Component Task: Feeding a Hypoactive Patient

This is the act of meeting the daily nutritional requirement of a patient who is less active, withdrawn and retarded. The food served should be a balanced/nutrient dense diet.

Aims

·         Maintain right amount of patient’s daily nutritional status

·         Keep patient hydrated

·         Boost the energy level of patient

·         Promote recovery

Requirements

Trolley containing the following:

a.      Top shelf: A jar of water

b.      Tray containing the following:

·         Food in a plastic bowl

·         A plastic cup

·         Cutlery

·         Flowers

·         Condiments

·         Disposable tissue paper

c.      Bottom Shelf

·         Mackintosh/protective covering

·         Sputum mug

·         Hand washing soap

·         Hand washing bowl

Steps

1.        Establish rapport (refer procedure)

2.      Explain the procedure to the patient

3.      Prepare patient’s food trolley with preferred food and send it to the bed side/appropriate place

4.      Provide privacy

5.      Put patient in a desired position and cover his/her chest with protective material

6.      Perform hand hygiene and assist patient to do same

7.       Give patient water to rinse the mouth

8.      Sit by patient and encourage patient to eat and if this fails, spoon feed patient

9.      Encourage patient to take food in small bits or feed patient in small bits

10.    Encourage and give enough time for patient to chew and swallow the food

11.      Encourage the patient to take at least half of the meals served

12.    Give patient water as and when appropriate

13.    Remove protective material

14.    Assist patient to perform hand hygiene after feeding

15.    Express appreciation and put patient in a desired position

16.    Direct patient to the next activity

17.    Clear the trolley and perform hand hygiene

18.    Document procedure and any observations made in nurses’ notes/patient’s folder


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