Re: Help with policy on peanut butter in nursing homes

[Guest guest]

I don't have that. I don't think it's necessary. All residents are evaluated for

eating ability and amt of supervision needed. If they have dysphagia or are

prone to choking, or on a pureed diet dt edentulous, PB is not allowed (although

the flavor could be) unless made really soft and creamy and non-sticky, which

can be done. That would be in the preparation instructions. AS my own policy,

we're very careful serving PB especially in sandwiches, so I prefer none for

snacks bc they eat those unsupevised mostly. I've had chokings and even deaths

when this has been disregarded.

Digna Cassens, MHA, RD

http://groups.msn.com/RDForum

Start by doing what's necessary, then what's possible, and suddenly you are

doing the impossible. St. Francis Assis

Help with policy on peanut butter in nursing homes

State is in to my long term care facility and they would like to see our

policy on peanut butter usage. Does any one have one?

I have some philisophical differences with the DSM there so an outside opinion

would be helpful.

Dawn Privett, RDLD

KC

---------------------------------

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[Guest guest]

THANK YOU! I have a dietary manager that thinks since it has no lumps it is OK

for all purees. Of course she also has questioned if I know what I am doing on

fluid restrictions and refuses to fix mistakes because it would be " an admission

of guilt " . Took the DSM course and now knows everything. Very frustrating.

Dawn

Digna Cassens wrote:

I don't have that. I don't think it's necessary. All residents are

evaluated for eating ability and amt of supervision needed. If they have

dysphagia or are prone to choking, or on a pureed diet dt edentulous, PB is not

allowed (although the flavor could be) unless made really soft and creamy and

non-sticky, which can be done. That would be in the preparation instructions. AS

my own policy, we're very careful serving PB especially in sandwiches, so I

prefer none for snacks bc they eat those unsupevised mostly. I've had chokings

and even deaths when this has been disregarded.

Digna Cassens, MHA, RD

http://groups.msn.com/RDForum

Start by doing what's necessary, then what's possible, and suddenly you are

doing the impossible. St. Francis Assis

Help with policy on peanut butter in nursing homes

State is in to my long term care facility and they would like to see our policy

on peanut butter usage. Does any one have one?

I have some philisophical differences with the DSM there so an outside opinion

would be helpful.

Dawn Privett, RDLD

KC

---------------------------------

Be a better friend, newshound, and know-it-all with Yahoo! Mobile. Try it now.

[Guest guest]

I hope she never has to see the cadaver after a choking death, or be deposed to

answer why she served PB to a pureed diet w/o IDT evaluation and input.

Help with policy on peanut butter in nursing homes

State is in to my long term care facility and they would like to see our

policy on peanut butter usage. Does any one have one?

I have some philisophical differences with the DSM there so an outside opinion

would be helpful.

Dawn Privett, RDLD

KC

---------------------------------

Be a better friend, newshound, and know-it-all with Yahoo! Mobile. Try it now.

[Guest guest]

I would put it in her court. Sign a policy stating it will not be served and

give to the director, then if she serves it and someone has issues she is

responsible, and let her know that is exactly what you will be doing.

Re: Help with policy on peanut butter in nursing homes

I hope she never has to see the cadaver after a choking death, or be deposed to

answer why she served PB to a pureed diet w/o IDT evaluation and input.

Help with policy on peanut butter in nursing homes

State is in to my long term care facility and they would like to see our

policy on peanut butter usage. Does any one have one?

I have some philisophical differences with the DSM there so an outside opinion

would be helpful.

Dawn Privett, RDLD

KC

---------------------------------

Be a better friend, newshound, and know-it-all with Yahoo! Mobile. Try it now.