Your email:

Follow Me

Caregivers of Older Adults

Current Articles | RSS Feed RSS Feed

Dementia, Dining & Dignity: At the Dinner Table


Demetia-Dignity-DiningThe Centers for Medicare and Medicaid Services (CMS) provide important compliance and regulatory requirements for the Long Term Care setting. 

According to CMS, the guidelines concerning dining are designed to promote resident independence and dignity in dining and include the avoidance of:

  • day-to-day use of plastic cutlery and paper/plastic dishware
  • Bibs (also known as clothing protectors) instead of napkins (except by resident choice)
  • Staff standing over residents while assisting them to eat
  • Staff interacting/conversing only with each other rather than with residents while assisting residents

Although these rules are crucial to maintain the dignity of our residents, there are other graces that we can learn and master that will provide a wonderful dining experience for those we care for.

Too often, aging services providers find that caregivers have not mastered the art & science of dementia communication, resulting in an unsuccessful, undignified dining experience.  When they should be experiencing the comfort of a familiar routine, persons with dementia are instead experiencing confusion, frustration, and anxiety.  Watch Erin Bonitto on or after March 30, 2012, as she offers concrete examples of dementia communication coaching related to:

  • guiding a person to the dining room;
  • cuing socialization among tablemates;
  • presenting the meal in an appetizing way; and
  • providing simple, descriptive cues to increase focus and in-take

Log on to to take away real-world ideas for improving the dining experience for persons with dementia. 

Erin Bonitto, M.S., A.D.C.  is a dementia care expert and founder of Gemini Consulting.

The mission of is to provide caregivers with online training and education that improve the quality of care received by older adults.


In order to preserve dignity in dining you could offer a dining scarf. DinerWear has created the Cravaat and the Cravaat II. These are elegant scarves that are stain resistant and machine washable. They protect clothes in a fashionable way. And for someone who needs more coverage, there is the Napkin at Your Neck - a long version of a napkin with a strap to hold it in place. 
Using a clothing protector makes life easier for the caregiver because changing dirty clothes is not always easy. So when you have a stylish solution everyone wins. 
You can view the variety of styles at 
Posted @ Thursday, April 12, 2012 10:05 AM by Kathy Steck
Post Comment
Website (optional)

Allowed tags: <a> link, <b> bold, <i> italics