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Nutrition for Active and Healthy Aging

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Four-legged therapists

Posted by ProPortion Foods Blog on Nov 1, 2018 in Aged Care

 

In 2017 Nikki took her mini foxie Daphne for regular visits to Bupa Aged Care. They were “pet therapy” volunteers.

 

Every week, Nikki would have to reintroduce herself and Daphne as many of the residents didn’t remember who they were.

 

But after a few months some residents started recognising them…well not so much Nikki – they would remember Daphne.

 

Residents would join them in the living room for cuddles, pats and doggy licks. Or if they preferred to stay in their rooms, Nikki and Daphne would pay them individual visits.

 

Lucy was a huge dog lover with dog stuffed toys and ornaments in her room. She would always thank Nikki for remembering to visit her.

 

Many residents would share stories about their dogs and cats, usually from childhood.

 

One resident didn’t know that it was her birthday the next day. But seeing Daphne reminded her all about her beloved childhood dog – a mini foxie called Kimmy – and how her dad taught Kimmy to do tricks like sit up and shake hands.

 

Another lady who was confined to bed asked if Daphne could sit on her lap. “Daphne curled up and the lady started crying tears of joy because she just loves dogs so much and missed her dogs,” said Nikki.

 

“The pure gratitude and love that I witnessed between Daphne and the residents brought me to tears a few times,” she says. “I can’t even put it into words how it made me feel, it was just so special for everyone involved.”

 

 

A multitude of benefits

 

Pets can boost emotional and physical wellbeing. As well as being social catalysts, they offer social support and unconditional love, reducing loneliness and feelings of isolation.

 

Owning pets has been linked to lower risk factors for heart disease, like reduced blood pressure. Pets can reduce stress levels, and cancer patients have reported that their pets helped them during treatment.

 

They can also make people laugh, says Janette Young, pet researcher at the University of South Australia, which has known health benefits. “You can’t be depressed when you’re laughing.”

 

Furry companions can help older adults make the transition to aged care. “We know that people’s depression increases when they go into care, because there’s all these losses,” says Young.

 

As well as providing comfort, pets can give people “a reason to wake up in the morning,” Young says. The sense of purpose, “that something in the world would miss you,” she adds, “that’s actually protective.”

 

In interviews with older adults, Young surprisingly uncovered a strong theme of suicide prevention, with people suggesting that without their pets, “they wouldn’t be here”.

 

 

Taking pets seriously

 

“Not taking pets seriously in how we consider and support ageing means we may be condemning some older people to isolation and loneliness,” Young wrote for The Conversation.

 

She argues that we need to find ways to support older adults to keep their pets when they go into full time care.

 

Some aged care centres – like Bupa – are welcoming pets because of their demonstrated health benefits. Weighing up the challenges, evidence suggests that the benefits are well and truly worthwhile.

 

Perhaps pet therapy should be included in new standards for aged care?

 

Young points out, though, that it’s important to consider the pets’ welfare. Research shows that dogs can be stressed, for instance, but people are unaware of the signs – like looking away, lip licking and yawning.

 

Some breeds are more anxiety-prone than others. “So we just need to be conscious of the animals as well.”

 

 

 

References

 

https://theblueroom.bupa.com.au/caring/considering-care/pets-in-aged-care

https://theconversation.com/pets-and-our-health-why-we-should-take-them-more-seriously-47774

http://www.unisa.edu.au/Enterprise-Magazine-Home/Issue-1-2018/SECRETS-TO-STAYING-YOUNG/

http://www.therefresh.co/2018/10/30/human-training-for-happier-dogs/

Shining the spotlight on aged care

Posted by ProPortion Foods Blog on Oct 3, 2018 in Aged Care

 

Welcome news for the aged care sector – the Australian government has announced that a long sought-after royal commission will investigate an “industry in crisis” amidst harrowing reports of older adults being subjected to substandard care.

 

This follows revelations of horrific conditions at the Oakden facility last year, resulting in a national Aged Care Quality and Safety Commission, streamlining of complaints and crackdown on departures from quality care.

 

Since then, the Department of Health has reportedly closed one aged-care facility nearly every month, and another 17 centres have sanctions enforced.

 

Complaints to the Aged Care Complaints Commissioner increased to 4,300 for residential aged care in the last financial year, while 5,780 complaints were lodged for home and community care.

 

 

People speaking out

 

In a time-honoured example of ordinary people spurring action, the commission was announced as courageous aged care workers spoke to Four Corners last month.

 

They were just some of the 1300 aged care workers and more than 4,000 family, industry and staff members who contacted the show from across Australia for its crowd-sourced initiative.

 

It’s not just the stories that have grabbed media attention, like the 70-year old resident who died after being assaulted by another patient or the 99-year old female patient who was sexually assaulted by a male carer.

 

More broadly, it’s “the everyday stories of neglect and inattention, poor quality food, lack of personal care, boredom and heart-breaking loneliness,” according to presenter Sarah Ferguson.

 

Stories include residents – who have complex care needs – getting a quick face wipe in lieu of a shower, being left in bed all day, overmedicated for easier management, left in a hot room with no fan, and having a commode full of faeces left next to their bed.

 

 

Malnutrition

 

Not only that, but malnutrition is a pervasive issue in older adults and particularly those in aged care.

 

“There were people that were in bed that needed to be fully fed, they couldn’t feed themselves at all,” said one worker.

 

“And you’d see staff members just quickly go in, offer the resident a bit of food, and if they didn’t take it immediately, just go out and ditch the lunch. You can see these people are so hungry.”

 

Even if they had time and support to eat, the food quality leaves much to be desired. With a reported spend of $6 per day per resident, the food was “very ordinary,” according to a worker.

 

“Dinner time was like a couple of patty pies and a scoop of mashed potato,” she said.

 

“We would get sausage rolls, curry puffs, and marshmallows for dessert,” said another.

 

 

Moving forward

 

The program revealed that the growing ageing industry is currently worth more than $22 billion each year.

 

Glossy advertisements promote residential facilities like luxury hotels. But, a personal care assistant said, “They’re being sugar coated. They’re being fed a picture, a story that in reality is very untrue.”

 

“Often it’s the quality of the building, the amenity of the grounds, that’s what’s being sold,” reported an aged care consultant. Often what’s not clear is the quality of the people in the building.”

 

Low staff numbers are a fundamental issue. One enrolled nurse reported that between her and a registered nurse, they had to look after 72 residents.

 

And 70 percent of personal care attendants have had only six weeks’ training.

 

Hopefully, now that the heat is on, the royal commission will act quickly – not only to prevent further neglect but to enhance quality of life. That includes putting mandatory nutrition standards in place.

 

 

References

 

https://www.smh.com.au/politics/federal/pm-calls-royal-commission-into-aged-care-after-inexcusable-failures-20180915-p5040n.html

https://www.sbs.com.au/news/aged-care-peak-body-denies-claims-less-than-ten-dollars-spent-on-food

https://thenewdaily.com.au/news/national/2018/09/18/aged-care-lobby-four-corners/

http://www.abc.net.au/4corners/who-cares/10258290

 

 

 

Bridging child care and aged care

Posted by ProPortion Foods Blog on Sep 12, 2018 in Aged Care

What better way to breathe life into aged care than with young children. That’s what intergenerational programs are starting to do in Australia.

 

In an era of dissolving extended families, the new model of bridging generations is testament to their multiple psychological, social and economic benefits.

 

 

Life-affirming

 

Dr Catrin Hedd Jones, from Bangor University in the UK, took part in a documentary about six nursery children who were introduced to an adult day care facility for three days.

 

She said she witnessed some “life affirming interactions” that benefited both the older people and the children, who flourished with the extra attention and opportunity to grow their social and emotional skills.

 

Increasing numbers of shared care centres have sprung up over the past 20 years in the US. They include a nursing home called ‘The Mount’ in West Seattle, which joins 125 children with 400 residents five days a week.

 

“We wanted to create a place for people to come to live, not a place for people to come to die,” administrator Charlene Boyd told PBS news hour. Footage shows young children dancing and interacting with the residents, whose faces light up in delight.

 

Staff and family members say that residents suffering dementia become engaged and lucid during their interactions with the children. They’ve seen some “incredible moments”, as well as enhanced learning for the children.

 

Over in Japan, a study reported that intergenerational programs with preschool children brought smiles and conversation to older adults.

 

 

Meanwhile in Australia

 

In New South Wales an association holds intergenerational playgroups to support families and strengthen local communities, bringing meaningful engagement and enhanced self-esteem for participants.

 

But programs that bring together young and old are relatively new in Australia. And they need to be more structured with consistent monitoring and evaluation of outcomes, according to Professor Anneke Fitzgerald from Griffith University.

 

Her team is trialling two models in older adults living with dementia and 3-5-year-old children – one with aged care and childcare in the same location and one in which the groups take trips to visit each other.

 

The two generations meet for an hour each week over 16 weeks and engage with each other through shared activities.

 

Preliminary results are positive, with the children and adults expressing “excitement and joy at being able to interact with each other,” according to Fitzgerald.

 

 

Planned programs

 

Fostering appropriate interactions between young and old takes careful planning and facilitation from trained care staff to help build relationships.

 

But the possibilities are endless, writes Hedd Jones.

 

They can range from reading a book to craft activities or dancing together. Musicians aged between 6 and 90 years old in New Jersey play together in an orchestra, while in Massachusetts children and older adults work together on environmental projects.

 

 

What’s not to love?

 

There’s no doubt about the psychological and social benefits of intergenerational connections.

 

Older adults feel valued with an enriched life purpose; young children benefit from increased knowledge and social interaction, and in the process develop positive perceptions of older people.

 

The programs could also help alleviate the burgeoning costs of an increasingly older population by lowering running costs and sharing resources.

 

 

References

 

https://theconversation.com/a-new-project-shows-combining-childcare-and-aged-care-has-social-and-economic-benefits-99837?utm_source=linkedin_utm_medium=linkedinbutton

https://www.youtube.com/watch?v=j9BfAgRa2uI

https://au.news.yahoo.com/what-happens-when-you-mix-a-nursing-home-with-childcare-28767461.html

https://bmcgeriatr.biomedcentral.com/articles/10.1186/1471-2318-13-111

https://bmcgeriatr.biomedcentral.com/articles/10.1186/1471-2318-14-109

http://www.playgroupnsw.org.au/AboutUs/AboutPlaygroupNSW 

Are we missing the point of nutritional supplements?

Posted by ProPortion Foods Blog on Jul 26, 2018 in Aged Care, Nutrition, Research, Supplements

Addressing claims that nutritional supplements can enhance overall health and longevity, a recent review investigated their impact on heart health, stroke and mortality. The researchers report that most supplements did not show evidence of benefit or harm.

 

They investigated 179 randomised controlled trials of vitamins and minerals. Folic acid and B complex vitamins reduced risk of stroke.

 

Multivitamins, vitamins A, 6, D and E, beta carotene, zinc, iron, calcium, magnesium and selenium were not linked to heart disease or mortality. Large dose B3 and antioxidant vitamins had small links with greater risk of all-cause mortality.

 

Limitations of the review include exclusion of cohort studies which are conducted over longer time frames and are more characteristic of the population at large. The researchers also note that antioxidants were lumped together but in reality have different modes of action.

 

 

What does it mean?

 

Available evidence suggests that B vitamins – possibly through their homocysteine-lowering properties – may be a good choice for reducing stroke risk. Other research has shown they might also help prevent dementia.

 

Other nutritional supplements may not impact heart health or lengthen lifespans – which is not to say they don’t have other benefits, for instance to boost immunity when stressed, avoid the flu or address nutritional deficiencies.

 

But the overarching take-home message – that most agree on – is that supplements do not replace a healthy diet.

 

First and foremost, a diet rich in plant foods like fruit, vegetables, legumes, nuts, seeds, wholegrains and healthy fats (e.g. extra virgin olive oil) delivers a kaleidoscope of vitamins, minerals, antioxidants and fibre, with interactive health benefits that supersede supplements alone.

 

Basically, you may eat your cake, but taking a tablet won’t make it healthier for you.

 

 

Supplements and older adults

 

Australians are amongst the world’s highest supplement users per capita. Older Australians – particularly females – are the cohort most likely to take nutrition supplements, according to the latest national survey.

 

Supplement users were also more likely to eat healthier diets, so are likely to be more health conscious. Researchers caution that this combination could result in exceeding recommended daily intakes.

 

In this case fat soluble vitamins like Vitamins D and E are ones to be most aware of because excesses are retained in the body. If water soluble vitamins like the Bs exceed requirements, they are safely excreted.

 

In aged care, a survey revealed that expenditure on nutritional supplements and food replacements had increased by 128 percent. In this scenario older adults may suffer malnutrition, in some cases requiring supplements like concentrated protein powder if appetite is low.

 

For instance, a study in convalescing patients with disabilities found that nutritional supplements combined with resistance training improved muscle mass and activities of daily living.

 

Other nutrients that may be at particular risk in aging, and therefore benefit from supplementation, include B12 and Vitamin D. It is recommended to advise your health care provider of all supplements and medications so they can be aware of potential adverse interactions.

 

And where possible, a healthy diet comes first. Attention to aged care menus, presentation and palatability in aged care can go a long way to support this.

 

 

References

 

https://www.sciencedaily.com/releases/2018/05/180528171511.htm

https://www.ncbi.nlm.nih.gov/pubmed/27431367

https://www.hospitalhealth.com.au/content/clinical-services/news/some-vitamin-supplements-unhealthy-773068962#axzz5HbjF0uEL

http://www.acc.org/about-acc/press-releases/2018/05/29/10/15/most-vitamin-mineral-supplements-not-shown-to-lower-heart-disease-risk

https://www.cambridge.org/core/journals/british-journal-of-nutrition/article/selected-vitamins-and-trace-elements-support-immune-function-by-strengthening-epithelial-barriers-and-cellular-and-humoral-immune-responses/94B772EB747D1E5CD9FAC8F90937AA9F

http://www.abs.gov.au/ausstats/abs@.nsf/Lookup/by%20Subject/4364.0.55.007~2011-12~Main%20Features~Supplements~400

https://www.medicalnewsbulletin.com/dietary-supplement-use-older-adults/

https://www.cbhs.com.au/health-well-being-blog/blog-article/2014/11/24/multi-vitamins-the-pros-and-cons

https://chicago.suntimes.com/health/older-americans-are-hooked-on-vitamins-despite-scarce-evidence-they-work/

https://academic.oup.com/jn/article-abstract/147/10/1968/4728184?redirectedFrom=fulltext

https://link.springer.com/article/10.1007/s12603-015-0570-4

 

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