Aim Tounderstand the importance of nutrition for hospital patients To enable the nursing staff & Canteen Staff to utilise the Dietetic Dept appropriately
Nutrition Care In Hospital Covers all hospital patients in all hospital settings Standards focus on many aspects of a patients nutritional care Nurse Practitioners to create a powerful & easy– to–provides on–the–spot answers & information for many patients & less time to devote to them. Canteen Staff to easy to understand, handle & Well corporate with Nurse & Dietician.
Aims of Standard To improve nutritional care of all patients Screen all patients Formulate care plans to meet their nutritional needs Meet their nutritional needs with choice Develop training
Aims of Standard To improve nutritional care & Supplement knowledge of all patients Screen all patients Formulate care plans to meet their nutritional needs Meet their nutritional needs with choice Develop training
Research studies have shown thatmalnourished patients will continue to loseweight if not identified and treated, This canlead to: Weight loss and muscle loss Lack of energy Reduced immunity to infection Poor wound healing Longer hospital stay
Importance of NutritionA person’s health can be affected by their nutritional status, with some being more vulnerable to malnutrition than others Malnutrition is very common in hospitals 40%-50% of patients were undernourished on admission to hospital 67% of all patients lost weight while in hospital 43% of the elderly were undernourished
Importance of Nutrition The provision of good quality food, fluid & nutritional care is an integral part of the therapeutic care provided in hospital However, the clinical importance of nutritional care is often overlooked Nutritional care requires the effort of many, including Medical staff - Dietician Nursing staff - Catering Staff Pharmacist - Patient
How are Nursing Staff involved• The provision of nutrition is crucial for the well- being of the patient in hospital & the nursing staff play a central role in assisting patients with their food choices and food intake.• You are the people on the ward helping the patients receive meals• Nutritional Screening
How are Nursing Staff involved• Canteen staff also play a central role in serving meal to patients with their food choices and food intake.• Canteen Staff are the people on the ward Serving the patients receive meals.
Reasons for Screening To improve the nutritional care of all patients it is essential to identify where problems exist. Allpatients should be screened as near to admission time as possible, ideally within 24 hours of admission or at the earliest opportunity. Appropriate referrals to the Dietetic Dept
Reasons for ScreeningNutritional screening should help identifynutritional problems.Direct to a care plan.Instigate a care plan .Encourage on- going monitoring
Assessment Screening and CarePlanning Screening of all patients at admission to ensure that they can eat and drink. Assessment of nutritional status of patients Nutritional Screening Helps dieticians prioritise who needs to be seen Weighing patients helps us calculate a patients nutritional requirements Completing food record charts, dieticians can calculate a patients nutritional intake Formulate a nutritional care plan
Provision of Nutrition Normal menu – high energy, diabetic, soft, Fortify foods , extra snacks Nutritional supplements Enteral Feeding Parenteral Feeding
Planning & Delivery of Food &Fluids.Patient menus are nutritionally analysedNormal nutritional needs are met from thehospital menuSet mealtimes and importance of mealtimesStaff are available to help patients eatLocal arrangements in place and everyone isaware of how to access food if a patient missesa meal
Education and Training for Staff. Specific roles e.g Diabetes, renal, Intensive care Screening Nutritional care of elderly patients Training for nurses Nutritional care hospitalised patients see training notice board Food Handling Training Supplement Knowledge Nurse, Pharmacist, Dietician and Medical staff Nutrition training programmes are available