6400.144 | Staff are not tracking individual #1's coffee/caffeine intake. Per individual #1's diet located in the 2022 menu at the home, it states he is to limit coffee/caffeine intake to two 4oz servings a day.
Individual #2 is on a diabetic diet. Per Individual #2's diet located in the 2022 menu at the home, he should eat smaller, more frequent meals a day (5-6 meals a day). The documentation at the home does not reflect this. | Health services, such as medical, nursing, pharmaceutical, dental, dietary and psychological services that are planned or prescribed for the individual shall be arranged for or provided.
| The monitoring triggered conversations about the individuals and their diets. None of the current staff knew when/why the particular diets were implemented, so it was decided to consult with their PCPs to ensure the diets were needed and accurate. Individual #1's PCP was not the originator of the diet and had his own recommendations based on his treating the individual. Individual #2's PCP had made changes to the individual's medication a bit ago and he has been doing so well that he made changes to the diet also.
Individual #1 had a PCP appointment on 11/9/22 where he changed his diet recommendations to be that he follow a regular diet; food should be cut into small bite sized moist pieces; staff are to encourage him to make healthy choices; to use a straw when drinking from a cup or bottle; should utilize a non-skid inter-lip plate; staff to ensure he always has a drink available while eating; staff to remind, when needed, to slow down, take small bites and to chew thoroughly; staff will remain in line of sight of the individual when he is eating.
Individual #2¿s PCP changed his dietary recommendations due to his diabetes being well under control. PCP lowered his Metformin medication from 750mg 2x/day (1500mg total) to 500mg 1x/day. He is to follow a chopped moist diet; be offered 8oz of fluid at every meal and with medications; staff to remind, when needed, to chew his food completely before swallowing; Individual will occasionally cough once or twice while eating/drinking; staff monitor to ensure he is not choking and it is his `regular¿ cough; after coughing encouraged to take a drink before resuming eating his food; as he is a choking risk, staff will remain in line of sight of the individual when eating/drinking. |
11/09/2022
| Implemented |