9. What type of your work do you do?
Full-time Regular part time Causal
10. What is the name of the nursing home where you work？
Belmont Wingham Moree Casino EPU Beaudesert team other
Part 1:Your Knowledge of helping older people with dementia to eat - Questionnaire.
These questions want to understand your knowledge of the older people with dementia who have difficulty in food intake. Please choose the best answer from the following questions and check in the front of the answer, Please do not guess the answer, if you do not know the answer, please choose the "I don not know" option.
11. Generally, how many stages of Alzheimer’s disease are there?
TWO THREE FOUR FIVE I do not know
12. What symptoms can be observed during the early stages of dementia? Inability to recognize familiar items. Inability to perform skilled motor movement. Change in mood or personality. A decline in short-term memory I do not know.
13. In which stage of Alzheimer’s disease can an eating problem be found? Frist stage Finally stage All stage None I do not know
14. What major complications can be found when persons with dementia have difficulties in eating?
A Gain weight. B Lose weight C Chocking A B and C I do not know.
15. What causes persons with dementia to have food intake difficulties during the early stages of dementia?
Memory disturbance Personality changes Agitation Loss of balance and ambulation I do not know
16. What ability is not included in the eating process?
Cognitive ability to recognize the food Upper extremity function Perform activities of daily living (ADL) Swallowing function I do not know
17. Which action is correct if a person with dementia leaves the table before finishing the meal?
Restrain the person in the chair until the meal is finished Provide finger foods such as sandwiches, cookies, or fruit Suggest using a tube-feeding to maintain their nutrition Force the person to eat to get enough nutrition I do not know
18. What are some signs of choking in a person with dementia?
A Coughing B Clutching throat C Whistling A B and C I do not know
19. Which statement is incorrect? Inappropriate eating assistance skills will increase food intake difficulties Physical changes due to aging is a cause of food intake difficulties Food intake difficulties tend to be ignored in long-term care facilities The best way to deal with food intake difficulties is to use a tube-feeding I do not know
20. Which action is incorrect when the PWD is choking?
Stop assisting PWD with eating Encourage coughing Give water to help the patient more easily swallow the food Perform the Heimlich maneuver, if needed I do not know
21. Which action is incorrect after the mealtime?
Helping the person to bed immediately Examining the person’ mouth to see if any food remains in the mouth Helping the person clean their mouth and wash their hands Recording and evaluating their food intake situation I do not know
22. What should not be done before assisting PWD with eating?
Helping persons to use sensory assistants such as hearing aids or glasses Toileting persons before eating Restraining patient if she/he cannot remain sitting Keeping the environment comfortable I do not know
23. What is your position when you help the person with dementia to eat?
Standing in front of the person or bedside Sitting in front of the person or bedside Standing behind the person It does not matter I do not know
24. What following strategy cannot help persons with dementia to retain their ability to do self-eating?
Providing patient with finger foods such as sandwiches or cookies Using verbal cueing Assisting persons to eat if the time is rushed Using some reinforcement such as taking them for a walk I do not know
25. Which following eating assistance skill is not appropriate?
Making sure the persons swallow food, then give them another bite Using verbal cueing or touch Breaking the eating tasks into multiple steps Finishing eating as soon as possible in order to avoid the patient exhaustion I do not know
26. What kind of food is inappropriate for the patient with dementia who has eating difficulties?
Thick food that is easy to swallow Pudding or yogurt Giving liquids such as water or soup to help to swallow Considering the person’s food preferences and cultural considerations I do not know
27. What seated position on a chair is proper for the patient while eating?
A semi-seated position with 30 degrees A semi-seated position with 60 degrees A semi-seated position with 90 degrees It does not matter I do not know
28. Which of the following descriptions is incorrect?
Eating is a physical need and is a pleasurable task in life. Environment and culture do not have any influence on eating Eating is a kind of social activity for the older people Dining time provides the patients with a chance to communicate with other people I do not know
29. What action is appropriate when a patient with dementia refuses to eat?
Change the person who provides assistant in eating Stop eating assistance Force them to eat Encourage the person to observe other persons eating I do not know
30. What behaviour can be observed when the person with dementia refuses to eat during the early stages of dementia?
Turning their head away Leaving mouth open Not swallowing Letting the food fall from their mouth I do not know
31. What eating assistance skills can help the persons with dementia to eat?
Completing a whole eating/food intake process in one step to save his/her energy Holding the person’s hand and steering it from the food to the mouth and then back to thefood Gently stroking person’s throat in an upward motion from the jaw toward the base of the. neck and giving some water after the person with dementia has eaten I do not know
Part2:Attitude toward helping older people with
dementia to eat ---Questionnaire
Want to know your thoughts and feelings when you care for a mentally retarded older people with dementia who has difficulty with food intake. Please answer the following statement based on your experience and beliefs. Please read each statement and select the response that best suits you.
The answers are all subjective, with no right and wrong answers.
1= strongly disagree 2= disagree 3.= neutrality
4= agree 5= strongly agree
32. I don't know how to deal with the eating difficulties of PWD.
strongly disagree(1 )
strongly agree(5 )
33. Tube feeding is the best way to solve the food intake difficulties of PWD.
strongly disagree (1 )
strongly agree(5 )
34. I cannot do anything when PWD have food intake difficulties.
strongly disagree (1 )
strongly agree(5 )
35. Taking care of PWD with tube feeding is much easier than food intake via oral.
strongly disagree (1 )
strongly agree(5 )
36. I do not have enough training to take care of PWD with food intake difficulties.
strongly disagree (1 )
strongly agree(5 )
37. In order to save working hours, I will assist a PWD to eat even though he/she can eat by himself/herself.
strongly disagree (1 )
strongly agree(5 )
38. I do not have confidence to help PWD with food intake difficulties to eat safely and properly via oral.
strongly disagree (1 )
strongly agree(5 )
39. Even effective eating assistance skills still cannot help PWD with food intake difficulties
strongly disagree (1 )
strongly agree(5 )
40. No matter what I do, PWD still get worse.
strongly disagree (1 )
strongly agree(5 )
41. Food intake difficulties of PWD are inevitable and can be worse.
strongly disagree (1 )
strongly agree(5 )
42. I do not like to assist PWD with eating.
strongly disagree (1 )
strongly agree(5 )
43. Providing PWD with eating takes too much time.
strongly disagree (1 )
strongly agree(5 )
44. I am afraid of PWD refusal to eat while assisting them.
strongly disagree (1 )
strongly agree(5 )
45. I do not know how to deal with PWD chocking.
strongly disagree (1 )
strongly agree(5 )
46. I do not know how to deal with PWD refusal to eat.
strongly disagree (1 )
strongly agree(5 )
47. I can aid with two or more PWD at one time.
strongly disagree (1 )
strongly agree(5 )
48. PWD do not need to be given choices about what kinds of food to eat.
strongly disagree (1 )
strongly agree(5 )
49. Assisting PWD with eating should be done as fast as possible.
strongly disagree (1 )
strongly agree(5 )
50. Assisting PWD with food intake is the most difficult task of taking care of persons with dementia.
strongly disagree (1 )
strongly agree(5 )
51. Please choose the number of how difficult you believe it is to assist PWD with eating.
1= completely not difficult, 10= extremely difficult, please check the answer according to the difficulty level.
completely not difficult(1 )
extremely difficult(10 )
52. Do you believe that new eating assistance skills help you to assist PWD with eating?
1= No help at all 10= very helpful, please check the answer according to your actual situation
No help at all (1 )
very helpful(10 )
53. How often do you try to use feeding skills (for example, prepare dining posture) to help the older people with dementia eat, so that the older people with dementia eat smoothly.
Never used Use occasionally (once a week) Frequent use (3 times a week) Always in use (daily)
Part3：open question:Please answer the following open questions 54. Have you had trouble assisting PWD with eating?
55. If you have trouble assisting PWD with eating, what can you do?
56. What helps your ability to assist PWD with eating, such as another nurse’s assistance?
57. What hinders your efforts in assisting PWD with eating, such as time-limited?
58. What would you like to learn about assisting PWD with eating, such as influential factors of assisting PWD with eating?
59. Do you believe you have enough information about assisting PWD with eating?
Thanks so much for taking time to complete this survey！