Installation et aides aux repas

 

 instalation et aides aux repas

Objectifs :

Aider le patient à s’alimenter, voire le stimuler, afin d’obtenir un prompt rétablissement

Indication :

Personnes âgées

Paralysé

Personne avec membres immobilisés

Altération de l’état général

Attention ! avant le repas, s’assurer que le patient ne doit pas rester a jeun

 Actions

A)    installation :

1)      se laver les mains

2)      proposer le basin

3)      faire laver les mains du patient

4)      installer la personne confortablement dans un fauteuil de préférence, sinon au lit en relevant la t^te du lit, et si besoin en calant avec des oreillers

5)      rapprocher le verre et la carafe d’eau, remplir le verre si besoin

6)      donner la serviette de table au patient si besoin.

B)     Distribution du repas

-         se laver les mains

-         mettre une blouse propre

-         contrôler le plateau du patient (si régime est respecté, si le plateau et complet )

-         vérifier qu’aucun ingrédient ne sot reversé sur le plateau

-         soigner la présentation

-         ouvrir les sachets, les barquettes, les pots

-         couper la viande voire faire les tartines

-         éplucher les fruits couper le pain

-         respecter les habitudes alimentaire ou les interdits liés à la culture ( sans jugement)

-         mettre la sonnette à côte du patient

C)    aide aux repas

-         Se laver les mains apprécier l’autonomie du patient

-         Montres beaucoup de patient et ne pas évoquer de signes d’énervement

-         Respecter le rythme du patient

-         Proposer à boire dans certain cas, boire au verre et impossible : imaginer une solution adaptée ay patient canard, pipette, paille, ect ). Chez  les patient faisant régulièrement des fausses route, propose de l’eau gélifiée ou faire une petite cuillère par petites quantité

-         Ne pas mélanger l’alimentation ( sucré ou salé) respecter l’ordre des repas( ne pas commencer par e dessert alors que l’entrée ou la viande ne sont pas encore mangés.

-         Ne pas brusquer le patient

-         Laisser le patient déglutir tranquillement sa première cuillère avant de donner la deuxième.

-         Faire des pauses.

-         Ne pas prendre le patient adulte pour un bébé( ex. faire le pti avion pour lui faire ouvrir sa bouche !)

-         Encourager la personne à manger mais ne pas l’obliger à avaler contres sons gré une alimentation qui ne lui plait pas.

-         S’il refuse de manger essayer de comprendre les raisons de son refus.

-         A la fin du repas proposer un brossage des dents ou un rinçage des prothèses dentaire.

-         Réinstaller le patient confortablement en ayant à proximité son verre et la sonnette

-         Retire le plateau en ne laissant aucune alimentation dans la chambre, nettoyer la table

Transmissions

Transmissions orales à l’infirmier et écrites sur le dossier de soins

  • Comportement
  • Dysphagie
  • Dyspepsie
  •  Fausse routes
  • Nausées
  • Vomissements
  • Dégoûts
  • Noter les quantité absorber aussi bien liquide que solides

 

17 votes. Moyenne 3.06 sur 5.

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