Posted in IDDSI

Quality mealtime experience for all!

Posted by Julie Dundon AdvAPD on 16 October 2020

Do all aged care residents have a good mealtime experience?  How do you know?

Some things to observe closely are

*Do any of the care staff know what the modified texture meal actually is?  Or do they guess?

*Do the care staff communicate what the meal is when assisting the residents?

*Do the staff make eye contact with the resident or do they engage in conversation with other staff members in the room?

*Has the modified texture meal been plated considering food preferences?

*Do the serve sizes look about right?  Or are they very small?

If you have any concerns, one of the experienced aged care NPA Dietitians can assist with either a Zoom or telephone conversation with a staff member or the wider team.

The New Normal!

Posted by Julie Dundon AdvAPD on 29 May 2020

The new normal!

How are you adjusting to the new normal with COVID19? Have you been able to continue staff training?

NPA Nutrition and Aged Care Seminars are highly regarded and we would much prefer to provide this in person........but this just can't be done!

We are pleased to have successfully converted the 2 days into a series of webinars and registrations are now open! Many of the topics are relevant to community providers too.

For many years, NPA has provided complimentary e-learning modules for aged care staff in our contracted aged care homes or subscriptions to other aged care providers.

Providing best-practice evidence-based training for a range of staff is essential to achieve great outcomes for our most vulnerable both in the community and in residential aged care

NPA Hint No.12

Education can be delivered via webinar with staff on their own devices. Training continues to be required during this extended time. All staff need to understand their role and the impact of good nutrition and how they are part of the process. NPA has some affordable online programs that can be accessed by staff at any time, anywhere.

Seminars are now Webinars!

Posted by Julie Dundon AdvAPD on 15 May 2020

Have you been looking for easy to understand nutrition information for your aged care residents? Are you confused with conflicting nutrition advice?

Well, look no further than the NPA interactive Improving Nutrition Series!

Seminars are now Webinars!

Our popular 2-day program will change this year!

Anne and Julie have refined their Zoom skills and are excited to release the topics and dates for the NPA Improving Nutrition program for 2020. There is a reduced price for all 10 sessions or if you prefer you can register for a selection of sessions.

It has been specifically tailored for aged care staff who have a role in nutrition care or food service.

Delivering this program using Zoom (on a laptop, phone, tablet, at home or work) will provide convenient and easy to access, invaluable information that is needed every day in an aged care home to deliver quality food and nutrition care.

We are looking forward to meeting you again this year- online!
Use the link above and register today. Get those dates into your diary now!

Caring for the vulnerable.

Posted by Julie Dundon AdvAPD on 4 May 2020

When modifying the texture of a food, we usually need to add a liquid to get the right consistency.  Unless it is fortified, the nutrient density will be diluted.  These most vulnerable people often don't have a good appetite, even at the best of times. During the time of social isolation, they are likley to experience an even further reduced appetite.   

NPA Hint No. 8

Residents requiring modified texture meals are at even higher risk and need to be carefully monitored, offered suitable nourishing snacks, and given assistance at each meal and each mid meal. It is strongly recommended these residents are weighed weekly to ensure that their intake Is meeting their needs.

Communication is the Key!

Posted by Julie Dundon AdvAPD on 27 February 2020

Residents in an aged care setting must receive the correct meal at the correct time, every day.  

If a resident has a special dietary need, the details are recorded in the resident's care plan and communicated carefully to the kitchen staff to ensure all the dietary limitations are actioned.  More importantly the resident is not unnecessarily restricted and as many choices are provided as possible. We can use a range of communication methods to ensure that this occurs. 

The system for communication between nursing staff and kitchen staff should be effective, simple and safe.  A Dietitian and Speech Pathologist often contribute to this food and nutrition care plan and will also communicate directly with the kitchen staff.  The resident's dietary details list will need to be maintained.  So, when there is a change for a resident, that change is immediately communicated with the kitchen and any lists used are immediately updated.

It must be very clear whose responsibility it is to update all lists to ensure they are accurate and reflect the residents' current dietary needs. These lists must also be referred to whenever providing food or fluids to any residents.

What system of communication do you use? Are you relying on paperwork or do you use a clinical software system? Are you using a dedicated food service software system? Reports from client software packages can ensure that all information is up to date at all times and they can generate usable lists that can be referred to in the kitchen.  A key factor is to keep the system that you use simple. Minimise the number of lists- the more lists there are, the more likely it is that they will not match.

When NPA conduct audits of nutrition care it is very common to find anomalies when comparing the care plans with lists in the kitchen.  Regular audits should be undertaken by the care home to ensure integrity of the information and to provide reassurance that the right meal is provided to the right person.

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