PEBKO - Prevention in daycare/nightcare nursing facilities in the nutrition and mobility fields of action by means of participative concept development

Development and evaluation of preventative nutrition and mobility concepts for older people in daycare/nightcare nursing facilities

Research directors at Esslingen University of Applied Sciences:

Prof. Dr. Reinhold Wolke

Duration: 01.01.2019 bis 31.12.2021

Funding institution: IKK classic

Brief description:

In Germany, approx. 783,400 people in need of nursing care are looked after on a residential basis and around 74,000 as daycare/nightcare service users by 730,000 staff in 13,600 nursing care facilities. 94 percent of nursing homes take care of mainly older or geriatric people; 70 percent of residents are 80 years old or older (Destatis 2017, GKV-Spitzenverband 2018). People in residential, long-term nursing care facilities suffer much more frequently from a “pathological” ageing process. Compared to people of the same age who are still independent or receive domiciliary care, they are characterised to a particular degree by their above-average need for assistance and nursing care. (Bartholomeyczik et al. 2010, p. 869; Schreier 2011, p. 15).

The objective of preventative or health-promoting services in residential nursing care facilities is to improve the health situation and the resources of those in need of care with their participation. In addition to the general enhancement of the health-promoting potentials of nursing care facilities, the following fields of activity are stated in the prevention guidelines: nutrition, physical activity, cognitive resources, psycho-social health and violence prevention (GKV- Spitzenverband 2018).

Sound knowledge is available for the “Nutrition” field of activity selected for this project. There is already an S3 guideline on “Clinical nutrition in geriatrics” for the provision of nutrition in geriatric facilities (Volkert et al. 2013, p. e1). For those suffering from dementia in particular, the “ESPEN guidelines on nutrition in dementia” (Volkert et al. 2015, p. 1) and the national best practice standard “Nutrition management to safeguard and promote oral nutrition in nursing care” (DNQP 2017) are available. Despite many further national and international guidelines on the prevention and treatment of malnutrition, it has so far not been possible to reduce the prevalence of malnutrition (cf. Löser 2011; Norman et al. 2008). The same applies to the “Mobility” field of activity for which a national best practice standard is also available, among other things.

The EU warns that this situation is not acceptable and that research and studies which investigate the effects of nutrition therapies on the state of nutrition should be encouraged. There is moreover an explicit demand for interdisciplinary research projects (Council of Europe Committee of Ministers 2003). The main problem here is the lack of knowledge transfer, the translation of existing evidence-based findings into practice, and the implementation of these findings into the care routine (Edwards, Mills 2013, p. 447; Behrens 2010, p. 25; Grol, Grimshaw 2003, p. 1225).

This project takes up precisely these demands: interdisciplinary nutrition and mobility concepts are to be worked out together with the actors concerned where they are needed and sustainably implemented, because only a close collaboration and networking of all professional groups involved using all the resources and skills available ensures that patients can receive the best possible care (Riedel, Lehmeyer, Elsbernd 2013). These practical concepts will be planned and drawn up to suit the setting on the basis of existing medical guidelines, best practice standards for care, and other evidence-based literature, and implemented with support from an academic perspective (Wolke et al. 2015). 

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