Nutrition

1
Nutrition Care Alerts As a Nursing Assistant
who provides much of residents daily hands-on
care, you have a great opportunity to make a
difference in the lives of those you
care   Report to the nurses your observations
and warning signs
Nutrition Care Alerts As a Nursing Assistant
who provides much of residents daily hands-on
care, you have a great opportunity to make a
difference in the lives of those you
care   Report to the nurses your observations
and warning signs
Nutrition Care Alerts As a Nursing Assistant
who provides much of residents daily hands-on
care, you have a great opportunity to make a
difference in the lives of those you
care   Report to the nurses your observations
and warning signs
Nutrition Care Alerts As a Nursing Assistant
who provides much of residents daily hands-on
care, you have a great opportunity to make a
difference in the lives of those you
care   Report to the nurses your observations
and warning signs
Nutrition Care Alerts As a Nursing Assistant
who provides much of residents daily hands-on
care, you have a great opportunity to make a
difference in the lives of those you
care   Report to the nurses your observations
and warning signs
Nutrition Care Alerts As a Nursing Assistant
who provides much of residents daily hands-on
care, you have a great opportunity to make a
difference in the lives of those you
care   Report to the nurses your observations
and warning signs
2
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3

• Unintended Weight Loss
• ! warning signs
• Needs help to eat or drink
• Eats less than half of meals or snacks served
• Complains of mouth pain
• Has dentures that dont fit
• Has a hard time chewing or swallowing
• Has trouble using utensils
• Is sad, has crying spells, or
• withdraws from others
• Is confused, wanders, or paces
• Has diabetes, COPD, cancer,
• HIV, or other chronic disease

• Unintended Weight Loss
• ! warning signs
• Needs help to eat or drink
• Eats less than half of meals or snacks served
• Complains of mouth pain
• Has dentures that dont fit
• Has a hard time chewing or swallowing
• Has trouble using utensils
• Is sad, has crying spells, or
• withdraws from others
• Is confused, wanders, or paces
• Has diabetes, COPD, cancer,
• HIV, or other chronic disease

• Unintended Weight Loss
• ! warning signs
• Needs help to eat or drink
• Eats less than half of meals or snacks served
• Complains of mouth pain
• Has dentures that dont fit
• Has a hard time chewing or swallowing
• Has trouble using utensils
• Is sad, has crying spells, or
• withdraws from others
• Is confused, wanders, or paces
• Has diabetes, COPD, cancer,
• HIV, or other chronic disease

• Unintended Weight Loss
• ! warning signs
• Needs help to eat or drink
• Eats less than half of meals or snacks served
• Complains of mouth pain
• Has dentures that dont fit
• Has a hard time chewing or swallowing
• Has trouble using utensils
• Is sad, has crying spells, or
• withdraws from others
• Is confused, wanders, or paces
• Has diabetes, COPD, cancer,
• HIV, or other chronic disease

• Unintended Weight Loss
• ! warning signs
• Needs help to eat or drink
• Eats less than half of meals or snacks served
• Complains of mouth pain
• Has dentures that dont fit
• Has a hard time chewing or swallowing
• Has trouble using utensils
• Is sad, has crying spells, or
• withdraws from others
• Is confused, wanders, or paces
• Has diabetes, COPD, cancer,
• HIV, or other chronic disease

• Unintended Weight Loss
• ! warning signs
• Needs help to eat or drink
• Eats less than half of meals or snacks served
• Complains of mouth pain
• Has dentures that dont fit
• Has a hard time chewing or swallowing
• Has trouble using utensils
• Is sad, has crying spells, or
• withdraws from others
• Is confused, wanders, or paces
• Has diabetes, COPD, cancer,
• HIV, or other chronic disease

4

• Unintended Weight Loss
• actions steps
• Report to the nurses your observations and
  warning signs
• Encourage the resident to eat
• Honor residents food preferences
• Offer alternatives foods, beverages
• Help residents who have trouble feeding
• themselves
• Dont rush resident who is eating
• Record meal and snack intake
• Provide oral care before meals
• Position resident for feeding as directed by
  nurse

• Unintended Weight Loss
• actions steps
• Report to the nurses your observations and
  warning signs
• Encourage the resident to eat
• Honor residents food preferences
• Offer alternatives foods, beverages
• Help residents who have trouble feeding
• themselves
• Dont rush resident who is eating
• Record meal and snack intake
• Provide oral care before meals
• Position resident for feeding as directed

• Unintended Weight Loss
• actions steps
• Report to the nurses your observations and
  warning signs
• Encourage the resident to eat
• Honor residents food preferences
• Offer alternatives foods, beverages
• Help residents who have trouble feeding
• themselves
• Dont rush resident who is eating
• Record meal and snack intake
• Provide oral care before meals
• Position resident for feeding as directed

• Unintended Weight Loss
• actions steps
• Report to the nurses your observations and
  warning signs
• Encourage the resident to eat
• Honor residents food preferences
• Offer alternatives foods, beverages
• Help residents who have trouble feeding
• themselves
• Dont rush resident who is eating
• Record meal and snack intake
• Provide oral care before meals
• Position resident for feeding as directed.

• Unintended Weight Loss
• actions steps
• Report to the nurses your observations and
  warning signs
• Encourage the resident to eat
• Honor residents food preferences
• Offer alternatives foods, beverages
• Help residents who have trouble feeding
• themselves
• Dont rush resident who is eating
• Record meal and snack intake
• Provide oral care before meals
• Position resident for feeding as directed

• Unintended Weight Loss
• actions steps
• Report to the nurses your observations and
  warning signs
• Encourage the resident to eat
• Honor residents food preferences
• Offer alternatives foods, beverages
• Help residents who have trouble feeding
• themselves
• Dont rush resident who is eating
• Record meal and snack intake
• Provide oral care before meals
• Position resident for feeding as directed

5

• Dehydration
• ! warning signs
• Drinks less than 6 cups of liquid daily
• Has dry mouth, cracked lips, sunken eyes or urine
  has strong odor or dark color
• Needs help drinking from a cup or glass
• Has trouble swallowing liquids
• Has vomiting, diarrhea or fever
• Is dizzy, easily confused or tired

• Dehydration
• ! warning signs
• Drinks less than 6 cups of liquid daily
• Has dry mouth, cracked lips, sunken eyes or urine
  has strong odor or dark color
• Needs help drinking from a cup or glass
• Has trouble swallowing liquids
• Has vomiting, diarrhea or fever
• Is dizzy, easily confused or tired

• Dehydration
• ! warning signs
• Drinks less than 6 cups of liquid daily
• Has dry mouth, cracked lips, sunken eyes or urine
  has strong odor or dark color
• Needs help drinking from a cup or glass
• Has trouble swallowing liquids
• Has vomiting, diarrhea or fever
• Is dizzy, easily confused or tired

• Dehydration
• ! warning signs
• Drinks less than 6 cups of liquid daily
• Has dry mouth, cracked lips, sunken eyes or urine
  has strong odor or dark color
• Needs help drinking from a cup or glass
• Has trouble swallowing liquids
• Has vomiting, diarrhea or fever
• Is dizzy, easily confused or tired

• Dehydration
• ! warning signs
• Drinks less than 6 cups of liquid daily
• Has dry mouth, cracked lips, sunken eyes or urine
  has strong odor or dark color
• Needs help drinking from a cup or glass
• Has trouble swallowing liquids
• Has vomiting, diarrhea or fever
• Is dizzy, easily confused or tired

• Dehydration
• ! warning signs
• Drinks less than 6 cups of liquid daily
• Has dry mouth, cracked lips, sunken eyes or urine
  has strong odor or dark color
• Needs help drinking from a cup or glass
• Has trouble swallowing liquids
• Has vomiting, diarrhea or fever
• Is dizzy, easily confused or tired

6

• Dehydration
• action steps
• Report to the nurses your observations and
  warning signs
• Encourage intake of 2 to 4 ounces of water or
  liquid every time you see the resident, unless
  otherwise directed
• Record fluid intake
• Offer ice chips frequently
• Offer sips of liquid between bites of food at
  meals and snacks
• Make sure resident can lift pitcher and cup
• If resident cannot drink without help, offer
  appropriate assistance

• Dehydration
• action steps
• Report to the nurses your observations and
  warning signs
• Encourage intake of 2 to 4 ounces of water or
  liquid every time you see the resident, unless
  otherwise directed
• Record fluid intake
• Offer ice chips frequently
• Offer sips of liquid between bites of food at
  meals and snacks
• Make sure resident can lift pitcher and cup
• If resident cannot drink without help, offer
  appropriate assistance

• Dehydration
• action steps
• Report to the nurses your observations and
  warning signs
• Encourage intake of 2 to 4 ounces of water or
  liquid every time you see the resident, unless
  otherwise directed
• Record fluid intake
• Offer ice chips frequently
• Offer sips of liquid between bites of food at
  meals and snacks
• Make sure resident can lift pitcher and cup
• If resident cannot drink without help, offer
  appropriate assistance

• Dehydration
• action steps
• Report to the nurses your observations and
  warning signs
• Encourage intake of 2 to 4 ounces of water or
  liquid every time you see the resident, unless
  otherwise directed
• Record fluid intake
• Offer ice chips frequently
• Offer sips of liquid between bites of food at
  meals and snacks
• Make sure resident can lift pitcher and cup
• If resident cannot drink without help, offer
  appropriate assistance

• Dehydration
• action steps
• Report to the nurses your observations and
  warning signs
• Encourage intake of 2 to 4 ounces of water or
  liquid every time you see the resident, unless
  otherwise directed
• Record fluid intake
• Offer ice chips frequently
• Offer sips of liquid between bites of food at
  meals and snacks
• Make sure resident can lift pitcher and cup
• If resident cannot drink without help, offer
  appropriate assistance

• Dehydration
• action steps
• Report to the nurses your observations and
  warning signs
• Encourage intake of 2 to 4 ounces of water or
  liquid every time you see the resident, unless
  otherwise directed
• Record fluid intake
• Offer ice chips frequently
• Offer sips of liquid between bites of food at
  meals and snacks
• Make sure resident can lift pitcher and cup
• If resident cannot drink without help, offer
  appropriate assistance

7

• Pressure Ulcers ! warning signs
• Risk of suffering pressure ulcer depends
  on Incontinence
• heavy perspiration
• Needs help
• Moving arms, legs or body
• Turning in bed
• Changing position when sitting
• Has lost weight
• Eats less than half of meals or snacks served
• Is dehydrated
• Has discolored, torn, or swollen skin over a bony
  area

• Pressure Ulcers ! warning signs
• Risk of suffering pressure ulcer depends
  on Incontinence
• heavy perspiration
• Needs help
• Moving arms, legs or body
• Turning in bed
• Changing position when sitting
• Has lost weight
• Eats less than half of meals or snacks served
• Is dehydrated
• Has discolored, torn, or swollen skin over a bony
  area

• Pressure Ulcers ! warning signs
• Risk of suffering pressure ulcer depends
  on Incontinence
• heavy perspiration
• Needs help
• Moving arms, legs or body
• Turning in bed
• Changing position when sitting
• Has lost weight
• Eats less than half of meals or snacks served
• Is dehydrated
• Has discolored, torn, or swollen skin over a bony
  area

• Pressure Ulcers ! warning signs
• Risk of suffering pressure ulcer depends
  on Incontinence
• heavy perspiration
• Needs help
• Moving arms, legs or body
• Turning in bed
• Changing position when sitting
• Has lost weight
• Eats less than half of meals or snacks served
• Is dehydrated
• Has discolored, torn, or swollen skin over a bony
  area

• Pressure Ulcers ! warning signs
• Risk of suffering pressure ulcer depends
  on Incontinence
• heavy perspiration
• Needs help
• Moving arms, legs or body
• Turning in bed
• Changing position when sitting
• Has lost weight
• Eats less than half of meals or snacks served
• Is dehydrated
• Has discolored, torn, or swollen skin over a bony
  area

• Pressure Ulcers ! warning signs
• Risk of suffering pressure ulcer depends
  on Incontinence
• heavy perspiration
• Needs help
• Moving arms, legs or body
• Turning in bed
• Changing position when sitting
• Has lost weight
• Eats less than half of meals or snacks served
• Is dehydrated
• Has discolored, torn, or swollen skin over a bony
  area

8

• Pressure Ulcers
• action steps
• Check and change linens as appropriate to keep
  resident dry
• Handle and move the resident with care to avoid
  skin tears and scrapes
• Reposition frequently and properly
• Use Unintended Weight Loss Action Steps to
  improve calorie and protein intake
• Record meal and snack intake
• Use Dehydration Action Steps to improve fluid
  intake

• Pressure Ulcers
• action steps
• Check and change linens as appropriate to keep
  resident dry
• Handle and move the resident with care to avoid
  skin tears and scrapes
• Reposition frequently and properly
• Use Unintended Weight Loss Action Steps to
  improve calorie and protein intake
• Record meal and snack intake
• Use Dehydration Action Steps to improve fluid
  intake

• Pressure Ulcers
• action steps
• Check and change linens as appropriate to keep
  resident dry
• Handle and move the resident with care to avoid
  skin tears and scrapes
• Reposition frequently and properly
• Use Unintended Weight Loss Action Steps to
  improve calorie and protein intake
• Record meal and snack intake
• Use Dehydration Action Steps to improve fluid
  intake

• Pressure Ulcers
• action steps
• Check and change linens as appropriate to keep
  resident dry
• Handle and move the resident with care to avoid
  skin tears and scrapes
• Reposition frequently and properly
• Use Unintended Weight Loss Action Steps to
  improve calorie and protein intake
• Record meal and snack intake
• Use Dehydration Action Steps to improve fluid
  intake

• Pressure Ulcers
• action steps
• Check and change linens as appropriate to keep
  resident dry
• Handle and move the resident with care to avoid
  skin tears and scrapes
• Reposition frequently and properly
• Use Unintended Weight Loss Action Steps to
  improve calorie and protein intake
• Record meal and snack intake
• Use Dehydration Action Steps to improve fluid
  intake

• Pressure Ulcers
• action steps
• Check and change linens as appropriate to keep
  resident dry
• Handle and move the resident with care to avoid
  skin tears and scrapes
• Reposition frequently and properly
• Use Unintended Weight Loss Action Steps to
  improve calorie and protein intake
• Record meal and snack intake
• Use Dehydration Action Steps to improve fluid
  intake

9

• Residents who are tube fed
• ! warning signs
• Has nausea, vomiting, diarrhea, swollen stomach
  or stomach ache, constipation or cramping
• Has pain, redness, heat or swelling, crusty or
  oozing fluid where the feeding tube enters the
  body
• Has cough, wheezing, wet breathing or a feeling
  of something caught in the throat

• Residents who are tube fed
• ! warning signs
• Has nausea, vomiting, diarrhea, swollen stomach
  or stomach ache, constipation or cramping
• Has pain, redness, heat or swelling, crusty or
  oozing fluid where the feeding tube enters the
  body
• Has cough, wheezing, wet breathing or a feeling
  of something caught in the throat

• Residents who are tube fed
• ! warning signs
• Has nausea, vomiting, diarrhea, swollen stomach
  or stomach ache, constipation or cramping
• Has pain, redness, heat or swelling, crusty or
  oozing fluid where the feeding tube enters the
  body
• Has cough, wheezing, wet breathing or a feeling
  of something caught in the throat

• Residents who are tube fed
• ! warning signs
• Has nausea, vomiting, diarrhea, swollen stomach
  or stomach ache, constipation or cramping
• Has pain, redness, heat or swelling, crusty or
  oozing fluid where the feeding tube enters the
  body
• Has cough, wheezing, wet breathing or a feeling
  of something caught in the throat

• Residents who are tube fed
• ! warning signs
• Has nausea, vomiting, diarrhea, swollen stomach
  or stomach ache, constipation or cramping
• Has pain, redness, heat or swelling, crusty or
  oozing fluid where the feeding tube enters the
  body
• Has cough, wheezing, wet breathing or a feeling
  of something caught in the throat

• Residents who are tube fed
• ! warning signs
• Has nausea, vomiting, diarrhea, swollen stomach
  or stomach ache, constipation or cramping
• Has pain, redness, heat or swelling, crusty or
  oozing fluid where the feeding tube enters the
  body
• Has cough, wheezing, wet breathing or a feeling
  of something caught in the throat

10

•  
• Residents who are tube fed
• action steps
• Report to the nurses your observations and
  warning signs
• Maintain residents position with head elevated
  30 grades or more, as tolerated, during feedings
  and for at least 30 minutes after feedings

•  
• Residents who are tube fed
• action steps
• Report to the nurses your observations and
  warning signs
• Maintain residents position with head elevated
  30 grades or more, as tolerated, during feedings
  and for at least 30 minutes after feedings

•  
• Residents who are tube fed
• action steps
• Report to the nurses your observations and
  warning signs
• Maintain residents position with head elevated
  30 grades or more, as tolerated, during feedings
  and for at least 30 minutes after feedings

•  
• Residents who are tube fed
• action steps
• Report to the nurses your observations and
  warning signs
• Maintain residents position with head elevated
  30 grades or more, as tolerated, during feedings
  and for at least 30 minutes after feedings

•  
• Residents who are tube fed
• action steps
• Report to the nurses your observations and
  warning signs
• Maintain residents position with head elevated
  30 grades or more, as tolerated, during feedings
  and for at least 30 minutes after feedings

•  
• Residents who are tube fed
• action steps
• Report to the nurses your observations and
  warning signs
• Maintain residents position with head elevated
  30 grades or more, as tolerated, during feedings
  and for at least 30 minutes after feedings