In contrast to anorexia a person suffering from bulimia may or may not be losing weight. Someone with this disease does not have to willpower to give up food instead they will binge on foodand after there binge will make themselves vomit or use a laxative to rid themselves of the food. This robs there body of key nutrientsand can lead to problems in the digestive system, throat and mouth which are not made for regular induced vomiting. This disease stems from fear of gaining weight and works like a cycle. The person suffering will eat more than they normally would in ashort period of time, then vomit or take a laxative to avoid weight gain, usually feel disgusted or ashamed of themselves, try to diet and then give into their cravings and the cycle begins all over again.
Each service user is different and they all like/ dislike different foods. Some service users are able to tell staff as to what they do and don’t like. As for some individuals have difficulties explaining things, but some information like this will more than likely be found on their own care plan. Also some service users may have other things to be aware of such as diabetes eating less sugary things or bad oral hygiene not allowing them to eat solid foods. In this case I would seek guidance for their care plan and GP as to what is acceptable for them to be having.
2. What is a socially managed mealtime and why is it important? A socially managed mealtime is when the older up has problems with eating and need to concentrate with proper mastication. They need to manage to concentrate while eating a meal and avoid the social occasion. (Bernstein; Luggen) This could cause choking.
This means that person with dementia can forget how important it is to eat and drink. They also may lose sense of hunger and thirst. It can become problem putting client’s health at risk. Functional change is losing ability to remember how to eat using cutlery. Instead, some people find easier to pick up food by hand, so finger food should be provided.
This means for the individual who has dementia, that the means and importance of food can be forgotten or that they just forget that they are hungry, or forget to eat what has been prepared. The same applies to drinking. With old people who are prone to malnutrition and dehydration this can become more of a problem with dementia putting their health at risk. Functional change is losing ability to remember how to eat using cutlery. Instead some people find it easier to pick up food by hand, so finger food should be provided.
Understand and meet the nutritional requirements of individuals with dementia. Outcome 1 1) People with dementia can easily forget to eat and drink or if they have eaten or drunk sometimes they want more when they have already eaten, they can for get their likes / disli,kes, these can have various consequences to their well being I.e Lose / gain weight , eat the wrong foods especially if they have dietary problems ( diabetic or allergies, high cholesterol. Some people with dementia need observing, prompting and encouragement. 2) Poor nutrition due to lack of sustenance can cause brain and health deterioration as not they are not getting the correct balanced diet. 3) Forgetting to eat or drink/ eaten or drunk can cause distress and emotional problems, also could cause health problems I.e Bowl movement, bladder problems (UTI’s), challenging behaviour, problems when assisting to eat.
“Diabetes can be tackled in different ways- by insulin and diet” (Rudy, 1999, page 19) Diet, when someone had diabetes it is best for their health to cut right down on the unhealthy foods, and stick to the health foods, this is due to the effectiveness of the medication you are on. If you eat junk food and do not eat healthy then your medication will not be as effective as it could be. Sticking to regular mealtimes is also another thing that could help you feel better as it will keep your “blood glucose levels under control”. (Rudy, 1999, page 20) There are 2 types of carbohydrates, 1 that is good for controlling diabetes and 1 that is really bad, these are starchy and sugary. Sugary- this is the 1 that people with diabetes should stay clear of, this is due to the “glucose getting into your bloodstream fast, this could cause a sudden rise in blood glucose levels”.
The person may want to keep a food diary to help discover which foods make their condition worse and avoid them in the future. Some experts believe probiotic yoghurt drinks help settle the stomach and the nerves in the gut. • Lactose Intolerance is very common. It’s when people can’t tolerate the natural sugar found in
The same will apply to drinking. With older people who are prone to malnutrition and dehydration this can become more of a problem with Dementia putting their health at risk. Functional problems - affecting ability to carry out normal daily activities such as washing, dressing, and cooking meals Functional changes is losing the ability to remember how to eat or using utensils and drinking implements and instead might be better encouraged to pick up food buffet style or finger food. This might be as a way to overcome their loss of ability to function as they once did and rather than become distressed and confused they prefer to just pick up food. If this is preferred then to promote their dignity food presented for that function should be laid out.
Another way to prevent this disease is to change your eating habits such as eating foods that are high in fat. Not eating greasy foods only helps the digestive system to function properly. Avoiding drinks that have caffeine, too much chocolate and foods that are too spicy. How you control this disease is by taking antibiotics,