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Nutrition Provider Isolation Is Related to Increased Preference for Enteral Nutrition-Support in Patients With
Joy W Douglas1, Jeannine C Lawrence1, Linda L Knol1
1Department of Human Nutrition and Hospitality Management, The University of Alabama, Tuscaloosa, Alabama, USA.
Summary
Registered dietitian nutritionists (RDNs) in rural or isolated settings are more likely to recommend enteral nutrition (EN) for advanced dementia patients, contrary to guidelines. Targeted interventions are needed for these RDNs.
Area of Science:
- Clinical Nutrition
- Geriatric Medicine
- Healthcare Management
Background:
- Current guidelines discourage enteral nutrition (EN) for advanced dementia (AD) due to poor outcomes.
- Despite guidelines, some registered dietitian nutritionists (RDNs) in acute care settings still recommend EN for AD patients.
Purpose of the Study:
- To identify workplace characteristics influencing EN recommendations by acute-care RDNs for AD patients.
Main Methods:
- A web-based survey assessed EN recommendation likelihood among 204 US-based RDNs caring for older adults with dementia.
- Statistical analyses, including chi-squared tests and logistic regression, identified factors associated with EN recommendations.
Main Results:
- RDNs in rural or suburban facilities were 2.4 times more likely to recommend EN than those in urban settings.
- RDNs who were the sole nutrition provider were 3.3 times more likely to recommend EN compared to those in facilities with multiple RDNs.
Conclusions:
- Acute-care RDNs in isolated settings (rural or lacking colleagues) may require targeted interventions.
- Interventions should focus on increasing knowledge and promoting adherence to evidence-based guidelines for EN in AD.
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