MUNICIPALITY OF COPENHAGEN Department of Health and Carewww.kk.dk

Ninna Thomsen

Mayor, Department of Health and Care

Municipality of Copenhagen

”Healthy” diet and quality of life for the elderly

MUNICIPALITY OF COPENHAGENDepartment of Health and Care

The city council

The City Council – 55 members

The Audit Directorate Copenhagen The Citizens Advice Service

The Finace Committee

The Culture and Leisure

Committee

The Employment and Integration

Committee

The Technical and Environmental

Committee

The Children and Youth Committee

The Health and Care Committee

The Social Services

Committee

ChairmanMayor

Carl Christian Ebbesen

ChairmanLord Mayor

Frank Jensen

ChairmanMayor

Anna Mee Allerslev

ChairmanMayor

Morten Kabell

ChairmanMayor

Jesper Christensen

ChairmanMayor

Ninna Thomsen

ChairmanMayor

Pia Allerslev

AdministrationAdministration Administration Administration Administration AdministrationAdministrationAdministration

MUNICIPALITY OF COPENHAGENDepartment of Health and Care

Paradigm shift

> Reform Programme ”Active and Safe throughout Life”> Stronger community – everybody is needed

> Greater safety – care when needed> More freedom – independence and self-reliance> Developing skills – eg. management based on trust

> Active care instead of compensating care > Focus on resources instead of impairments> Temporary care instead of permanent care> Everyday rehabilitation> Focus on social life and reduction of loneliness

MUNICIPALITY OF COPENHAGENDepartment of Health and Care

Food and Meal policy: Appetite for Life

Food quality

The right food for the right elderly

A good meal in a good

environment

MUNICIPALITY OF COPENHAGENDepartment of Health and Care

Food quality• Meals prepared locally increases appetite

• Focus on e.g. appearance, taste, scent, consistency

• Meals prepared with 90 % organic products

MUNICIPALITY OF COPENHAGENDepartment of Health and Care

The right food for the right elderly

What´s healthy – depends on the group of elderly

”Fragile” elderly Healthy elderly

The predominant health discourse

MUNICIPALITY OF COPENHAGENDepartment of Health and Care

Effect of an interdisciplinary nutritional intervention

Interdisciplinary intervention: 11 weeks with

● Physiotherapy

● Dental care

● Chocolate

● Whipped cream

Effect

● Nutritional status (weight, energy- and protein intake)

● Grip strength, balance

● Well-being

Kilde: Forebyggelse af tab af fysisk, mental og social funktionsevne ved fokus på ældres ernæringstilstand og risikofaktorer. Fødevareinstituttet 2007

MUNICIPALITY OF COPENHAGENDepartment of Health and Care

A good meal in the right environment

> Eating environment

> The role of the staff

> Dining Community

MUNICIPALITY OF COPENHAGENDepartment of Health and Care

Citizens Citizens with small limitations

Citizens with moderate limitations

Citizens with severe or total limitations

Food service with home delivery

Food service without home delivery

Food pass/voucher

Food and meals at nursing homes

Nutritional therapy at nursing homes

Nutritional therapy for home-care clients

Dinner clubs

Eat with friends

Prevention and health care

Tour shopping

Shopping with home delivery

Offers for elderly citizens in Copenhagen

MUNICIPALITY OF COPENHAGENDepartment of Health and Care

Appetite for Life – preliminary results

Food Quality

• Ecology percentage is now 72,9 % in nursing homes with their own

kitchen

• Almost all nursing homes have

completed a 2 year course in food quality:

”Køkkenløftet”

A good meal…

• A new service for home-care-clients has been developed: Food

pass/voucher

• Instrument for self-evaluation and local

food- and meal guides have been implemented

on nursing homes

The right food for …

• Nutritional therapy is a service in both home-

care and nursing homes

• A concept for food and beverages for people

with dysphagia (swallowing impairment)

is under development