Nutirion Training Module By Mili

Nutrition Training in Hospitals

Mili Sarkar

Aim

To understand 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 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

Importance of NutritionImportance 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

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 How are Nursing Staff involvedinvolved

• 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 How are Nursing Staff involvedinvolved

• 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.

All patients 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 ScreeningReasons for Screening

Nutritional screening should help identify nutritional problems.

Direct to a care plan.

Instigate a care plan .

Encourage on- going monitoring

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

Provision of Nutrition

Normal menu – high energy, diabetic, soft,

Fortify foods , extra snacks Nutritional supplements Enteral Feeding Parenteral Feeding

Nutritional Supplements

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

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