Symptoms:
* The patient / carer makes comments that point to problems with maintaining a good
nutritional status
* Patient indicates that he/she feels weak and apathetic
* Emaciation
* Insufficient weight gain
|
Objective:
* The intake of nutrients and fluids is secured and the patient maintains and/or
obtains a good nutritional status
|
| Causal or
relating factors |
Actions /
Interventions |
- microstomia
- pain in the mouth when
- chewing insufficiently
- insufficient functioning of
- salivary glands
|
- recommend the use of dessert or
- children's cutlery
- recommend not eating any meals that are too spicy, hot or dry
- recommend taking small bites
- recommend drinking some water after each bite
- recommend ground or seem fluid food
- recommend the use of feeding cups
- recommend the use of straws
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|
|
- recommend good oral and dental hygiene
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- fixation of the tongue which may result in choking
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- recommend not using food that is too liquid because of the danger of choking
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- poor intake of nutrients due to blistering in the mouth and bowels
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- recommend taking small portions
|
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|
|
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- recommend food that is rich in fibre and copious fluids
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- unbalanced / Liquidised food
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- improvement of nutritional pattern and/or nutritional habits
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- dysphagia (swallowing difficulties) due to oesophagus strictures
|
- use appetisers and vary the meals as much as possible
|
| |
- make an assessment of nutritional
status and adjust nutritional pattern
|
| |
- tube feeding via silicone naso / gastric tube or a gastrostomy
|
| |
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