3.1 Describe factors that help promote an individual’s dignity, comfort and enjoyment while eating and drinking.
Keeping the lips and mouth moist.
Gently massaging the skin using lubricants.
Reminiscing about earlier times and happenings.
Playing favourite music selections.
Sitting in silence and sharing the time.
Reading a book to [ your [ loved one.
Praying with your loved one.
Dry Mouth: A dry mouth can be relieved with wet swabs, ice chips or sips of cold drinks provided it is safe for your loved one to swallow. Apply lip balm to dry lips. Use mouth sponges/foam sticks frequently to gently clean the teeth, gums, inside of the cheeks and tongue. Mouth cares are important for comfort and dignity.
Modifying food and fluid: Sometimes a person can continue to swallow safely by maintaining a certain position while eating or by changing to foods and fluids that are easier and safer to swallow. Tolerance of food generally progresses from solids to puree to liquids to ice-chips and spooned or sucked water. Ask to see a Speech Pathologist if you have any concerns about swallowing problems.
Reduce amount: It is best to offer very small amounts of food and fluid (teaspoons).
Safe positioning: It is safest for the person to eat in a fully upright position. ] ] Auto answered|Score 1|sharpies|Points 7168|Note:
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Some conditions that affect people in later life, such as stroke, Parkinson’s and Alzheimer’s disease, can affect a person’s ability to feed themselves and to swallow. [ Even where there is no particular health condition other age related issues, such as ill-fitting dentures or loss of appetite, can affect the older person’s nutritional intake. Consideration should also be given to the impact of eating difficulties on the social aspect of mealtimes. A Swedish study (Sidenvall, 1999) noted that older people affected by debilitating physical or mental conditions strive to retain their independence and dignity when eating, and that such loss of skill can be painful and can cause embarrassment. It is important that support is provided in a discreet, sensitive and respectful manner that does not draw attention to the person’s difficulties.
Mealtimes and nutrition are important to older people in relation to their quality of life and as a measure of the quality of service they receive. Evidence for this comes from a range of studies into different types of health and social care provision. Mealtimes and nutrition ‘have been raised repeatedly... as an opportunity to respect residents’ dignity, or undermine it’.
Meals and mealtimes affect the quality of life for older people and are indeed the ‘Highlight of the day’ for many people in residential care (Commission for Social Care Inspection, 2006) (link). A small study into care homes found that, for residents, food is a definer of the quality of a home (PG Professional and the English Community Care Association, 2006). In the Department of Health (DH) online survey (DH, 2006d) respondents complained that not enough help is available to those who need assistance with eating. The analysis of British data from the Dignity and Older Europeans study supports this: ‘participants said patients were often not fed by nurses and this was often a problem for older people who could not feed themselves’ (Calnan et al, 2003). As the research overview found, not having appropriate help with eating and drinking can have more serious consequences for people with dementia or depression. ] Note:
Food and Drink|No Subcategories|Not Answered|3/26/2012 11:53:59 AM