Meeting the Dietary Needs of Older Adults Exploring the Impact of the Physical, Social, and Cultural Environment: Workshop Summary (2016) / Chapter Skim
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5 Role of Community and the Food Sector
5 Role of Community and the Food Sector
Pages 87-108
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From page 87... ...
show how retail presents a "total store message." Retail is ideal for health promotion, Maggi contended, because it is uniquely positioned to easily integrate a health and wellness program with its large consumer base. Consumers visit food or food/drug stores an average of 1.9 times per week.
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From page 88... ...
For example, although many retail chains have pharmacies in every store, nutrition education is outside the pharmacist's scope of practice. Still, the pharmacist does play a potentially important role in disease management, medication adherence, guidance on supplements, and vaccinations, and retailers see that these are all elements of a total store health and wellness program, even though the "wellness shopper" may never visit the pharmacy nor look to the pharmacist for health and wellness guidance.
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From page 89... ...
Those reporting through pharmacy may spend more time on disease management, including medical nutrition therapy and one-on-one consults. Those reporting through operations, merchandising, marketing, or communications tend to focus more on wellness and a total store approach to healthy living.
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From page 90... ...
The clinics are accredited by The Joint Commission and affiliated with local health systems, including Ohio State University, University of Colorado, University of Cincinnati, Virginia Commonwealth University, Vanderbilt Affiliated Network, Via Christi Health, and Covenant Medical Group. Kroger meets with these health systems and looks at gaps in care to determine how the clinics can help fill those gaps, such as through providing after-hours and same-day service, providing postdischarge follow-up, and serving as a portal for chronic disease management.
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From page 91... ...
Its mission is to be the leading expert on, and provider of, nutrition solutions that preserve health, help combat chronic disease, support recuperation, and nourish independence for higher- quality living at home. Burrough described how Mom's Meals provides a unique solution created to address nutritional needs of older and disabled adults and patients (see Figure 5-1)
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The program also has advantages for Medicare because it improves care transitions and chronic care management. The majority of states with which Mom's Meals has contracts provide one or two meals per day, but many customers could use all three.
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From page 93... ...
Another challenge is that the DRIs were designed for healthy adults, yet 90 percent of the Mom's Meals population is believed to have one or more chronic conditions based on CMS data. To address this reality and also meet the needs of the patients they serve, Mom's Meals has developed health condition menus that meet scientific and health association guidelines for nine clinical conditions (i.e., heart friendly, diabetic friendly, renal friendly, cancer, pureed, lower sodium, general wellness, gluten free, vegetarian)
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From page 94... ...
It also can be an avenue for refining DRI meal guidelines or adding therapeutic guidelines that are aligned with evidence-based nutrition specifications for health conditions. FOOD PRODUCT DEVELOPMENT FOR OLDER ADULTS John Ruff, former head of research and development for International and North American businesses at Kraft Foods and a past president of the Institute of Food Technology, opened his talk by explaining that he would consider the question of what the food industry is doing to address the needs and preferences of older adults.
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From page 95... ...
. Ruff mentioned food labeling and regulatory challenges that limit food product development.
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THE ROLE OF COMMUNITY PROGRAMS: P.E.E.R., INC. Sally Allocca, Senior Pastor of East Lake United Methodist Church in Birmingham, Alabama, explained that she would describe how a church kitchen can partner with a nonprofit organization to form a viable food system to support low-income community residents.
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From page 97... ...
East Lake also is preparing meals for other churches in the area, which are using them for their own older adult programs. This arrangement helps East Lake through the purchases of the meals, and helps the other churches by providing healthy meals for their older adults.
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About 1.4 million New Yorkers are food insecure and face hunger. Last year, the soup kitchens and pantries that City Harvest serves helped provide food to many of the 2.5 million city residents ages 50 and older.
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Sources of healthy food are vastly outnumbered by fast food restaurants and poorly stocked corner stores. New York has an abundance of heavily processed, cheap, convenient food that is highly caloric and low in nutritional value, stated Gordon, who added that this is the new normal in New York City.
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From page 100... ...
Its new Healthy Neighborhoods Program has a vision in which healthy food is available, affordable, and in high demand. The program has several key goals, including relieving food insecurity, improving access to healthy and affordable food, increasing awareness of healthy habits and inspiring positive changes to dietary behaviors, and strengthening community capacity.
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From page 101... ...
• City Harvest connects nutrition education with its emergency food and at food retail sites, including its mobile market, supermarkets, and corner stores. City Harvest believes that integrating nutrition education right where people are makes a big difference.
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From page 102... ...
• A consistent presence builds credibility. City Harvest is thinking about opportunities for additional programming in the future, including a potential retail program, pilot programs around using SNAP dollars to incentivize purchases for nutritious foods, ways to reach out to older adults with nutrition information and disease management information, and ways to use text messages to educate consumers.
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From page 103... ...
These strategies occur in the context of preventing and managing chronic disease. Food Insecurity and Coping Strategies Coping strategies that food insecure adults use include shifting food choices toward low-cost foods.
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. Because food insecure older adults are not always able to obtain the nutrient-rich food they need to enable their medications to work effectively FIGURE 5-4 A conceptual framework for the cycle of food insecurity and chronic disease.
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From page 105... ...
Key Intervention Points Going back to the conceptual framework, Seligman pointed out two key intervention points -- the point at which people experience food insecurity and the point at which they have developed chronic disease. To the extent that food insecurity can be resolved, said Seligman, clients and patients and older adults in our community can avoid the need for coping strategies that challenge the prevention and management of chronic disease.
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From page 106... ...
Because people are now using food pantries as a regular source of food not just for emergency food support, these sites provide an opportunity for other types of interventions, such as chronic disease management. Feeding America® currently has a project that provides diabetes self-management support in the food pantry.
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From page 107... ...
Many pantries are open at a time that is worked into their schedule. Chronic disease management is very challenging from a health care perspective because it requires interaction frequently.
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From page 108... ...
2003. Understanding the experience of food insecurity by elders suggests ways to improve its measurement.
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