Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/24170
Appears in Collections:Faculty of Social Sciences Journal Articles
Peer Review Status: Refereed
Title: Food provision for older people receiving home care from the perspectives of home-care workers
Authors: Watkinson-Powell, Anna
Barnes, Sarah
Lovatt, Melanie
Wasielewska, Anna
Drummond, Barbara
Contact Email: melanie.lovatt1@stir.ac.uk
Keywords: Nutrition
Old age and social care
Older people
Social care
Social work and healthcare
Issue Date: Sep-2014
Publisher: Blackwell Publishing Ltd
Citation: Watkinson-Powell A, Barnes S, Lovatt M, Wasielewska A & Drummond B (2014) Food provision for older people receiving home care from the perspectives of home-care workers, Health and Social Care in the Community, 22 (5), pp. 553-560.
Abstract: Malnutrition is a significant cause of morbidity and mortality, particularly among older people. Attention has focused on the inadequacies of food provision in institutions, yet the majority suffering from malnutrition live in the community. The aim of this study was to explore barriers and facilitators to food provision for older people receiving home care. It was a qualitative exploratory study using semi-structured interviews with nine home-care workers in June 2013 employed by independent agencies in a large city in northern England. Data were analysed thematically, based on the principles of grounded theory. Findings showed that significant time pressures limited home-care workers in their ability to socially engage with service users at mealtimes, or provide them with anything other than ready meals. Enabling choice was considered more important than providing a healthy diet, but choice was limited by food availability and reliance on families for shopping. Despite their knowledge of service users and their central role in providing food, home-care workers received little nutritional training and were not involved by healthcare professionals in the management of malnutrition. Despite the rhetoric of individual choice and importance of social engagement and nutrition for health and well-being, nutritional care has been significantly compromised by cuts to social care budgets. The potential role for home-care workers in promoting good nutrition in older people is undervalued and undermined by the lack of recognition, training and time dedicated to food-related care. This has led to a situation whereby good quality food and enjoyable mealtimes are denied to many older people on the basis that they are unaffordable luxuries rather than an integral component of fundamental care. {çopyright} 2014 John Wiley & Sons Ltd.
Type: Journal Article
URI: http://hdl.handle.net/1893/24170
DOI Link: http://dx.doi.org/10.1111/hsc.12117
Rights: The publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.
Affiliation: University of Sheffield
University of Sheffield
Sociology/Social Pol&Criminology
Manchester City Council
Manchester City Council

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