If the patient displays malnutrition and/or dehydration and its noted on the OASIS home health care assessment make sure you include teaching to prevent and manage these two chronic issues in your careplan.
Patient Teaching for Malnutrition and Dehydration
- Eat/drink small meals every 3-4 hours. Avoid going long periods of time without eating. Your stomach will shrink.
- Gradually eat more food each day...Your stomach will expand over time.
- Keep a food and beverage diary. Learn when, what, and how much you eat and drink.
- Snack! Snacks may help if you are having trouble eating enough at mealtimes.
- Exercise! It will help you build muscle and increase your appetite. Your body may compensate or even overcompensate for the calories that you burn exercising.
- Eat a variety of different foods – vegetables, dairy, protein, fruit, carbohydrates and/or fats at mealtime.
- Keep your pantry, fridge, and freezer well stocked with foods you like to eat. It's tough to gain weight when there’s no food - you like - around.
- Choose high-calorie, high-nutrient foods that are less filling: dried fruit, bananas, nuts and seeds, potatoes, peas, and corn.
- Try to eat more quickly. It takes a few minutes for your stomach's signals of fullness to register. Try to put more food on your fork. Avoid putting your fork down in between bites.
- Use larger cups, plates, bowls, et cetera. You will probably be able to eat more without really thinking about it.