Development In Mental Health Nursing - Reflection
According to the learning outcomes and while considering patient centred care, identifying factors such as psychological, physiological and sociological aspects are important aspects of nursing.
The nature of certain illness such as dementia, a familiar face to the patient is very therapeutic and beneficial. Making enquire about patients’ food preferences and attempt to meet them shows how the patients values and beliefs are taken into consideration.
By ensuring that sufficient staff are available to help patients to eat, will help facilitate the therapeutic relation during meal times, because the staff will have enough time as required to ensure good, safe and adequate dietary intake.
Assisting patients with mouth care and denture placement before meals and alleviate dry mouth. Finally by removing bedpans, urinals and vomit bowls from rooms before meals to ensure patients comfort and dignity.
The influence of nurses while working in partnership across organisational is very important. This is because, once a potential problem is identified, the nurses will make referrals to other professionals who will run more test and screening and sometimes therapy, given the various professional boundaries.
Malnutrition - Conclusion
Nutrition is vital to health and recovery to any illness. Hence it should be regarded as a treatment. Older adults can maintain and restore their health — with the aid of health professionals, by eating a nutritious, varied and balanced diet, even when they are on a low income. However, Some dietary adjustment is required with advancing years to meet demands for energy and inefficiencies in absorption, digestion, metabolism and elimination. Malnutrition risk can be exacerbated by age- related changes, increased incidence of disease with ageing, cultural and religious factors, major lifestyle changes and drug induced complications. Malnutrition contributes to disorders such as cardiovascular disease, osteoporosis, increased vulnerabilities to infection and tissue break down.
Nurses and all health professionals, who are caring for older adults, should play a vital and active role in ensuring good nutrition. Appropriate screening and assessment of nutritional status, should be checked regularly in all settings.
Swallowing and eating behaviour should be closely monitored, while also to ensure safe for the patient. Adequate delivery and presentation of meals has proven to have positive psychological impact.
Promoting a healthy diet teaching should be encourage and provided as a service to all older adults and their careers. Assessing by means of record taking should be considered. Supervising and providing for all nursing staff is good practice and this will help to maintain high quality nutritional care.
Bailey DG et al (1998) Grapefruit juice-drug interactions. British Journal of Clinical
Mc Laren S, Green S (10998) nutritional screening assessment.
Bobroff LB et al (2002 ) Food/drug and drug/nutrient interactions: what you should know about your medications. (University of Newcastle Publications).
Department of Health (1991) The Health of Elderly People Morley J.E (1998) protein energy malnutrition in older subjects RCN (1999) Nutrition standards and the older adults. Department of health 2001
Eberhardie C, Rollins H (2000) Should nurses feed patients themselves? Nursing Times. 96, 50, 16.
Edington J et al (1996) Prevalence of malnutrition in patients in general practice. Clinical Nutrition. 15, 60-63.
Fieldhouse P (1986) Food and Nutrition: Customs and Culture. London, Chapman Hall.
Guigoz Y et al (1994) Mini-nutritional assessment: a practical assessment tool for grading the nutritional state of elderly patients. Facts and Research in Gerontology. 4, 2, 15-59.
Malnutrition Advisory Group (2001) Report of Malnutrition Among Older People. British Association for Parenteral and Enteral Nutrition (BAPEN).
BAPEN (2003) Malnutrition Universal Screening Tool www.bapen.org.uk
McLaren S, Crawley H (2000) Managing nutritional risks older adults. Nursing Times. Clinical Monograph 44.
Schaefer JP et al (1998) Ferrous sulphate interacts with captopril. British Journal of Clinical Pharmacology. 46, 377-381.
Thomas JA (1995) Drug-nutrient interactions. Nutrition Reviews. 53, 10, 271-282.
National Institute for Health and Clinical Excellence (2006a) Nutrition Support in Adults. Clinical Guideline 32. NICE, London.
National Institute for Health and Clinical Excellence (2006b) Dementia: Supporting People with Dementia and their Carers in Health and Social Care. NICE, London.
Kayser-Jones J (2002) Malnutrition, dehydration, and starvation in the midst of plenty: the political impact of qualitative inquiry. Qualitative Health Research. 12, 10,1391-1405