr Soc. 1993;41:545–549
  3. Keller HH. Malnutrition in institutionalized elderly: How and why?. J Am Geriatr Soc. 1993;41:1212–1218
  4. Rudman D, Feller AG. Protein-calorie under-nutrition in the nursing home. J Am Geriatr Soc. 1989;37:173–183
  5. Health Care Financing Administration. Long Term Care Facility Resident Assessment Instrument (RAI) User's Manual, Minimum Data Set version 2.0. (April, 1999). Natick, MA: Eliot Press.
  6. Blaum CS, O'Neill EF, Clements KM, et al. Validity of the Minimum Data Set for assessing nutritional status in nursing home residents. Am J Clin Nutr. 1997;66:787–794
  7. Beck AM, Ovesen L, Schroll M. Validation of the Resident Assessment Instrument triggers in the detection of under-nutrition. Age Ageing. 2001;30:161–165
  8. Kayser-Jones J, Schell E, Porter C, Paul S. Reliability of percentage figures used to record the dietary intake of nursing home residents. Nursing Home Medicine. 1997;5:69–76
  9. Pokrywka HS, Koffler KH, Remsburg R, Bennett RG, et al. Accuracy of patient care staff in estimating and documenting meal intake of nursing home residents. J Am Geriatr Soc. 1997;45:1223–1227
  10. Simmons SF, Reuben D. Nutritional intake monitoring for nursing home residents: A comparison of staff documentation, direct observation, and photography methods. J Am Geriatr Soc. 2000;48:209–213
  11. Rudman D, Abassi AA, Isaacson K, Karpiuk E. Observations on the nutrient intakes of eating-dependent nursing home residents: Underutiliza-tion of micronutrient supplements. J Am Coll Nutr. 1995;14:604–613
  12. Sahyoun NR, Otradovek CL, Hartz SC, et al. Dietary intakes and biochemical indicators of nutritional status in an elderly, institutionalized population. Am J Clin Nutr. 1988;47:524–533
  13. Simmons SF, Schnelle JF. Strategies to measure nursing home residents’ satisfaction and preferences related to incontinence and mobility care: Implications for evaluating intervention effects. Gerontologist. 1999;39:345–355
  14. Thomas DR, Ashmen W, Morley JE, Evans WJ. Nutritional management in long term care: Development of a clinical guideline. The Council for Nutritional Strategies in Long Term Care. J Gerontol: Med Sci. 2000;55A:M725–M734
  15. Hartmaier SL, Sloane PD, Guess HA, et al. Validation of the Minimum Data Set cognitive performance scale: Agreement with the Mini-Mental State Examination. J Gerontol: Med Sci. 1995;50A:M128–M133
  16. Simmons SF, Osterweil D, Schnelle JF. Improving food intake in nursing home residents with feeding assistance: A staffing analysis. J Gerontol: Med Sci. 2001;56:M790–M794
  17. Buckler DA, Kelber ST, Goodwin JS. The use of dietary restrictions in malnourished nursing home patients. J Am Geriatr Soc. 1994;42:1100–1102
  18. Morley JE, Silver AJ. Nutritional issues in nursing home care. Ann Intern Med. 1995;123:850–859
  19. Simmons SF, Alessi C, Schnelle JF. An intervention to increase fluid intake in nursing home residents: Prompting and preference compliance. J Am Geriatr Soc. 2001;49:926–933
  20. Kayser-Jones J, Schell E. The effect of staffing on the quality of care at mealtime. Nurs Outlook. 1997;45:64–72
  21. Mondoux L. Testimony of the American Nurses Association before the National Academy of Sciences Institute of Medicine Committee on Improving Quality in Long Term Care. Washington, DC, 1998.
  22. Schnelle JF, Cretin S, Saliba D, Simmons SF. Minimum nurse aide staffing required to implement best practice care in nursing homes. In: Report to Congress: Appropriateness of Minimum Nurse Staffing Ratios in Nursing Homes. Health Care Financing Administration, Summer 2000;Vol. 2, Chapter 14.
  23. Maris BV, Soberman L, Murray M, Norton PG. Satisfaction of residents and families in long-term care: II. Lessons learned. Quality Management in Health Care. 1996;4:47–53
  24. Sansone P, Schmitt L, Nichols J, et al. Determining the capacity of demented nursing home residents to name a health care proxy. Clin Gerontol. 1998;19:35–50

 This research was supported by the University of California, Los Angeles, Older Adults Independence Center, through a Career Development Award, and the Beverly Manor Corporation.

PII: S1525-8610(04)70456-9

doi: 10.1016/S1525-8610(04)70456-9

JAMDA
Volume 3, Issue 3 , Pages 140-145 , May 2002

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