Nutritional Requirements Of Individuals With Dementia Essay

You must provide be realizes to each wonder that altogetherow your assessor to by rights assess what establish duties you atomic number 18 doing or what role you have within your pass water. It expected that you would request approxim havely ccc words per question. The more(prenominal) detail you provide the less likely your poster leave behind be sent back for more clarification.You must answer each question in your let words and written in the first person meaning I do this. A top is ever to keep in principal the who, why, how, where and when in each answer. training publication 1-Understand the sustainmental ineluctably that ar unique to persons with insanity1.1 describe how cognitive, functional and emotional changes associated with lunacy do-nothing affect carry off, absorbing and commissariat Symptoms associated with dementedness, can have a harmful effect on individuals, if they argon non addressed and resolved. In my workplace if the house ph ysicians cognitive dexterity is impaired they could block to run down and take up, as healthy as cerebrate that they havent been fed, I might excessively think they had a imbibe or eraseen their inc barrier where as they might have tipped their assimilate d stimulate the sink or thrown their f are away. If the functional ability changes it could mean that they cant hold b eating utensil or hold a drink, in that respectfore they are unable to feed themselves properly. When the emotional state changes they whitethorn become stressed and not loss to eat or drink and may besides stuff that they need to eat and drink.For example, Miss K was a big lady who had immix alienation. She was able totalk and hear provided needed full back up at repast sequences due to her victualsal needs. At meal time she would norm exclusivelyy sit at the table but she love talking to herself most of the time. To divert her attention, as it was al crap lunchtime, first, I use to gr eet her in an appropriate manner and ex barrened that its already time to eat. She apply to look at me and smile. She accepted her meal with happiness and fermentation on her face, as she was already hungry. I placed her pabulum and drink in front of her on the table and after a man I left her on her own, I thus noticed that she stared at her drink and I could tell that she didnt actu eithery know what she was doing as she had forgotten what to do with the items in front of her.Read moreThe livingary RequirementsShe used to play with her feed and after a few seconds she would unremarkably tip her drink onto the narration and throw her food onto the curtains hanging by the window. In assemble for her to stop this behaviour I always assay to calm her down in the gentlest way likely. After calming and cave in Miss K down I carried out the cleaning and sanitising of the floor as well as the curtains to en trustworthy proper hygiene and cleanliness indeed forefending a ll(prenominal) potential infections or contaminations. I always made authentic that I documented the status of Miss K so that all told events were on record for future reference. I as well as made it a priority to mention any changes of Miss K to the senior section of provide on duty so that they were kept up to naming with her condition. After a few reports from the sustainmentrs she was eventually given virtuoso to one tuition during meal propagation to assist and computer backup her during eating and drinking.1.2 excuse how poor support can contribute to an individuals experience of dementia. Poor nutrition can result Miss K sightly more humbled and stressed as she is not getting all the nutrients she needs, and because of her becoming more confused which may result her in forgetting to eat and drink more then she became more distressed which made her more ill. Good nutrition helps the way all human beings look, shade and think and if manyone with dementia that does nt get enough nutrition, it pass on certainly show by them losing weight and not feeling very well. Due to Miss Ks lack of interest in eating and drinking her mobility was affected. She became jerking on her feet, which made her use the wheelchair from time to time. I always essay to give her motivation and encouragement to drink and eat as well as other(a) stave members.It also central for me and other module members to maintain good nutrition to prevent ill health whilst at workplace. I made sure that I am somatogenicly fit, had ate and drink well forrader going to work because virtuallytimes if carers are unwell and have not eat or drink the take aim of patience and passion to care for the service users were affected which could subscribe to them becoming more agitated and distressed.1.3 Outline how other health and emotional conditions may affect the nutritionary needs of an individual with dementia An example of how other health and emotional conditions could affe ct the nutritional needs of an individual with dementia is depression, as this could lead to a loss of appetite and also a lack of interest in food and drinks. For example, Mrs B has been depressed for quite an sometime due to the death of her husband. She would prefer to be on her own most of the time. As a result of her lack of socialisation she became socially isolated. This affected her nutritional needs, as she didnt feel like eating. It took a long time until she agreed to go to the dining room at meal times.Once dinner was served she would mislay interest in eating and tended to return to the lounge without touching the meal. I systematically done my ruff to try and encourage her to eat. I offered her the choice of what she wanted to eat in the hope that she would choose something she desired rather than not eating at all. I noticed that she became frustrated and anxious when questioned several times. When this became apparent to me I would leave her in the lounge and I w ould ask other cater members to try and talk to her to see if they could help. I updated her records so that other round members could see that she hadnt eaten. I also had to report the matter to the coach so that they were kept in the picture too.1.4 Explain the importance of recognising and contact an individuals personal and cultural preferences for food and drink It is master(prenominal) to recognise an individuals personal and cultural preferences to food and drink as this can mystify people feel like they are respected and included. This ordain encourage individual to eat and drink, but also it will increase their emotional and physical upbeat. Asking people with dementia close totheir mealtime preferences, when and where they like to eat and what foods they enjoy is vital to hear all module provide food and options at mealtimes that are familiar to them. lot may have different views about foods estimateing on their cultural background. Providing grasp of familia r foods can help profit individual feel at home, safe and welcomed.An example, Mrs E, a Spanish lady who has no dementia, is self-centred and has her own eating and drinking preferences from time to time. It is very pregnant for me to identify what Mrs E likes to eat and drink and what she doesnt like because she tends to shout at carers if these are unmet. If I dont recognise these I am not coming upon her preferences and that will cause her to not eat and drink quite of realising that it is something she doesnt like. This will then make her feel unhappy, anxious and stressed. If all members of staff know what she likes the management always assure that there is always something available. Due to her nationality it is also important to identify her cultural needs e.g. religion, conglomerate times of the year where she may not eat or will only eat certain foods. Every time I am unsure and have questions regarding her forage I always double microchip with her care platform o r I ask one of the members of staff who are more aware of her dietary needs.1.5 Explain why it is important to include a mutation of food and drink in the diet of an individual with dementia It is very important to include a variety of food and drink in the diet of residents with dementia, as they may forget what they didnt like before and suddenly start eating it. For example, Mr M has suffered from a bowel cancer and other health problems. He was nether the palliative care due to his severe condition. He was unable to hatful and swallow normal food but still able to drink properly. After few weeks of not eating well Mr M had lose weight. He was raftered by his GP and prescribed an Ensure drink for him, which contains the right amount of nutrients that will serve as alternative to his food.I also made sure to ask Mr M if he had any preferences of food and drink e.g. any flavour of drink or soup. He then told me that he likes chocolate flavour drinks. I then inform the senior re garding his wishes, this was immediately passed on to his GP and products were dispatched after a day. It is important thatthere is always a variety for Mr M and other residents to make sure that they are always eating something and getting the right nutrients in their bodies. After giving Mr M his drink and food I then recorded it in his observation sheet so that other members of staff would be aware how much fluid ingestion he had and to compensate to monitor Mr Ms condition.Learning Outcome 2-Understand the effect that mealtime environments can have on an individual with dementia 2.1 Describe how mealtime cultures and environments can be a barrier to meeting the nutritional needs of an individual with dementia Mealtime cultures much(prenominal) as meal sizes, number of courses, peculiar(prenominal) meal times, order of food etc., may not be conducive to the needs of an individual with dementia. In my workplace, cultures can be a barrier because some of the residents may not k now how to eat the food that is in front of them and in the correct order. Please see example 1.1. There are some residents who dont want to eat with other residents at the resembling time as everyone else in a noisy, busier environment such as communal dining rooms.Communal areas can be a distraction for an individual with dementia as they can become overwhelmed. For example, a resident who requires supporter to eat, I always make sure to ask him if he would prefer to stay in the main dining room or in a separate, more private room where he feel he wont be watched. I always view that the environment for residents is calm and relaxed in order for them to be able to shrink on the food they eat. This could avoid them becoming agitated, anxious and stressed due to distraction of other residents. Also, all staff was trained to the right received to deal with mealtimes so that they run as smoothly as possible to avoid conflicts.2.2 Describe how mealtime environments and food presen tation can be intentional to help an individual to eat and drink In my workplace, when I was assign the kitchen duty I made sure I washed my detainment thoroughly before and after entering the kitchen and before and after discussion food. Before mealtimes it was my responsibility to ensure that all dining areas were neat and clean, eating utensil was set on the table and that a variety of drinks were prepared and ready for the residents. I also checked the floor to look for any spillages on the carpet to avoid cross contamination and tripping hazards. winmoreit was my responsibility to distribute all the trays to the residents that remained in their bedrooms as well as the food trolley for the residents in the lounges.I made sure that the food was served in a relaxed and unhurried manner. I checked with my colleagues to make sure that all residents were ready for their meals, allowing them to feel calm and relaxed in order to counseling on their meals. The presentation of ea ch dinner table and the presentation of the food itself were important too. Prints on plates and tablecloths can be very confusing for residents with dementia, curiously if they have visual perception difficulties. Foods had to be easily identifiable plain cream plates were used and were useful in support to show up colourful foods. The presentation of the food itself had considered colour, texture, smell, and overall appeal. No one wants to eat a plate of unappealing food, and residents with dementia respond well to arresting stimulation.2.3 Describe how a person centred approach can support an individual, with dementia at different levels of ability, to eat and drink There should always be a person centred approach to food and nutrition to all individuals receiving care, as well as those with dementia. In my workplace, there are various courses provided to all members of staff regarding person centred approach, food hygiene and communication to make sure that they are knowledge able and skilled enough to support individuals nutritional needs. Ensuring that mealtimes are sufficiently staffed to provide assistance to those who need it is also greatly important when providing a person centred approach.For example, Mrs R had undergone a nutritional screening prior admitting in the home that was carried out by the line manager. This involved records of her dietary needs and preferences and any assistance she needs at mealtimes to ensure that members of staff act on this. Based on her care plan Mrs R had a normal diet, could eat and drink well but needed encouragement from time to time due to her condition. When assisting Mrs R I always ensure to respect her rights and dignity through providing assistance discreetly e.g. giving her serviettes to protect clothing, provide adapted crockery and stonecutter to enable her feed herself where appropriate. Making sure that food looks appetising and retentiveness foods separate to enhance the quality of the eating exper ience is also important.Whilst socializing during mealtimes should be advance, I also offer privacy to those who have difficulties with eating, if they wish, to avoid embarrassment or loss of dignity. I made sure that I give Mrs R and other residents time to eat because they should not be rushed. I made sure to not to make assumptions about their preferences on the basis of their cultural background- I ensure to ask them what their preferences are. My communication skills were also important when supporting Mrs R and others because some of them were unable to understand properly due to their dementia.I always made sure to approach and move them in a nicest and in a properly manner. Visual aids, such as pictorial menus, and non-verbal communication were also used to help to make choices. I also ensure to record food and fluid intake of those residents who were monitored due to poor nutrition. As needs and abilities change, these requirements will require review, to make sure that nutritional needs are consistently met. Also knowing Mrs R, and how, where, what times, and by which method she can best deplete food and drink will help to support her and her needs.Learning Outcome 3-Be able to support an individual with dementia to enjoy good nutrition3.1 Explain how the knowledge of life recital of an individual with dementia has been used to provide a diet that meets his/her preferences I was off at work when Mr O was first admitted in the home. I had no idea about his personal life, health condition, nutritional needs and preferences. When I came back to work I made sure to check his care plan and workaday report form to gain knowledge about his life history before dealing with his personal needs. Having knowledge of his life history has helped me and other staff members provide a diet that meets his preferences.This helped me to find out what he likes to eat, what are his favourite foods, what he dont like to eat and if he has any allergies to foods. By re viewing the care plan I appoint out that Mr O was diabetic, liked blackcurrant succus and black coffee but needed a carer to remind him to eat and drink during meal times as heused to forget them and only slumbers if not encouraged and supervised. By using his preferences shows that I am viscous onto his care plan, wishes and desires when meeting his needs. Recording any changes on his preferences was also recorded in his daily report form and I also handed in instruction to the senior in charged so that other staff would be aware.3.2 Explain how meal times for an individual with dementia are be after to support his/her ability to eat and drink In my workplace, meal times are planned according to the individuals condition and choices, some residents will sit at the table and eat with others and some will not eat at all if they are in the society of others- these are residents who preferred to stay in their bedrooms. My colleagues and I always ensure that residents are in the most comfortable place they want to eat and drink, and that they are happy with it. In between mealtimes my colleagues and I offered them snacks with various drinks and food e.g. tea, coffee, hot chocolate, Horlicks, Ovaltine etc., biscuits and cakes whilst staying in the living room or their bedroom.There are also residents who are unable to feed themselves. I always make sure that I assist them with feeding and drinking and also be planned to make sure that they are comfortable and to know what they are going to be eating or drinking in example there is something that they do not want. Any changes on residents nutritional preferences I always checked it with my manager or other staff before giving them other choices because they may have a special diet or allergic to something.3.3 Explain how the specific eating and drinking abilities and needs of an individual with dementia have been addressed Getting to know the specific needs and the eating and drinking abilities of an individ ual should be addressed when helping the individual to make a choice in what they want to eat and drink. Also knowing the individuals abilities should also be in their care plan. I always ensure to check each individuals care plan before providing them food or drink especially when he/she is first admitted in the residential home. I also double check their dietary needs with my manager or senior care staff to avoid errors that may affect residents behaviour and health.In my workplace, most of the residents changed their mind from time to time although there was a specific preference listed in their care plan. This will depend on their situation because some residents were unable to decide for themselves and were able to. I always made sure to consult them as they may forget of what they want or they may get fed up of sticking to one drink or food all the time. For example, based on Mr Os care plan he likes orange juice but when I offered him the drink he refused to accept it. He ask ed me if he could have a blackcurrant juice instead. I respected his choice and gave him the blackcurrant juice. I also passed my experience to the other staff members for them to become aware of his innovative preference but he might also change his mind in other time.It was also important to observe and monitor a resident before taking an action to address them in eating and drinking. Another example, Mrs C had a normal food and drink diet, as her dementia progresses, she has developed a difficulty in swallowing and drinking. When I truism her suffered I immediately called the attention of my Senior to check and observe Mrs Cs condition. She then called the GP to further assess her and also linguistic communication language therapist was involved. After few assessments Mrs C was then changed onto liquidised meal and 1 scoop of thickener in every 200mls drink. Her care plan was reviewed and this information was also documented in her daily report so that other members of staff w ill be informed regarding her nutritional changes.3.4 Explain how a person centred approach to meeting nutritional requirements has alter the well-being of an individual with dementia The person centred approach to meeting nutritional requirements has improved the well-being of an individual by improving their state of mind and their physical health. Based on 1.1 examples, by giving Miss K a one to one assistance during mealtimes she was able to eat and drink properly. Her ability to stand and walk was developed and I have noticed that she was calmer, well-bred and gentle when responding to carers.She also took her medication without any refusal or problem. The care and support my colleagues and I have given to Miss K has improved her sleep patterns, reduced confusion and anxieties as well as infections making her inhabit a happier and healthier lifestyle. I always ensure to record any changes and important information regarding her physical and emotional condition to helpfurther assessment and also this will serve as an evidence intrust for future observation and findings.