1. Nutrition Training
in Hospitals
Mili Sarkar

2. Aim
 Tounderstand the importance of nutrition for
hospital patients
 To enable the nursing staff & Canteen Staff
to utilise the Dietetic Dept appropriately

3. 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.

4. 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

5. 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

6. Research studies have shown that
malnourished patients will continue to lose
weight if not identified and treated, This can
lead to:
 Weight loss and muscle loss
 Lack of energy
 Reduced immunity to infection
 Poor wound healing
 Longer hospital stay

7. Importance of Nutrition
A 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

8. 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

9. 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

10. 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.

12. 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

13. Reasons for Screening
Nutritional screening should help identify
nutritional problems.
Direct to a care plan.
Instigate a care plan .
Encourage on- going monitoring

14. Assessment Screening and Care
Planning
 Screening of all patients at admission to ensure that they
can eat and drink. Assessment of nutritional status of
patients
 Nutritional Screening
 Helps dietician's 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

15. Provision of Nutrition
 Normal menu – high energy, diabetic,
soft,
 Fortify foods , extra snacks
 Nutritional supplements
 Enteral Feeding
 Parenteral Feeding

16. Nutritional Supplements

17. Planning & Delivery of Food &
Fluids.
Patient menus are nutritionally analysed
Normal nutritional needs are met from the
hospital menu
Set mealtimes and importance of mealtimes
Staff are available to help patients eat
Local arrangements in place and everyone is
aware of how to access food if a patient misses
a meal

18. 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