Throughout life, connections with friends and family help people lead content and satisfying lives. \u201cThat doesn\u2019t go away when a person has Alzheimer\u2019s,\u201d says Ruth Drew, director of family and information services for Alzheimer\u2019s Association, a Chicago-based national nonprofit dedicated to researching the disease, and caring for and supporting those affected by Alzheimer\u2019s.<\/p>\n
Normal, everyday activities help people with Alzheimer\u2019s and those with other types of dementia connect with others, maintain a good quality of life, and sustain their sense of self. Everyday activities like mealtimes.\u00a0<\/p>\n
A routine around mealtimes for residents in memory care units can go a long way toward caring for this vulnerable population, while helping them maintain existing connections and encourage new ones. And it all starts by focusing on each individual resident.<\/p>\n
\u201cMore and more, I am seeing a person-centered approach,\u201d Drew says. That person-by-person solution, versus \u00a0a one-size-fits all method, ensures pleasant and productive mealtimes for all residents, even as three rules hold sway: residents should be empowered to eat with dignity, the food must be nutritious and good-tasting, and both the dining environment and way the food is served needs to encourage eating.<\/p>\n
1. Use the power of choice.<\/strong> This maintains a patient\u2019s dignity, provides a home-like atmosphere and gives residents more control over their lives. But Drew advises limiting their selections to two options instead of five, so they don\u2019t get overwhelmed. If they appear confused, staff can step in and help them make a decision.<\/p>\n 2. Serve foods one at a time.<\/strong> Offer fruit first, then eggs, then toast, for instance. Serving on colored plates also helps, because it makes the food stand out. For residents with tremors or a tendancy to wander, finger foods are ideal\u2014say an egg sandwich, rather than eggs and toast.<\/p>\n 3. Maintain a routine.<\/strong> Serve meals in the same place, at the same time, with the same people. \u201cTheir brains struggle with processing new things,\u201d Drew says. That same place should also be quiet, as noise can overstimulate patients and produce anxiety. A smaller table, say four people, in a carpeted area, creates the right atmosphere.<\/p>\n \u201cWe are caring for people at a state of life where the majority of them \u00a0would prefer not to be there,\u201d says Neil Prashad, president and CEO of Origin Active Lifestyle Communities, a collection of retirement communities in British Columbia and Alberta, Canada. \u201cWe all understand the circle of life, we understand we need that assistance, but the bottom line is [finding] a way to make that experience as normalized and enhanced as possible,\u201d he says.\u00a0<\/p>\n At Origin, \u201cenhanced\u201d means improving the experience of dining in the same place, with the same people, three times a day. \u201cNormalized\u201d means making dining as adult-like as possible. \u201cIf you focus on normalization, food shouldn\u2019t come out of a hole in the wall already plated and chosen,\u201d Prashad says.\u00a0<\/p>\n To make dining in memory-care units more normal, and less institutional, Origin has rethought pretty much everything. Dining with disposable or plastic dinnerware isn\u2019t normal, nor is fancy china at every meal. \u201cWe want the same mismatched stuff you have at home,\u201d Prashad says.\u00a0<\/p>\n \u201cNormal\u201d means family-style service, as most residents didn\u2019t grow up with restaurant-style table service 21 meals a week. \u201cWe put a pile of toast in the middle of the table,\u201d Prashad says, adding that caregivers plate food and serve it to residents who are not able to help themselves.<\/p>\n It also means asking residents who are able and willing to set the table, fold napkins, and otherwise help prepare for the meal. After the table is set, residents sit down to enjoy the meal and converse with others at their table, similar to how they would have sat down and chatted with relatives in their own dining room.<\/p>\n The food is prepared in open kitchens that allow the scent of what\u2019s cooking to waft into the dining areas. Aroma works wonders in stimulating appetites, which is one reason why Origin kitchens frequently bake bread and other fragrant foods. This strategy, Prashad says, has lured frail residents out of bed for mealtime. \u201cThey talk about the fact that their appetite really isn\u2019t there, but they come [to the dining room] anyway,\u201d he says.\u00a0<\/p>\n As for meal components, \u201cthere\u2019s no magic to it,\u201d Prashad says. Even though labor costs are higher, Origin kitchens make as much food from scratch, using as many top-quality ingredients as possible. For mashed potatoes, for instance, the staff peels and boils real potatoes. Each kitchen also has a hydroponic herb garden, which enables chefs to add fresh and natural flavors to dishes.<\/p>\n Your Gordon Food Service Customer Development Specialist can provide Kitchen-Tested Recipes intended to stimulate appetites, as well as specialized tableware to meet the needs and abilities of memory-care residents and patients.<\/p>\n In addition to a \u201cnormal\u201d and \u201cenhanced\u201d dining experience, flexibility is important with memory-care patients. Cognition levels can change, even day to day, so staff are enouraged to flex as the cognition levels of their residents dictate. \u201cIt\u2019s a work in progress,\u201d Prashad says.<\/p>\n Like any good work in progress, Origin will continue to \u201cnormalize\u201d and \u201cenhance\u201d life for it\u2019s memory-care patients and residents, and Prashad is rather looking forward to what the future holds. \u201cThis is such an awesome business to be in, if you are open to change and innovation,\u201d he adds.<\/p>\n There are places healthcare professionals can go to find ways to better serve people with Alzheimer\u2019s and dementia:<\/p>\n 1. The Alzheimer\u2019s Association, a Chicago-based nonprofit, has a booklet: Dementia Care Practice Recommendations for Assisted Living Residences and Nursing Homes<\/a>.<\/p>\n 2. A 24\/7 help line for healthcare professionals, families and caregivers. That number is 1-800-272-3900.<\/p>\nImprove the residents\u2019 experience<\/h3>\n
Use smell to draw diners\u00a0<\/h3>\n
Helpful Resources\u00a0<\/h3>\n