Transitions to long-term care: how do families living with dementia experience mealtimes after relocating?

J Appl Gerontol. 2014 Aug;33(5):541-63. doi: 10.1177/0733464813515091. Epub 2013 Dec 30.

Abstract

Food and mealtimes play a central role in our lives and often hold great meaning. This study is a secondary analysis of a subset of data collected from a 6-year longitudinal qualitative study called Eating Together (ET), which sought to better understand the experiences around food and mealtimes for community dwelling persons with dementia (PWD) and their primary care partners (CP). Several PWD and, in some cases, their spousal CP, relocated to long-term care (LTC) during the conduct of the ET study. To understand how this relocation influenced the meaning of meals, a subset of those who experienced this transition were selected and analysis specific to this issue was undertaken. Seven families were included in this thematic inductive analysis. Findings revealed five themes related to the different mealtime experience in the LTC home, including systemizing the meal, adjusting to dining with others, holding on to home, evolving mealtime roles, and becoming "at home." Understanding how families adapt to commensal dining in LTC may be relevant to successful relocation. This work furthers this understanding and provides a basis for person-centered mealtime practices that promote adaptation.

Keywords: dementia; home; long-term care; mealtimes; transition.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adaptation, Psychological*
  • Adult
  • Aged
  • Aged, 80 and over
  • Caregivers / psychology*
  • Dementia / psychology*
  • Eating / psychology*
  • Family
  • Female
  • Humans
  • Institutionalization
  • Life Change Events
  • Long-Term Care / psychology*
  • Longitudinal Studies
  • Male
  • Meals / psychology*
  • Middle Aged
  • Residential Facilities