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Nutritional Assessment and Management in Long-term Care Insurance's Home Visit Care Service
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Mi Ock Yoon, Hyun Kyung Moon, Seo Yeon Kim, Bok Hee Kim
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Korean J Community Nutr 2013;18(2):142-153. Published online April 30, 2013
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DOI: https://doi.org/10.5720/kjcn.2013.18.2.142
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 Abstract
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- The purpose of the study was to examine nutritional management and nutritional care demands of home-visit care service and the nutritional status of serviced elderly. The survey was carried out from 5th to 21st of January, 2011 among 37 In-Home Service institutions. The number of elderly surveyed by 143 care helpers was 281. Analysis was performed for 203 subjects (male: 44, female: 159). The age distribution was from 50 to 99 years. The grading by long-term care insuranceshowed 18,2% on level 1 and 2, and 81.8% on level 3. For the disease treatment, the proportion of implementing diet treatment turned out to be very low. The proportion of subjects living with their children was 45.3%, and living alone was 29.1%. The proportion of home-visit care among types of In-Home Service was 70%. Subjects who needed additional necessary diet management service turned out to be 40.9%. Diet management was the most necessary services from all levels. MNA (specifiy MNA) scores were significantly (p < 0.001) associated with BMI, mid-arm circumference (MAC), calf circumference (CC), intake problems, and weight loss during the last 3 months. For studied elderly, 45.3% were malnourished, and 46.8% were at the risk of malnutrition by MNA score. Based on the result of this survey, the nutritional care was not systematic on the In-Home Service. Prevention and management of the disease was much better than the treatment to improve the quality of life. We conclude that nutrition management is necessary for the elderly. To improve nutritional status of elderly in home care services, systematic nutrition management should be implemented.
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Citations
Citations to this article as recorded by  - The Factors Affecting Frailty among the Elderly in Korea: A Study Using the Frailty Cohort
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International Journal of Environmental Research and Public Health.2022; 20(1): 670. CrossRef - Current Status of Sanitary and Nutritional Food Service in Elderly Day Care Center
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Journal of Nutrition and Health.2016; 49(3): 189. CrossRef - Comparison of Health Status and Mini Nutritional Assessment according to Self-esteem of Elderly in Care Hospital
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Journal of the East Asian Society of Dietary Life.2015; 25(4): 631. CrossRef - Relationship between Sense of Belonging, Powerlessness and Nutritional status of Elderly People
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Journal of The Korean Society of Food Culture.2015; 30(1): 118. CrossRef - Nutrition Status of Elderly Female Patients in Long-term Care Hospital according to Meal Types and Eating Ability
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Korean Journal of Community Nutrition.2014; 19(2): 187. CrossRef
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