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. . What is good nutrition?. . Enough intake of essential nutrients to maintain good health. Proper Nutrition is:. . . 6 Main Nutrients. CarbohydratesFatProteinWaterVitaminsMinerals. . . . . Nutrients are needed for:. . EnergyPreventing diseaseMaintaining a healthy body.
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1. Proper Nutrition Is Important to the Health and Well Being of Nursing Home Residents
3. Enough intake of essential nutrients to maintain good health
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8. Nutrition Care Alerts Program Improving the Nutritional Health of Your Residents
9. Designed to help maintain nutritional health of residents
Designed to help facilities address four areas of resident care
10. Four Common Nutrition Related Conditions Unintended weight loss
Dehydration
Pressure ulcers
Complications of tube feeding
12. Unintended Weight Loss
Needs help to eat or drink
Eats less than half of meals/snacks
Complains of mouth pain
Has dentures that dont fit
Has a hard time chewing or swallowing
13. Unintended Weight Loss
Has trouble using utensils
Is sad, has crying spells, or withdraws from others
Is confused, wanders, or paces
Has diabetes, COPD, cancer, HIV, or other chronic disease
14. Unintended Weight Loss
Report observations and warning signs to nurse
Encourage resident to eat
Honor residents food preferences
Offer alternative foods, drinks
Help resident who has trouble feeding him/herself
15. Unintended Weight Loss
Dont rush resident while he/she is eating
Record meal/snack intake
Provide oral care before meals
Position resident for feeding as directed by nurse
16. Dehydration
Drinks less than 6 cups of liquid daily
Has dry mouth, cracked lips, sunken eyes, or urine is dark in color or has strong odor
Needs help to drink
Has trouble swallowing liquids
Has vomiting, diarrhea or fever
Is dizzy, easily confused, or tired
17. Dehydration Report observations and warning signs to nurse
Encourage intake of 2-4 ounces of water every time you see resident, unless directed otherwise
Record fluid intake
Offer ice chips frequently, if permissible
18. Dehydration Offer sips of liquid between bites of food at meals and snacks
Make sure resident can lift pitcher and cup
If resident cannot drink without help, offer appropriate assistance
19. Pressure Ulcers
Is subject to
- incontinence
- heavy perspiration
Needs help
moving arms,legs,or body
turning in bed
- changing position when sitting
20. Pressure Ulcers
Has lost weight
Eats less than half of meals and snacks served
Is dehydrated
Has discolored, torn, or swollen skin over bony areas
21. Pressure Ulcers Report observations and warning signs to nurse
Check and change linens as appropriate to keep resident dry
Handle/move resident with care to avoid skin tears and scrapes
Reposition resident frequently and properly
22. Pressure Ulcers Use Unintended Weight Loss Action Steps to improve calorie/protein intake
Record meal/snack intake
Use Dehydration Action Steps to improve fluid intake if resident is orally fed
23. Residents Who Are Tube Fed
Has nausea, vomiting or diarrhea
Has swollen stomach or stomach ache
Has constipation or cramping
24. Residents Who Are Tube Fed Has coughing, wheezing, wet breathing, or a feeling of something caught in the throat
At the site where the feeding tube enters the body there is
pain, redness, heat or swelling
crusty or oozing fluid
25. Residents Who Are Tube Fed Report observations and warning signs to nurse
Maintain position of resident with head elevated 30 degrees or more, as tolerated, during feedings and for at least 30 minutes after feedings