nf 6.01 nutrition and hydration - alamance-burlington school system€¦ · understand nurse aide...
TRANSCRIPT
![Page 1: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/1.jpg)
Understand nurse aide skills needed to provide for residents ’ nutrition and hydration needs.
Unit BResident Care Skills
Essential Standard NA6.0Understand nurse aide skills needed to provide for residents’ nutrition, hydration, and elimination ne eds.
Indicator 6.01Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs.
6.01 Nursing Fundamentals 7243 1
![Page 2: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/2.jpg)
26.01 Nursing Fundamentals 7243
6.01 Introduction
This indicator introduces the nurse aide
to the basic principles of nutrition. It
includes ChooseMyPlate.gov,
therapeutic diets, adaptive devices,
alternative methods of feeding,
providing drinking water and
nourishments, feeding a resident, and
measuring/recording intake and output.
![Page 3: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/3.jpg)
There is intentional repeat
of some HSII course content in
Nursing Fundamentals.
Repeating course content distributes learning over time and increases long term memory.
Academic and skill competence must be maintained at a very high level for direct resident care.
Be GREEN. Recycle knowledge and build on it!
Nursing Fundamentals 7243 36.01
![Page 4: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/4.jpg)
Food is broken down by the gastrointestinal system into small substances called
nutrients.
Nursing Fundamentals 7243 4
Nutrients
6.01
![Page 5: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/5.jpg)
Nutrients are absorbedinto the body for use.
Nursing Fundamentals 7243 56.01
Nutrients
![Page 6: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/6.jpg)
Nursing Fundamentals 7243 6
Nutrients
6.01
Protein
Carbohydrates
Fats
Vitamins
Minerals
Water
![Page 7: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/7.jpg)
Builds and repairs tissue
Nursing Fundamentals 7243 7
Nutrient - Protein
6.01
![Page 8: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/8.jpg)
• Supplies fuel for the body’s energy needs
• Supplies fiber necessary for bowel elimination
Nursing Fundamentals 7243 8
Nutrient - Carbohydrates
6.01
![Page 9: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/9.jpg)
• Source of stored energy
• Helps body use certain vitamins
• Conserves body heat
• Protects organs from injury
• Holds kidneys place
Nursing Fundamentals 7243 9
Nutrients - Fat
6.01
![Page 10: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/10.jpg)
• Necessary for carrying out and maintaining specific body functions
Nursing Fundamentals 7243 10
Nutrients – Vitamins
6.01
![Page 11: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/11.jpg)
• Necessary for carrying out and maintaining specific body functions
Nursing Fundamentals 7243 11
Nutrients –Minerals
6.01
![Page 12: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/12.jpg)
Nursing Fundamentals 7243 12
Nutrients - Water
6.01
• The most essential nutrient for life
• Without it a person can only live a few days
• Assist in digestion and absorption of food
• Helps maintain normal body temperature
• Largest component of blood plasma
![Page 13: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/13.jpg)
No one food contains ALL the NUTRIENTS needed for good health.
Nursing Fundamentals 7243 13
Nutrients
6.01
Soooooooooo . . .
Eating a variety of foods is needed to sustain good health.
![Page 14: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/14.jpg)
Nutrition guides typically divide foods into food groups and recommend daily servings of each group for a healthy diet.
Nursing Fundamentals 7243 14
Nutrition Guides
6.01
![Page 15: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/15.jpg)
A food group is a collection of foods that share similar nutritional properties or biological classifications.
Nursing Fundamentals 7243 15
Food Group
6.01
![Page 16: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/16.jpg)
Nursing Fundamentals 7243 16
Vegetable Group
6.01
Make half your plate fruits and vegetables.
Vary your vegetables.
![Page 17: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/17.jpg)
Nursing Fundamentals 7243 17
Fruits Group
6.01
Make half your plate fruits and vegetables.
![Page 18: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/18.jpg)
Nursing Fundamentals 7243 18
Grains Group
6.01
Make at least half your grains whole grains .
![Page 19: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/19.jpg)
Nursing Fundamentals 7243 19
Protein Group
6.01
Make leanchoices.
51+ years old, need 5 ½ ozs . daily for men and 5 ozs . for women.
![Page 20: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/20.jpg)
Nursing Fundamentals 7243 20
Dairy Group
6.01
Switch to fat-free or low -fat (1%) milk.
Men and women over 51 years old need 3 cups of dairy group each day.
![Page 21: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/21.jpg)
Nursing Fundamentals 7243 21
ChooseMyPlate.gov
6.01
![Page 22: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/22.jpg)
Two overarching concepts:
Nursing Fundamentals 7243 22
Dietary Guidelines for Americans
6.01
Maintain calorie balance over time to achieve and sustain a healthy weight.
![Page 23: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/23.jpg)
A calorie is a unit of
energy .
Nursing Fundamentals 7243 23
Calories
6.01
![Page 24: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/24.jpg)
Nursing Fundamentals 7243 24
Calories
6.01
Taken from: How Stuff Works
![Page 25: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/25.jpg)
Two overarching concepts:
Nursing Fundamentals 7243 25
Dietary Guidelines for Americans
6.01
Focus on consuming
nutrient -densefoods and beverages.
![Page 26: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/26.jpg)
Foods that have high nutritional content as well as “energy”
Nursing Fundamentals 7243 26
Nutrient Dense
6.01
![Page 27: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/27.jpg)
Calories contained in food that provide “fuel” but few or no nutrients.
Nursing Fundamentals 7243 27
Empty Calories
6.01
![Page 28: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/28.jpg)
Factors That Influence Caloric Need
• Age• Sex• Size and activity level• Climate• State of health• Amount of sleep
obtained
Nursing Fundamentals 7243 286.01
![Page 29: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/29.jpg)
6.01 Nursing Fundamentals 7243 29
Effects of Good Nutrition
� Promotes physical and mental health
� Provides increased resistance to
illness
� Produces added energy and vitality
� Aids in the healing process� Assists one to feel and sleep
better
![Page 30: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/30.jpg)
• Healthy, shiny looking hair• Clean skin and bright eyes• A well-developed, healthy
body• An alert facial expression• An even, pleasant
disposition
Nursing Fundamentals 7243 30
Signs of Good Nutrition
6.01
![Page 31: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/31.jpg)
• Restful sleep patterns
• Healthy appetite• Regular elimination
habits• Appropriate body
weight
Nursing Fundamentals 7243 31
Signs of Good Nutrition
6.01
![Page 32: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/32.jpg)
• Hair and eyes appear dull
• Irregular bowel habits
• Weight changes• Osteoporosis and
other diseases Nursing Fundamentals 7243 32
Signs of Poor Nutrition
6.01
![Page 33: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/33.jpg)
Results of Poor Nutrition(continued)
• Lack of interest -mental slowdown
• Skin color and appearance poor
Nursing Fundamentals 7243 33
Signs of Poor Nutrition
6.01
![Page 34: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/34.jpg)
Results of Poor Nutrition(continued)
• Anemia leading to:–tired feeling–shortness of
breath– increased pulse–problems with
digestion
–pale skin–poor sleep
patterns–headaches
Nursing Fundamentals 7243 34
Signs of Poor Nutrition
6.01
![Page 35: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/35.jpg)
Basic NutritionHave we got it?
Let’s check and see
Stick diagnostics
Student Name A
Nursing Fundamentals 7243356.01
![Page 36: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/36.jpg)
6.01 Nursing Fundamentals 7243 36
Influences on
nutrition and dietary
habits
1) Aging
2) Culture
![Page 37: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/37.jpg)
• Metabolism slows ����
muscles weaken ����
body moves slow ����
activity is reduced ����
reduced activity decreases appetite.
Nursing Fundamentals 7243 37
Nutritional Challenges of Geriatrics
6.01
![Page 38: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/38.jpg)
• Loss of vision affects the way food looks, which can decrease appetite.
Nursing Fundamentals 7243 38
Nutritional Challenges of Geriatrics
6.01
![Page 39: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/39.jpg)
• The aging process and some medications weaken the sense of smell and taste ���� which can decrease appetite.
Nursing Fundamentals 7243 39
Nutritional Challenges of Geriatrics
6.01
![Page 40: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/40.jpg)
• Less saliva production affects chewing and swallowing.
Nursing Fundamentals 7243 40
Nutritional Challenges of Geriatrics
6.01
![Page 41: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/41.jpg)
• Dentures and poor dental health make chewing difficult.
Nursing Fundamentals 7243 41
Nutritional Challenges of Geriatrics
6.01
![Page 42: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/42.jpg)
• Digestion takes longer and it is less efficient.
Nursing Fundamentals 7243 42
Nutritional Challenges of Geriatrics
6.01
![Page 43: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/43.jpg)
• Constipation interferes with appetite.
Nursing Fundamentals 7243 43
Nutritional Challenges of Geriatrics
6.01
X
![Page 44: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/44.jpg)
6.01 Nursing Fundamentals 7243 44
Factors Influencing Dietary Practices
• Personal preference• Appetite• Finance• Illness• Culture
![Page 45: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/45.jpg)
�The diets of Chinese , Japanese, Koreans and people from Far East include rice and tea
�The diets of Spanish -speaking people include spicy dishes containing rice, beans and corn
Nursing Fundamentals 7243 45
Culture and Dietary Practices
6.01
![Page 46: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/46.jpg)
Culture and Dietary Practices(continued)
�The Italian diet includes spaghetti, lasagna, and other pastas
�Scandinavians have a lot of fish in their diets
Nursing Fundamentals 7243 46
Culture and Dietary Practices
6.01
![Page 47: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/47.jpg)
Culture and Dietary Practices(continued)
�Americans eat a lot of meat, fast foods, and processed foods
�Use of sauce and spices are culturally related
Nursing Fundamentals 7243 47
Culture and Dietary Practices
6.01
![Page 48: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/48.jpg)
�Days of fasting when all or certain foods are avoided
�Christian Science - avoid coffee/tea and alcohol
�Roman Catholic - avoid food one hour before communion, observe special fast days
Nursing Fundamentals 7243 486.01
![Page 49: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/49.jpg)
�Muslim/Moslem - avoid alcohol, pork products
�7th Day Adventist -avoid coffee/tea, alcohol, pork and some meats, caffeine
Nursing Fundamentals 7243 496.01
![Page 50: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/50.jpg)
�Baptists – some avoid coffee, tea and alcohol
�Greek Orthodox - fast days, but usually “forgiven” when ill
Nursing Fundamentals 7243 506.01
![Page 51: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/51.jpg)
�Conservative Jewish faith–Prohibits shellfish, non -
kosher meats such as pork
–Requires special utensils for food preparation
Nursing Fundamentals 7243 516.01
![Page 52: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/52.jpg)
�Conservative Jewish faith–Forbids cooking on Sabbath–Forbids eating of leavened
bread during Passover
Nursing Fundamentals 7243 526.01
![Page 53: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/53.jpg)
�Conservative Jewish faith–Forbids serving milk and
milk products with meat–Strict rules regarding
sequence in which milk products and meat may be consumed
Nursing Fundamentals 7243 536.01
![Page 54: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/54.jpg)
6.01 Nursing Fundamentals 7243 54
Therapeutic,
Modified, or Special
Diets
![Page 55: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/55.jpg)
• Help body organs to maintain and/or regain normal function
• Treat metabolic disorders by regulating amount of food
Nursing Fundamentals 7243 55
Therapeutic, Modified or Special Diets
6.01
![Page 56: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/56.jpg)
• Add or eliminate calories to cause a change in body weight
• Assist with digestion of food by taking foods out of diet that irritate digestive system
• Restrict salt (sodium) intake to prevent or decrease edema
Nursing Fundamentals 7243 56
Therapeutic, Modified or Special Diets
6.01
![Page 57: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/57.jpg)
• Clear liquid• Full liquid• Bland• Low residue• Controlled carbohydrate
(Diabetic)• Low fat/low cholesterol
Nursing Fundamentals 7243 576.01
Types of Therapeutic , Modified or Special Diets
![Page 58: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/58.jpg)
• High fiber • Low calorie• High calorie• Sodium restricted• High protein• Mechanical soft, chopped, pureed
Nursing Fundamentals 7243 586.01
Types of Therapeutic, Modified or Special Diets
![Page 59: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/59.jpg)
Nursing Fundamentals 7243 596.01
Diet CardsList:• the resident’s name
• Information about special diets
• Food allergies• Likes and dislikes
![Page 60: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/60.jpg)
Nursing Fundamentals 7243 606.01
Low -Sodium Diets
Residents with high blood pressure, heart disease, kidney disease, or retention may be placed on a low -sodium diet.
Salt packets will not be on the food tray.
Common abbreviations: “NAS” (no added salt) and Low Na (low sodium)
![Page 61: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/61.jpg)
Nursing Fundamentals 7243 616.01
Low -Protein Diets
Residents with severe kidney disease may be on a low protein diet.
Proteins breakdown into substances that can harm the kidneys.
Extent of protein restriction will vary depending on the stage of kidney disease.
![Page 62: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/62.jpg)
Nursing Fundamentals 7243 626.01
Fluid -Restricted Diets
Residents with severe heart or kidney disease may n eed fluid restriction.
Measure and document exact amounts of fluid intake. Report excesses to the nurse.
Do not offer additional fluids or foods that contai n fluids. Notify the nurse if the resident complains of thirs t.
Common abbreviation is “RF” (restrict fluids)
![Page 63: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/63.jpg)
Nursing Fundamentals 7243 636.01
Low -Fat/Low -Cholesterol Diets
• Residents with high levels of cholesterol, gall bla dder disease, diseases that interfere with fat digestion, and liv er disease may be placed on these diets.
• Diets permit skim milk, low fat cottage cheese, fis h, white meat of turkey and chicken, veal, and vegetable fats. Use of monounsaturated fats such as olive oil, canola, and peanut oils are encouraged.
• Do not offer additional fluids or foods that contai n fluids. Notify the nurse if the resident complains of thirst.
• Common abbreviation is “Low-Fat/Low-Chol”
![Page 64: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/64.jpg)
Nursing Fundamentals 7243 646.01
Modified Calorie Diets
• Residents may need to reduce calories to lose weight or increase calories to gain weight.
• Do not offer residents on a low -cal diet extra food. Check with the nurse.
• Common abbreviation is “Low -Cal/High -Cal”
![Page 65: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/65.jpg)
Nursing Fundamentals 7243 656.01
Dietary Management of Diabetes
• Calories and carbohydrates are carefully controlled.
• Fats and proteins are regulated.• Amounts of food are determined by energy
needs. • Diabetics must eat all the food served on the
tray.• Do not offer other foods without the nurse’s
approval.
![Page 66: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/66.jpg)
Nursing Fundamentals 7243 666.01
Dietary Management of Diabetes
• Meal tray may contain artificial sweeteners
• Common abbreviations for diabetic diets are “NCS” no concentrated sweets and the amount of calories allowed followed by “ADA” (American Diabetic Association)
![Page 67: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/67.jpg)
Nursing Fundamentals 7243 676.01
Diets Modified in Consistency
• Liquid Diet• Soft Diet and Mechanical
Soft Diet• Pureed Diet
![Page 68: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/68.jpg)
Nursing Fundamentals 7243 686.01
Liquid Diets
Ordered short term for medical condition or before or after a test or surgery.
Liquid food is anything that is in the liquid state at room temperature.
![Page 69: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/69.jpg)
Nursing Fundamentals 7243 696.01
Liquid Diets
“Clear Liquids”• Clear juices• Broth• Gelatin• Popsicles
“Full Liquids”Clear liquids plus:• Cream soups• Milk• Ice cream
![Page 70: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/70.jpg)
Nursing Fundamentals 7243 706.01
Soft and Mechanical Soft Diets
Makes food easier to chew and swallow
SOFT DIETSHigh fiber foods, fried foods, spicy foods, raw vegetables and fruits and some meats will be
restricted. Food is chopped or blended.
MECHANICAL SOFT DIETSFood choices are not limited. Only the
texture of the food is changed.
![Page 71: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/71.jpg)
Nursing Fundamentals 7243 716.01
Pureed Diets
This diet does not require that a resident chew his/her food.
Food is chopped, blended, or ground into a thick paste of baby food consistency.
![Page 72: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/72.jpg)
6.01 Nursing Fundamentals 7243 72
Nurse Aide Responsibilities in Serving Therapeutic Diets
• Serve the RIGHT resident the RIGHT tray containing the RIGHT therapeutic diet at the RIGHT temperature in the RIGHT environment with the RIGHT attitude.
![Page 73: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/73.jpg)
Therapeutic dietsHave we got it?
Let’s check and see
Stick diagnostics
Student Name A
Nursing Fundamentals 7243736.01
![Page 74: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/74.jpg)
6.01 Nursing Fundamentals 7243 74
Devices and alternate
methods used to take in
nutrients
![Page 75: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/75.jpg)
• Food Guards• Divided Plates• Built-up handled utensils• Easy grip mugs/glasses
Residents have to be taught how to use these devices.
Nursing Fundamentals 7243 756.01
Adaptive Devices
![Page 76: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/76.jpg)
• Fluids administered through vein. IVs help hydrate but have little nutritional value
• Responsibility of licensed nurse
Nursing Fundamentals 7243 766.01
Parenteral Fluids
(Intravenous Infusion - IV)
![Page 77: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/77.jpg)
• Observations to report–Near-empty bottle/bag–Change in drip rate–Pain at needle site, and/or
redness and/or swelling, if observable
–Loose, non -intact, or damp dressing
6.01 Nursing Fundamentals 7243 77
![Page 78: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/78.jpg)
Liquid formula administered into the stomach through a tube by licensed nurse • Nose to stomach - nasogastric tube• Directly into stomach – gastrostomy tube -
“ PEG tube” ( Percutaneous Endoscopic Gastrostomy)
• Mitts may be ordered to prevent resident from dislodging tube
Nursing Fundamentals 7243 786.01
Enteral Feeding
![Page 79: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/79.jpg)
Nursing Fundamentals 7243 796.01
Enteral Feeding
PEGtube
![Page 80: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/80.jpg)
Residents unable to take nutrients by mouth can consent to enteral feeding.
• Depressed• Comatose• Swallowing problem (stroke,
Alzheimer’s or other medical conditions)
• Disorders of digestive tract
Nursing Fundamentals 7243 806.01
Enteral Feeding
![Page 81: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/81.jpg)
6.01 Nursing Fundamentals 7243 81
Nurse Aide Responsibilities in Alternative Nutrition
• Ensure that there is no tension on tubing, no kinks, no coils, and tube not underneath resident.
• Keep resident’s nose clean and free of mucus
• Keep tube secure• Perform frequent oral care with
nasogastric or PEG tube
![Page 82: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/82.jpg)
Immediately report:• Redness or drainage around the opening• Skin sores or bruises• Cyanotic skin• Resident complaints of chest pain or nausea• Choking• Tube falls out• Feeding pump alarm sounds• Resident’s inclined position changes
6.01 Nursing Fundamentals 7243 82
![Page 83: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/83.jpg)
alternate ways to get nutrients
Have we got it?Let’s check and see
Stick diagnostics
Student Name A
Nursing Fundamentals 7243836.01
![Page 84: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/84.jpg)
6.01 Nursing Fundamentals 7243 84
Fluid Balance
(Hydration)
![Page 85: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/85.jpg)
Nursing Fundamentals 7243 856.01
Fluid Needs
Under normal conditions:
ounces daily
Eight 8-ounce glasses of water/fluids a day
![Page 86: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/86.jpg)
Nursing Fundamentals 7243 86
Consume 2 -1/2 to 3-1/2 quarts daily
• eating• drinking
Eliminate 2 -1/2 to 3-1/2 quarts daily
• urine• perspiration• water vapor through
respirations• stool
6.01
Fluid (Hydration) Balance
![Page 87: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/87.jpg)
Nursing Fundamentals 7243 876.01
Fluid Imbalances
Edema – too much fluid in the body
Dehydration – too little fluid in the body
![Page 88: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/88.jpg)
Nursing Fundamentals 7243 88
Fluid intake exceeds fluid output - fluid retention
Caused by :• Kidney or failure • Heart failure• Excessive salt intake
6.01
Edema
![Page 89: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/89.jpg)
Nursing Fundamentals 7243 89
Signs of Edema:–Weight gain –Swelling of feet, ankles,
hands, fingers, face–Decreased urine output–Shortness of breath–Collection of fluid in
abdomen (ascites)6.01
Edema
![Page 90: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/90.jpg)
6.01 Nursing Fundamentals 7243 90
Residents’ weights must be accurate!Fluid retention can be Fluid retention can be Fluid retention can be Fluid retention can be
detected by weight gain.detected by weight gain.detected by weight gain.detected by weight gain.
![Page 91: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/91.jpg)
6.02 Nursing Fundamentals 7243 91
SKILLWeighing a resident
Training Lab Assignment
Engage in the Skill Distributed Practice for:
![Page 92: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/92.jpg)
Nursing Fundamentals 7243 92
Fluid output exceeds fluid intake • Common problem of long -term care
residents
6.01
Dehydration
![Page 93: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/93.jpg)
Nursing Fundamentals 7243 93
• Signs–thirst–decreased urine output–parched or cracked lips–dry, cracked skin–fever–weight loss–concentrated urine–tongue coated and thick
6.01
Dehydration
![Page 94: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/94.jpg)
Nursing Fundamentals 7243 94
• Causes of dehydration–poor fluid intake–diarrhea–bleeding –vomiting–excessive perspiration
6.01
Dehydration
![Page 95: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/95.jpg)
Nursing Fundamentals 7243 956.01
Special Fluid Orders
Force Fluids “FF” means to encourage the resident to drink more fluids.
Restrict Fluids “RF” means to limit the amount of fluids to the amount set by the physician.
NPO means nothing by mouth
Thickened liquids help prevent choking
![Page 96: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/96.jpg)
Force fluids• Offer fluids in small quantities• Offer fluids (resident preference) without being asked on every contact with resident
• Remind resident of importance of fluids in bodily functions
Nursing Fundamentals 7243 966.01
Special Fluid Orders
![Page 97: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/97.jpg)
RESTRICTED FLUIDS• Remind resident of the restriction• Measure and record exact amount of
fluid intake • Report excesses to the nurse• Do not offer additional fluids or foods
that contain fluids• Tell nurse if resident complains of
thirst• Abbreviation is “RF”
Nursing Fundamentals 7243 976.01
Special Fluid Orders
![Page 98: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/98.jpg)
N P O • Nada per os or nothing by mouth• Resident is not allowed anything to
eat or drink!• NEVER OFFER FOOD OR DRINK OR
WATER TO A RESIDENT WHO IS NPO• NPO residents will be getting IVs or
tube feedings• NPO is ordered before surgery and
some tests
Nursing Fundamentals 7243 986.01
Special Fluid Orders
![Page 99: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/99.jpg)
Nursing Fundamentals 7243 99
THICKENED LIQUIDS• Improves the ability to control fluids in the mouth
and throat. For residents with swallowing problems . • If ordered, must be used with all liquids.• Do not offer water, water pitcher, or other liquids to a
resident who must have thickened liquids.• Three basic consistencies are:
– Nectar thick; like a thick juice such as tomato – Honey thick; pours slowly like honey– Pudding thick; must be consumed with spoon
6.01
Special Fluid Orders
![Page 100: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/100.jpg)
6.01 Nursing Fundamentals 7243 100
Related
SKILL
![Page 101: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/101.jpg)
• Fresh water should be provided periodically throughout day
• Encourage to drink 6-8 glasses daily if appropriate
• Offer fluids on every resident encounter unless ordered otherwise.
Nursing Fundamentals 7243 1016.01
Providing Fresh Drinking Water
![Page 102: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/102.jpg)
6.02 Nursing Fundamentals 7243 102
SKILL 6.01A
Provide fresh drinking
water
Training Lab AssignmentEngage in the Skill Acquisition Process for:
![Page 103: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/103.jpg)
6.01 Nursing Fundamentals 7243 103
What is pagophagia ?
![Page 104: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/104.jpg)
Nursing Fundamentals 7243 104
• Ice craving is a condition called
pagophagia, or compulsive eating of ice. This is a form of pica, a condition in which people crave and eat non-food substances like ice, chalk, paper, laundry soap, starch, hair, dirt, clay, or paint.
• There are several reports linking the craving of ic e to iron-deficiency anemia (low blood count as a result of a n iron-deficiency). In fact, there’s even website called “ All About Chewing Ice ,” which also has a support group for people with this condition.
• Residents often crave ice.
6.01
Pagophagia
![Page 105: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/105.jpg)
6.01 Nursing Fundamentals 7243 105
When residents ask for ice….
GET IT!Unless ordered otherwise.
![Page 106: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/106.jpg)
Nursing Fundamentals 7243 106
• Fluids measured in milliliters (ml) which is metric measure
30 ml = 1 ounce
DO NOT MEASURE IN CCs
6.01
Measuring Fluids
![Page 107: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/107.jpg)
Nursing Fundamentals 7243 107
30 ml = 1 ounce
6.01
REMEMBER
![Page 108: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/108.jpg)
Nursing Fundamentals 7243 108
• Physician orders intake and output
INTAKE includes:– All liquid taken by mouth– Food items that turn to liquid at room
temperature– Tube feedings into stomach through
nose or abdomen– Fluids given by intravenous infusion
6.01
Measure/Record Intake & Output
![Page 109: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/109.jpg)
Nursing Fundamentals 7243 109
• OUTPUT includes– Urine– Liquid stool– Emesis– Drainage– Suctioned secretions– Excessive perspiration
6.01
Measure/Record Intake & Output
![Page 110: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/110.jpg)
6.01 Nursing Fundamentals 7243 110
Related
SKILL
![Page 111: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/111.jpg)
6.02 Nursing Fundamentals 7243 111
SKILL 6.01B
Measure and record
intake and output
Training Lab AssignmentEngage in the Skill Acquisition Process for:
![Page 112: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/112.jpg)
fluid balance, measuring I & 0, providing drinking water
Have we got it?Let’s check and see
Stick diagnostics
Student Name A
Nursing Fundamentals 72431126.01
![Page 113: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/113.jpg)
6.01 Nursing Fundamentals 7243 113
Preparing Residents
for Meals
![Page 114: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/114.jpg)
• Make meals an enjoyable and sociable experience
• Provide pleasant environment– Clean area– Odor-free area– Adequate lighting
• Flowers/decorations and music add interest to dining area
Nursing Fundamentals 7243 1146.01
Preparing Residents for Meals
![Page 115: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/115.jpg)
• Because eating is a social activity of daily living…
• Do not enclose the bedbound resident with privacy curtains when feeding them.
Nursing Fundamentals 7243 1156.01
Preparing Residents for Meals
![Page 116: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/116.jpg)
• All residents clean and dressed for meals
• Hair combed• Oral care provided• Encourage to use bathroom
or urinal/bedpan• Cleanse and dry
incontinent residents
Nursing Fundamentals 7243 1166.01
Preparing Residents for Meals
![Page 117: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/117.jpg)
• Resident’s face and hands washed before meal –rewash residents’ hands and mouth after meals
• Provide for comfort– Raise head of bed– Position in chair– Transport to dining area
• Provide clothing protector if appropriate
Nursing Fundamentals 7243 1176.01
Preparing Residents for Meals
![Page 118: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/118.jpg)
Clothing Protector:• Offer but do not insist,
residents’ have the right to refuse
• Using the term “bib” decreases the residents dignity by treating them like children
Nursing Fundamentals 7243 1186.01
Preparing Residents for Meals
![Page 119: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/119.jpg)
• Check to be certain resident receives right tray and has correct diet
• Food should be attractively served and placed within reach
• Check tray to see that everything needed is there
Nursing Fundamentals 7243 1196.01
Preparing Residents for Meals
![Page 120: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/120.jpg)
• Assist resident as needed with :–cutting meat–pouring liquids–buttering bread–opening containers
Nursing Fundamentals 7243 1206.01
Preparing Residents for Meals
![Page 121: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/121.jpg)
• Orient blind residents to food placement on the plate according to face of clock
• Approach residents from non -effected side
• Alternate fluid and food
Nursing Fundamentals 7243 1216.01
General Guidelines Assisting with Meals
![Page 122: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/122.jpg)
• Residents should be encouraged to do as much as possible for themselves
• Provide time for resident to complete meal
• Display pleasant, patient attitude while assisting
Nursing Fundamentals 7243 1226.01
General Guidelines Assisting with Meals
![Page 123: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/123.jpg)
• Remove tray when meal finished
• Tell nurse is not eating• Observe and record amount
eaten in %• Record fluid intake if
ordered• Assist to position of comfort
Nursing Fundamentals 7243 1236.01
General Guidelines Assisting with Meals
![Page 124: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/124.jpg)
• Call signal and supplies positioned within reach
• Area should be left clean and tidy
• Hands washed before and after care of each resident
Nursing Fundamentals 7243 1246.01
General Guidelines Assisting with Meals
![Page 125: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/125.jpg)
6.01 Nursing Fundamentals 7243 125
Related
SKILL
![Page 126: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/126.jpg)
6.02 Nursing Fundamentals 7243 126
SKILL 6.01CAssisting with dining/feeding
resident who cannot feed self
Training Lab AssignmentEngage in the Skill Acquisition Process for:
![Page 127: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/127.jpg)
• Ordered by physician• Serve as directed by
supervisor• Provide necessary
eating utensils, straw and/or napkin
Nursing Fundamentals 7243 1276.01
Supplementary Nourishments
![Page 128: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/128.jpg)
• Usually served:–Midmorning–Mid-afternoon–Bedtime
Nursing Fundamentals 7243 1286.01
Supplementary Nourishments
![Page 129: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/129.jpg)
Serve on scheduleso the next meal is not jeopardized by decreased resident appetite.
Nursing Fundamentals 7243 1296.01
Supplementary Nourishments
![Page 130: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/130.jpg)
• Milk• Juice• Gelatin• Custard, ice cream, sherbet• Crackers• Nutritional supplementation
products (e.g., Ensure, etc.)Nursing Fundamentals 7243 1306.01
Types of Nourishments
![Page 131: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/131.jpg)
6.01 Nursing Fundamentals 7243 131
Related
SKILL
![Page 132: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/132.jpg)
6.02 Nursing Fundamentals 7243 132
SKILL 6.01Dserving supplementary
nourishments.
Training Lab AssignmentEngage in the Skill Acquisition Process for:
![Page 133: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/133.jpg)
Serving meals and Serving meals and Serving meals and Serving meals and supplementssupplementssupplementssupplements
Have we got it?Let’s check and see
Stick diagnostics
Student Name A
Nursing Fundamentals 7243 1336.01
![Page 134: NF 6.01 Nutrition and Hydration - Alamance-Burlington School System€¦ · Understand nurse aide skills needed to provide for residents’ nutrition and hydration needs. 6.01 Nursing](https://reader035.vdocuments.net/reader035/viewer/2022070723/5f01f71e7e708231d401e897/html5/thumbnails/134.jpg)
Understand nurse aide skills needed to provide for residents’ nutrition and
hydration needs.
134
���� END ����
6.01
6.01 Nursing Fundamentals 7243