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Good Nutrition
• Important part of a resident’s Rx.
• Make mealtimes pleasant
• Time for social interactions
• Allows time to eat with others
• Eat alone? = poor appetite
• LTC-Long term care facilities-encourage eating in dining room
Resident confined to bed
• Bedridden?
• Sit down in CHAIR (Not the Bed!) to feed the resident
• TALK to the resident!
• Eat/Feed resident while food is hot; as soon as it arrives to floor
Make mealtimes pleasant
• Offer bedpan or urinal or assist to BR before meals
• Clear room of offensive odors
• Allow resident to wash hands
• Provide oral hygiene, if desired
• Position resident comfortably in upright position
Make it pleasant
• Clear overbed and position it for tray
• Remove emesis basin or bed pan from view
• Place these objects in bedside table.
• If meals are delayed because of procedures/tests, explain this to resident!
Responsibilities
• Check the tray carefully against resident’s name and room #.
• Check diet type as ordered
• Never add any food or condiment to tray with checking with manager.
Rehab
• Allow resident to feed self whenever possible.
• Assist by cutting meat, buttering bread, adding condiments on tray, opening beverages, etc.
• Use bib/towel to protect clothes.
Blind Resident?
• Visually impaired? Instruct resident what food is on tray by comparing to a clock.
• Meat is at 12, beans @ 3, potatoes @ 6, etc.
• Make sure all food/utensils are placed conveniently.
Before Feeding Resident!
• Check hot foods for temperature!
• How would we do that?
• Test by dropping sm. amt. on wrist.
• NEVER BLOW on food to COOL it!
Points to Observe
• Alternate food by giving sips of liquids between solid foods.
• Use straws for liqs. They will drink more! Diff. straw for each liquid!
• Hold spoon @ right angle-feed from tip of spoon.
Observations
• Dysphagia? No STRAWS!• Difficulty swallowing-Use product
called Thick-It• This allows liquids to solidify
slightly and make liqs easier to swallow.
• Per MD or Dietitian orders!!!!!
Observations
• Encourage resident to eat!• Provide a relaxed, unhurried
atmosphere!• Give resident sufficient time to
chew food.• Offer liquids and alternate with
dessert if resident does not want to eat!
Recording/Documentation
• Observe how much the resident ate and record on nutritional record.
• What if the resident does not like certain foods?
• Ask for substitute foods.
Record Intake and Output
• Intakes must be recorded per MD’s orders-anything taken in body as intake-oral, IV, etc.
• Outputs must be recorded @ times per orders-anything removed from body-urine, feces, emesis!
CHOKING!
• Be alert for signs of choking!
• Feed small quantities to prevent choking.
• Allow time to chew.
• Provide liquids to keep mouth moist.