Self Directed Learning Package - University of Queensland

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89 • Self Directed Learning Package - Advanced Registered & Enrolled NurseNutrition andhydrationKey PointThe benefits of artificial nutrition or hydration mustoutweigh the potential burden and side effects forthe resident.Case Study – AlfredA careworker reports that Alfred, who normally has a goodappetite, is not eating his meals. He seems to have lostinterest in his food and is ‘withdrawn’. Alfred’s main problemsare his airways disease requiring oxygen, mild dementia, anda general decline in functional status.ActivityThe ‘MEALS ON WHEELS’ tool summarises specificnutrition and hydration issues prevalent in the elderlypopulation.Circle or mark which issues might be worth pursuingfurther with Alfred.MEALS ON WHEELS tool 12MedicationSide effects, amountEmotional problemsDepression, anxietyAnorexia (late onset anorexia nervosa)AlcoholismLate - life paranoiaSwallowing disordersOral factorsNot culturally appropriateFood, presentation or environmentWandering and other dementia-relatedbehavioursHyperthyroidism, hyperparathyroidism,hypoadrenalismEnteric problems (malabsorption)Eating problemsLow-salt, low-cholesteral dietsSocially inappropriateResident unable to feed themselvesTremors resulting in spillageTherapeutic dietsFood; environment; lack of interaction;inappropriate positioning of resident
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Self Directed Learning Package - University of Queensland

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