A Biopsychosocial Model of Mealtime Management in Persons with Dementia, an Asset-Based Approach to Patient-Centered Care

Considering the rapid increase in the population over the age of 65, there is increasing need to consider models of care for persons with dementia (PWD). One common deficit associated with dementia progression is difficulty with successful participation in mealtimes. Difficulty participating in meal...

Full description

Bibliographic Details
Main Authors: David F. Bayne, Samantha E. Shune
Format: Article
Language:English
Published: MDPI AG 2022-10-01
Series:Geriatrics
Subjects:
Online Access:https://www.mdpi.com/2308-3417/7/5/112
_version_ 1797473123129360384
author David F. Bayne
Samantha E. Shune
author_facet David F. Bayne
Samantha E. Shune
author_sort David F. Bayne
collection DOAJ
description Considering the rapid increase in the population over the age of 65, there is increasing need to consider models of care for persons with dementia (PWD). One common deficit associated with dementia progression is difficulty with successful participation in mealtimes. Difficulty participating in mealtimes in PWD is not the result of one factor, but rather a confluence of biological, psychological, and social characteristics common in dementia. Factors leading to mealtime difficulties for PWD may include changes in cognitive status, altered sensorimotor functioning, and increased reliance on caregiver support. The complex nature of biological, psychological, and social factors leading to mealtime difficulty highlights the need for a pragmatic model that caregivers can utilize to successfully support PWD during mealtimes. Existing models of dementia and mealtime management were reviewed and collated to create a model of mealtime management that considers this complex interplay. The Biopsychosocial Model of Mealtime Management builds on past research around patient-centered care and introduces an asset-based approach to capitalize on a PWD’s retained capabilities as opposed to compensating for disabilities associated with dementia. We hope this model will provide a framework for caregivers to understand what factors impact mealtime participation in PWD and provide appropriate means on intervention.
first_indexed 2024-03-09T20:10:29Z
format Article
id doaj.art-460c6ac70b244f83a498b1ae59b28b39
institution Directory Open Access Journal
issn 2308-3417
language English
last_indexed 2024-03-09T20:10:29Z
publishDate 2022-10-01
publisher MDPI AG
record_format Article
series Geriatrics
spelling doaj.art-460c6ac70b244f83a498b1ae59b28b392023-11-24T00:18:22ZengMDPI AGGeriatrics2308-34172022-10-017511210.3390/geriatrics7050112A Biopsychosocial Model of Mealtime Management in Persons with Dementia, an Asset-Based Approach to Patient-Centered CareDavid F. Bayne0Samantha E. Shune1College of Education, University of Oregon, Eugene, OR 97403, USACollege of Education, University of Oregon, Eugene, OR 97403, USAConsidering the rapid increase in the population over the age of 65, there is increasing need to consider models of care for persons with dementia (PWD). One common deficit associated with dementia progression is difficulty with successful participation in mealtimes. Difficulty participating in mealtimes in PWD is not the result of one factor, but rather a confluence of biological, psychological, and social characteristics common in dementia. Factors leading to mealtime difficulties for PWD may include changes in cognitive status, altered sensorimotor functioning, and increased reliance on caregiver support. The complex nature of biological, psychological, and social factors leading to mealtime difficulty highlights the need for a pragmatic model that caregivers can utilize to successfully support PWD during mealtimes. Existing models of dementia and mealtime management were reviewed and collated to create a model of mealtime management that considers this complex interplay. The Biopsychosocial Model of Mealtime Management builds on past research around patient-centered care and introduces an asset-based approach to capitalize on a PWD’s retained capabilities as opposed to compensating for disabilities associated with dementia. We hope this model will provide a framework for caregivers to understand what factors impact mealtime participation in PWD and provide appropriate means on intervention.https://www.mdpi.com/2308-3417/7/5/112dementiadysphagiamealtimemanagementmodelintervention
spellingShingle David F. Bayne
Samantha E. Shune
A Biopsychosocial Model of Mealtime Management in Persons with Dementia, an Asset-Based Approach to Patient-Centered Care
Geriatrics
dementia
dysphagia
mealtime
management
model
intervention
title A Biopsychosocial Model of Mealtime Management in Persons with Dementia, an Asset-Based Approach to Patient-Centered Care
title_full A Biopsychosocial Model of Mealtime Management in Persons with Dementia, an Asset-Based Approach to Patient-Centered Care
title_fullStr A Biopsychosocial Model of Mealtime Management in Persons with Dementia, an Asset-Based Approach to Patient-Centered Care
title_full_unstemmed A Biopsychosocial Model of Mealtime Management in Persons with Dementia, an Asset-Based Approach to Patient-Centered Care
title_short A Biopsychosocial Model of Mealtime Management in Persons with Dementia, an Asset-Based Approach to Patient-Centered Care
title_sort biopsychosocial model of mealtime management in persons with dementia an asset based approach to patient centered care
topic dementia
dysphagia
mealtime
management
model
intervention
url https://www.mdpi.com/2308-3417/7/5/112
work_keys_str_mv AT davidfbayne abiopsychosocialmodelofmealtimemanagementinpersonswithdementiaanassetbasedapproachtopatientcenteredcare
AT samanthaeshune abiopsychosocialmodelofmealtimemanagementinpersonswithdementiaanassetbasedapproachtopatientcenteredcare
AT davidfbayne biopsychosocialmodelofmealtimemanagementinpersonswithdementiaanassetbasedapproachtopatientcenteredcare
AT samanthaeshune biopsychosocialmodelofmealtimemanagementinpersonswithdementiaanassetbasedapproachtopatientcenteredcare