Enhancing Health and Quality of Life for Persons with Dementia and Their Caregivers Through a Biopsychosocial Approach to Mealtime Management

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dc.contributor.advisorShune, Samantha
dc.contributor.authorBayne, David
dc.date.accessioned2024-01-09T21:07:15Z
dc.date.available2024-01-09T21:07:15Z
dc.date.issued2024-01-09
dc.description.abstractDementia is a progressive neurodegenerative disease characterized by sensorimotor, psychosocial, and physiological deficits. As a result of this neurological damage, persons with dementia (PWD) often experience difficulty with memory, attention, cognition, sensation, and motor functioning (Gordon et al., 2018; Heßmann et al., 2016; Jack et al., 2009). As neurological damage progresses, PWD require greater reliance on caregivers for completion of activities of daily living (ADLs) like showering, clothing, and eating (Isik et al., 2019; Petersen et al., 2018).One major contributor to the deaths associated with dementia progression is the development of swallowing disorders (dysphagia), with nearly all PWD developing some form of eating or swallowing impairment (Affoo et al., 2013; Ranier Wirth et al., 2017). Associated with these mealtime deficits, individuals with cognitive impairment are at increased risk for malnutrition, dehydration, and the development of pneumonia (Namasivayam & Steele, 2015; Rainer Wirth et al., 2016). The following study utilized a person-centered, holistic model of patient care to identify areas for caregivers to support PWD during mealtimes. Person-centered care, as opposed to disease-centered care, shifts the perspective away from disease management to treat the PWD as a whole person. A person-centered, holistic model of mealtime management addresses the cognitive, social, psychological, and physiological domains that effect mealtime performance. Utilizing a person-centered model of patient care for mealtime management leads to improved patient outcomes, increased quality of life, and increased satisfaction with care (Bangerter et al., 2017; Cartwright et al., 2022; Gallant, 2019; Han et al., 2016; Reimer & Keller, 2009). The following study utilized the Biopsychosocial Model of Mealtime Management in Persons with Dementia (Bayne & Shune, 2022), as a framework to create individualized caregiver training sessions that address the multifactorial issues leading to deficits in mealtime performance for PWD. Individualized caregiver training was provided with the goal of increasing mealtime performance in PWD, decreasing caregiver burden, and optimizing the dyadic relationship of caregiver/care recipient surrounding mealtime management. Participants with dementia in this study demonstrated increased intake, better quality of life, and mealtime related impairment and their caregivers demonstrated increase quality of life, increased confidence, and decreased difficulty with provision of mealtime assistance. The findings of this study provide further support for multicomponent intervention to best support mealtimes for persons with dementia and their caregivers.en_US
dc.identifier.urihttps://hdl.handle.net/1794/29074
dc.language.isoen_US
dc.publisherUniversity of Oregon
dc.rightsAll Rights Reserved.
dc.subjectBiopsychosocialen_US
dc.subjectDementiaen_US
dc.subjectDysphagiaen_US
dc.subjectHealthen_US
dc.subjectNutritionen_US
dc.subjectSwallowingen_US
dc.titleEnhancing Health and Quality of Life for Persons with Dementia and Their Caregivers Through a Biopsychosocial Approach to Mealtime Management
dc.typeElectronic Thesis or Dissertation
thesis.degree.disciplineDepartment of Special Education and Clinical Sciences
thesis.degree.grantorUniversity of Oregon
thesis.degree.leveldoctoral
thesis.degree.namePh.D.

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