Assessing the quality of food and patient acceptance is vital for any hospital however; at the Community Living Center (CLC) because the majority of the population is elderly feeding becomes a great concern. With the elder population taste, can often be altered due to medications, presence of chronic disease limiting their ability to property chew and swallow or may have a physical impairment. Therefore, it is important to monitor their daily meal intake to ensure there are no significant weight changes, the consistency of the food is appropriate and they are not experience any gastrointestinal issues that prevents them from eating. The most effective way I have observed to assess food quality and patient acceptance is by conducting …show more content…
Resident S.V. was visited in his room during the mid-morning snack delivery. This resident is currently on a VHA Healthy Diet, oral supplementation, an evening snack as well as, receiving Juven to help with his wounds. At the VA Hospital Juven is treated as a medication and delivered to the nurse’s station by the food service workers who are delivering the snacks to the resident’s room. The ward nurse then prepares the Juven for the patient. It was verified with resident that he is receiving the Juven during his mid-morning snack and late afternoon snack along with his oral supplementation. Resident was observed to be consuming about >50% of the nutritional supplementation. It was discussed with resident the possibility of decreasing his oral supplements to once per day since he was at a stable weight and reported to be consuming most of his meals. Resident did agree to the change in his snacks since it will be replaced by other types of snacks to meet his calorie needs.
Resident D.T. was visited in his room after his lunch tray was delivered. Resident appeared to be in good spirits during the interview. He is currently on a high fiber, low carbohydrate, low fat and low cholesterol, 1800 calorie diet. Resident did not require any assistance with tray setup or with feeding. His tray appeared to have the right amount of portions and foods that were consistent with his diet. Resident’s tray was observed consuming
Wasting money is a big problem, yet it is not the only one; wasting the catering associate’s time is another. Catering associates only have about two minutes to spend in a patient’s room. That may seem like plenty of time to get an order and move on to the next patient. However, by the time the caterer describes the menu, diet, and the Always Available Menu, by the time the patients decide what they want, it is time to for the catering associate to move on. There is very little time to search for a menu and describe the process of ordering. Therefore, this leads to confusion for patients.
The individual may have certain foods they don't like or cannot eat for health reasons, if you refer to the individuals care plan you should find this information, also you may have an individual that is diabetic, you could seek guidance from their GP regarding what is and isn't safe for them to eat and drink.
Service users should always have the freedom to make choices about food and drink, thus the carer has to support them to make these choices, also taking into consideration dietary issues (possible allergies, diabetes, food intolerance) and prohibited foods due to medication (e.g. cranberry when on Warfarin). This information, as well as the medication is included in the care plan.
Carolyn Tobin Director of Food and Nutrition & Environmental Services at Pennsylvania Hospital has a wide variety of education. She has a degree in Food Service management, Speech Pathology and Audiology and Nutrition. And she doesn’t eat correct. She has been in hospital Nutrition for the past 20 years. Prior to that she worked in food service at universities like Lehigh University and Chestnut Hill collage. She has also spent some of her early career in hotels and casinos. Out of all her jobs working in hospitals she favors the most.
The following Quality Assessment was completed prior to a surprised inspection by the Office of Inspector General (OIG), when management received notice that an expired box lunch was left in the nourishment refrigerator in the Emergency Room department. This prompted Nutrition and Food Service managers to initiate a QA of every nourishment area in the hospital.
2. Assess the patient for bowel sounds; ask patient if they had a bowel movement and had a return of flatus. – To assess how patient will tolerate diet as ordered.
Describe how and when to seek additional guidance about and individual’s choice of food and drink.
Integrating a registered dietitian and their nutritional knowledge into primary care can play an important role in prevention and management of the majority of conditions seen in this setting. For example, in primary care offices general medicine is practiced. It is where patients go for routine checkups or non-emergency medical care. This means the majority of time the professionals
Nutritional History: Patient eats 3 meals a day. Patient eats a lot of fast food during lunchtime, states he does not like school food. Eats breakfast and dinner at home. Likes sodas and energy drinks. States he should drink more water.
The overall quality of my diet was extremely poor. Although I was able to stay below my recommended 2200 Calorie consumption both days; the amount of fat, saturated fat, protein, carbohydrates, cholesterol, and sodium exceeded my desired range. I have never taken the amount of cholesterol I ingest into thought because I considered cholesterol an elderly problem. The act of recording all I consumed in a single day informed me of eating problems I have and was formerly unaware of. Another piece of information my food log revealed was, the quality of food I chose when
By creating these small adjustments in the patient’s nutritional care, the patient’s independence and dignity are maintained. The patient, such as a stroke patient in rehabilitation, may also be reluctant to take an active role in their nutritional care so firm encouragement by the carer is needed. The presentation and availability of food and drink must also be assessed to deliver person-centred care (BAPEN REF). Patients may forego food if it looks unappetizing so it is important to serve meals that are visually appealing. Serving appetizing meals may also protect against malnutrition (BAPEN REF). Although protected mealtimes ensure that food and drink is given to every patient with minimal distraction, some patients may become hungry or thirsty in the hours between meals. Making food, like sandwiches or toast, and water available to patients may reduce the risk of malnutrition and dehydration and improve patients’ wellbeing (BAPEN REF). Good nutritional care achieved by person-centred practice means not only reducing risk of malnutrition and fluid imbalance but improving the patient’s quality of life,
With a home care nutritionist, they continue to follow the dietary guidelines set while placed in a hospital but then continue to grow the patient’s knowledge by teaching them more nutritional information. The main goal of a home care nutritionist is to achieve and maintain the dietary needs with a minimal amount of stress of hardship. There is a lot of emotional, physical and mental factors that have to be taken into consideration when a nutritionist in a home care setting approaches a patient and “The Nutritionist in Organized Home Care” covers all attributes of the home care nutritionist
Patient satisfaction scores should also be taken seriously and displayed for all staff to see. Respect for different cultures should be an annual competency. Incident reports should be used judiciously to prevent repeat errors by the dietary staff. The cause of the error should be determined and improvements made to that process.
The community rotation was very challenging. At the beginning I thought I would be educating veterans about overall nutrition and referring them to nutrition programs designed to prevent disease and promote health. Nonetheless, it was a lot more than that. First of all, I had just finished my food service rotation and had no have the chance to interact with any patients. Thus, I had to learn quickly how to work with the Computerized Patient Record System (CPRS) which is the software used to enter patients’ information and write notes (Department of Veterans Affairs, 2005). After one day in my community rotation I was already seeing patients on my own and writing notes.
Due to long working hours, sedentary activity levels, and other personal responsibilities the nurse may assess some community members display a nutrition imbalance related to excessive caloric intake in comparison to expenditure of calories, evidenced by, weight gain of more than 20% over ideal for height and frame. Interventions provided by the community nurse may include education of a balanced healthy dietary regimen that include foods frequently eaten but prepared with less fat and calories for the targeted population. The nurse will weigh each