Malnutrition help

7/23/2019 Malnutrition help

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Preventing Malnutrition

I. Risk of malnutrition


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II. Reasons for weight loss and loss of appetite

Physiological changes eg; taste, constipation diarrhoea,decreased thirst sensation, swallowing difculties

Early cognitive impairment. This aects planning, makingshopping and cooking difcult. Later cognitive changes impact onremembering how, when and what to eat

epression is common, o!ten unrecognised, and is treatable.

ental problems. People need to be encouraged to seek dentalcare earlier rather than later

III. Reducing the risk

Are you on a special diet? "! so, talk to your doctor ordietitian regularly to see i! any changes are needed. #anymaga$ines publish diets. "t is not a good idea to put yoursel! onthese diets unless you ask your doctor %rst.

Are you eating enough?Try to have three meals a day but i!

you pre!er to eat smaller amounts o! !ood more o!ten, that is &.'.Eating a variety o! !ood will help to give your body the nutrients itneeds.

"nclude !ruit, vegetables, bread, cereal, meat, dairy !oods. (oodsnack choices are scones, pikelets, %nger buns, !ruit loa!, toast,cheese on biscuits and milk drinks.

Try to eat fruit and vegetables most days. )resh, !ro$en ortinned are good choices. )ruit *uice is %ne although you miss out on%bre.

Are you eating dairy foods?These provide calcium andother nutrients. airy !oods include !resh milk, powdered milk, +Tmilk, evaporated milk, sweetened condensed milk, buttermilk,cheese, yoghurt, custard and icecream. )ull cream, low !at or skimproducts are all good. Try !or three serves each day. - serve is a cupo! milk or calcium !orti%ed soy milk, or a slice o! cheese, or a smalltub o! yoghurt, or three scoops o! ice cream.

Are you getting enough uid? -im !or /0 cups a day. 1ou

will be pleased to know that this not only means water but also


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includes *uice, tea, coee, cordial, soup, *elly and custard but notalcohol.

!o you drink alcohol? #oderation is the way to go and it isa good idea to have something to eat i! you have a drink.

"hewing and swallowing problems can limit the amountand type of food you eat. (ood dental care, well %tting dentures,adding sauces and custards to !ood and changing !ood te2ture canhelp. iscuss swallowing problems with your doctor.

#ow many medicines do you take? 3heck !rom time totime to make sure you still need all your medicines and that theyare working together properly. 3heck with your doctor or pharmacistbe!ore buying 4over the counter4 medications such as la2atives,painkillers, cough mi2tures and vitamins.

!o you have enough money for food? "! not, contact awel!are service in your area !or help.

$eing as independent as possible is important. 5otbeing able to shop, cook or !eed yoursel! can lead to poor eatinghabits. ome delivered meals such as #eals on 6heels or even adelivered pi$$a may help. 7uy pre/prepared !oods such as 778chicken, !ro$en meals etc.

#ave you lost or gained %kg &about one stone' over thelast si( months) without wanting to? "! so, a check up with yourdoctor is a good idea. 1our !ood needs could have changed.

!o you eat alone? "! you do, make a special eort not to slipinto the 4toast and tea4 habit. - community program in your areamay oer you the opportunity to eat with others.


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Make every mouthful count5o restrictive diets.-dd e2tra energy 9calories:kilo*oules < &il, margarine, butter,powdered milk, cheese, avocado, and peanut butter.

&er small amounts o! !ood and drinks o!ten.Tea, coee, salads are %lling but low in energy.


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*itamin+mineral supplements#ake up !or lack o! balanced diet.o not provide energy 9kilo*oules or help weight gain.#ay improve appetite.

,ourishing snacks1oghurt, custard, )ruche , rice desserts.#ufns, scones, pikelets, raisin bread.#uesli bars, break!ast bars, break!ast cereal < at any time=ried !ruit, nuts, !ruit snacks.)lavoured milk, #ilo>, ice cream, smoothies7aked beans, spaghetti, tuna, sardines?andwiches, biscuits and cheese, dips)ro$en supermarket meals

,utritional supplements+sed to help gain weight or as meal replacement.#ost contain vitamins and minerals < e.g.?ustagen , Ensure , )ortisip, @esource &thers are additives egA Promod>, Poly*oule>,Polycose>, and 3alogen>.3an use #ilo>, malted milk, powdered milk, cream etc instead or inaddition.I*. Assessment by dietitians

-ssess nutritional status

Estimate nutritional needs

@ecommend !oods which are practical and en*oyable

-dvise on supplements

There are !ew dietitians working in the community

3arers are o!ten in a better position to make well/in!ormed

changes

@e!er early !or best results=

*. Assistance with meals

Provider !etails

#eals on 6heels

3ost to clients varies !rom service to service

@anges between BC.D and BF.D per package.


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Package is typically a soup:main:dessert:!ruit *uice.Payments vary and can be byA 3heGue < irect ebit

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Malnutrition help