Impact of obesity and type 2 diabetes on everyday life - perspectives from nursing home residents and care staff

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Abstract

Introduction:Despite the increasing number of people with obesity and type 2 diabetes (T2D) among nursing home residents (NHR), little is known about how NHR and health care staff experience and manage these conditions. Studies indicate that obese NHR are more dependent and perceived as unmotivated for life style changes (1). Other studies report that care staff perspective focus on own working environment (2), but does not describe how staff manage obesity and T2D. The aim of the study was to explore what impact obesity and T2D have on NHRs experience of their everyday life and how care staff manages obesity and T2D in NHR.Methods:We conducted semi-structured interviews with 11 NHR with a BMI≥30 and with or without T2D, and five group interviews with 20 care staff. A phenomenological analysis was applied.Results:The NHR´s experience of their daily lives can be categorized into 4 themes: wanting to maintain weight loss, desire to stay independent, motivated for changes in everyday life and environmental matters. The care staff interviews can be categorized into 3 themes: managing obesity and T2D can be difficult, some NHR lack motivation and the care staff lack knowledge and skills to guide the NHR towards healthy lifestyle.Conclusion:This study find that the NHR are motivated for preserving functional abilities and independence in everyday life. On contrary, the care staff describes that not all NHR are motivated, and that staff lack knowledge and skills to manage obesity and T2D and guide NHR. 
References:1. Harris JA, Castle NG. Obesity and Nursing Home Care in the United States: A Systematic Review. Gerontologist [Internet]. 2019 May 17 [cited 2021 Dec 17];59(3):e196–206. Available from: https://academic.oup.com/gerontologist/article/59/3/e196/4741086  doi:10.1093/GERONT/GNX1282. Zhang N, Li Y, Temkin-Greener H. Prevalence of Obesity in New York Nursing Homes: Associations With Facility Characteristics. Gerontologist [Internet]. 2013 Aug 1 [cited 2021 Feb 10];53(4):567–81. Available from: https://academic.oup.com/gerontologist/article-lookup/doi/10.1093/geront/gnt011  doi:10.1093/geront/gnt011
Original languageEnglish
Publication date8 Jun 2022
Publication statusPublished - 8 Jun 2022
Event26th Nordic Congress of Gerontology - Odeon, Odense, Denmark
Duration: 8 Jun 202210 Jun 2022
Conference number: 26
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Conference

Conference26th Nordic Congress of Gerontology
Number26
LocationOdeon
Country/TerritoryDenmark
CityOdense
Period08/06/2210/06/22
OtherOn behalf of the Danish Society of Gerontology, the Danish Geriatric Society, and the Nordic Gerontological Federation, we invite you to join the 26th Nordic Congress of Gerontology (NKG) to share our engagement in ageing and later life.<br/><br/>
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