This document discusses nutrition guidelines and care for hospital patients. It outlines the roles and responsibilities of various staff and groups in assessing patients' nutritional needs and dietary requirements. Key aspects of the nutritional framework include safety, screening, food provision, care plans, education and artificial nutrition. The document also discusses factors that can affect patients' eating habits and intake, and the importance of maintaining dignity and a balanced diet.
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Nutrititional support session for HCSWs in practice
2. To discuss the rational behind:
Hospital Regulations on nutrition
Nutritional Support & Services
Main food Groups
Factors that effect patients eating habits and
appetite
Factors that effect daily food intake
Maintaining patents dignity when feeding
3. To ensure that all patients have their nutritional
needs assessed and a plan of care/support is
initiated to meet those needs
That any special dietary requirements are
recorded and met, for example gluten free,
vegetarian & texture modification
That all patients who are unable to consume food
orally have alternative provisions made using
artificial nutritional methods. This may include a
combination of oral and non-oral feeding routes.
4. Roles and responsibilities are embraced by a wide
range of people listed below:
Nutritional steering groups
Nutritional support groups
Patient environment action teams
Essence of care groups
Matrons
Enteral feeding teams
Social work staff
Medical staff
Nursing staff
Healthcare support workers
Dieticians
Speech and language therapist
Catering team
5. Key aspects of the nutritional framework are:
Safety
Providing assistance
Nutritional screening
Food provision
Care/support plan
Education and training
Artificial nutrition
Public health
Audit
6. Over the past few years, there have been
many changes in health and social care which
have increased the need to work more closely
with service uses and their families.
The main reasons are not just related to food
but are across all the services we provide as a
trust.
7. People who use are services are more informed
which have increased the need to work more
closely with them and thier families
Feedback on our performance
Staff changes due professional workload across
the board
Engagement with service users and carers to
promote equality, partnership and dignity
8. Guidelines from the National Patient Safety
Agency states all people providing nutritional
care should have the appropriate skills and
competencies to ensure that people in receipt
of support services receive good nutritional
care.
9. Staff or volunteers who assess and provide for
peoples care and nutritional needs/or undertake
nutritional screening
Those who prepare or deliver food to service uses
(catering staff)
Those who assist people with thier own
preparation or consumption of food (day care)
Those who are involved in contracting service
inspection and regulation
10. Basics of nutrition and hydration
10 key characteristics of good nutritional care in
hospitals
Meal preparation
Cultural and religious diets
Why people become malnourished/dehydration
Consequences of malnutrition
Identification, treatment and monitoring of
nutritional needs
MDT expertise dieticians, occupational therapists,
and speech and language therapists
11. No single food contains all the nutrients
needed for health so we should try to eat a
balanced diet. By choosing a variety of foods
from the five food groups, most people will
get all the nutrients they need to stay healthy
and active.
13. Special diets and menu planning
Stimulating food and drinks
Dementia
Diabetes
Altered consistency and swallowing difficulties,
dysphasia management
Signage
Artificial nutritional support
Oral nutritional support
Obesity
Food allergies
Health eating
14. Crockery, cutlery
Kitchen equipment
Presentation
The eat environment
Physical position
Protected mealtimes
Availability of snacks
Company
Choice
Dignity and respect
Support and encouragement
Oral health
Ability
Sight
15. Ensure that the patient is in a safe comfortable
eating position
Provide appropriate equipment preferably wash
hands, provide wipes
Encourage involvement prior to meal arriving
Clear table tops from clutter
Environment, reduce noise, distraction
Provide assistance feeding/opening packages ect
Observation- making sure they can eat
Monitoring/assessment record food and fluid
intake