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Forks Over Knives Cafe

Forks Over Knives Cafe. WELCOME!. I am Erin Doran, RD I monitor the nutritional health of all the residents, with a special focus on the 75 skilled nursing unit residents Monthly weight checks, and daily rounds to check the progress and nutritional status of those in need

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Forks Over Knives Cafe

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  1. Forks Over Knives Cafe

  2. WELCOME! • I am Erin Doran, RD • I monitor the nutritional health of all the residents, with a special focus on the 75 skilled nursing unit residents • Monthly weight checks, and daily rounds to check the progress and nutritional status of those in need • I create menus and work closely with the kitchen staff to ensure quality meals • I also have personal appointments and counseling sessions with concerned residents to evaluate any concerns they have

  3. Forks Over Knives Cafe • Monthly nutrition education family-style luncheon for residents of all levels of care • Voluntary for 15 residents per month • Tackles geriatric-related nutritional topics • Diabetes, Sodium/Hypertension, Changes in taste and appetite, dieting in late life, cancer, hydration and supplements • Can also cover lifestyle changes • Adaptive utensils • Food storage in rooms • Sanitation • Venue for informal socialization • Crucial for preventing depression and improve appetite for those struggling • Breakdown stereotypes within the CCRC • Opportunity to cultivate new friendships

  4. Feasibility • Forks Over Knives Café will feature a small and unique menu, served family-style • Done to the CCRC catering specs • Menu will need approval two weeks in advance and is done by both myself and the head chief/kitchen manager • Staffing: 1-2 dining aids and either the nurse manager or an STNA • At least one STNA/nurse manager required by law • Utensils and dishware for maximum 20 individuals • Adaptive dishes and silverware as well as serving utensils

  5. Program Objectives • Improve nutrition knowledge of residents • Offers the opportunity for informal questions • Continuing education across the lifespan improves quality and duration of life • Improve socialization of residents • Different levels of care together at one table • Helps new residents meet others • Encourages depressed residents to interact and build bonds with other • Improve quality of life • Family-style meals promote feelings of togetherness • Friendly interactions promotes appetite which is extremely beneficial for depressed and/or anorexic residents • Fine motor skill retention by serving themselves • Creates feelings of self-efficacy

  6. Goal Evaluation • Objectives are considered met if: • There is active monthly participation • Improvements in socialization as measured by the post-meal evaluation and RD/nurse manager/STNA notes • Improvements in intakes • For residents of concern: depressed, isolated, or anorexic • Post-meal evaluation • Distributed to residents, RD, and nurse manager/STNA • Questions and concerns are addressed at the next months luncheon

  7. Research Support • “Changing NH meal services to family-style meals has beneficial effects on the food intake, body weight, and body composition of NH residents.” (Nijs, et al, 2006) • “It is the position of the American Dietetic Association (ADA) that the quality of life and nutritional status of older residents in long-term care facilities may be enhanced by liberalization of the diet prescription.” (Niedert, 2005) • “Inadequate nutritional intake is the predominant cause of malnutrition in older persons.One important stimulus, which can be modulated easily, is the meal ambiance.” (Nijs, 2009)

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