Archive for the ‘feeling’ category

Essential Standards Outcome 5 Nutritional Standards

February 8, 2012

What CQC outcomes say about Eating and nutritional care

What should people who use services

experience?

 

People who use services:

  • Are supported to have adequate nutrition and hydration.

This is because providers who comply with the regulations will:

  • Reduce the risk of poor nutrition and dehydration by encouraging and supporting people to receive adequate nutrtion and hydration
  • Provide choices of food and drink for people to meet their diverse needs, making sure the food and drink they provide is nutritionally
    balanced and supports their health.

Prompts for all providers to consider
The following prompts relate to all registered providers where they prepare,
or support people who use services to prepare, food and drink. The term
‘provide’ means the preparation of food and drink and includes where the
service gives support to people to eat and drink. The food and drink used may
be purchased either by the provider or by the person using the service. These
prompts do not cover the administration of artificial hydration which may be
essential to maintain hydration.

I thought it might be useful to go through the sections of the outcome individually over the coming weeks so here is section  5A

Ensure personalised care by providing adequate nutrition,
hydration and support

5A Where the service provides food and drink, people who use services
have their care, treatment and support needs met because:

  • Staff identify where the person who uses services is at risk of poor nutrition, dehydration or has swallowing difficulties, when they first begin
    to use the service and as their needs change.

  • Action is taken where any risk of poor nutrition or dehydration is identified
    including any difficulty in swallowing or the impact of any medicines, and a
    referral is made to appropriate services.
  • They know that their medical dietary and hydration requirements are identified and reviewed.
  • Their plan of care includes how any identified risks will be managed.
  • Relevant staff know what a balanced diet is.

 

All the food we eat can be divided into five groups. In a healthy diet you eat the right balance of these groups.

They are:

  • Fruit and vegetables.
  • Starchy foods, such as rice, pasta, bread and potatoes. Choose wholegrain varieties whenever you can.
  • Meat, fish, eggs and beans.
  • Milk and dairy foods.
  • Foods containing fat and sugar.

Most people in the UK eat too much fat, sugar and salt, and not enough fruit, vegetables and fibre.

To maintain a healthy diet, the eatwell plate shows you how much of what you eat should come from each food group.

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February 3, 2012

What CQC outcomes say about Eating and nutritional careselection of fruit

The outcome that relates to eating and nutritional care is:

Outcome 5: Meeting nutritional needs – Requires services that provide food to ensure:

  • a choice of suitable and nutritious food and hydration, in sufficient quantities to meet people’s needs
  • food and hydration provision meets any reasonable requirements arising from a person’s religious or cultural background
  • support, where necessary, for the purposes of enabling people to eat and drink sufficient amounts for their needs.

Regulation 14 of the Health and Social Care Act 2008

So here are some interesting facts from the Social Care Institute for Excellence

Eating and nutritional care and dignity – key points from policy and research

  • Food, nutrition and mealtimes are a high priority for older people and a top priority for older people from black and minority ethnic groups (PRIAE/Help the Aged, 2001).
  • Malnutrition affects over 10 per cent of older people (British Association for Parenteral and Enteral Nutrition, 2006).
  • Between 19 and 30 per cent of all people admitted to hospitals, care homes or mental health units are at risk of malnutrition (British Association for Parenteral and Enteral Nutrition 2007).
  • The UK Home Care Association estimates that up to 90,000 people who receive home care services could be at risk of malnutrition (Grove, 2008).
  • Public expenditure on disease-related malnutrition in the UK in 2007 has been estimated at in excess of £13 billion per annum (Elia.M, Russell, C.A. Combating Malnutrition – Recommendations for Action BAPEN 2009)
  • Malnourished patients stay in hospital longer, are three times as likely to develop complications during surgery, and have a higher mortality rate (Age Concern, 2006; BBC, 2006).
  • The needs of people from black and minority ethnic groups, including ‘basics such as food’ are not always met by mainstream services (PRIAE/Help the Aged, 2001; Afshar et al, 2002).
  • Key points in bringing about a culture change in food, nutrition and mealtimes are: good leadership, staff induction and training and adequate staffing levels (Commission for Social Care Inspection, 2006).
  • The NHS Standards for Better Health requires healthcare organisations to ensure that patients have a choice of food that is prepared safely and provides a balanced diet; and that ‘individual nutritional, personal and clinical dietary requirements are met, including any necessary help with feeding and access to food 24 hours a day’ (Department of Health, 2004e).
  • In February 2006 the National Institute for Health and Clinical Excellence (NICE) and the National Collaborating Centre for Acute Care launched clinical guidance to help the NHS identify patients who are malnourished or at risk of malnutrition.
  • The NHS Essence of Care benchmarks for food and nutrition include attention to nutritional assessment, the environment, presentation of food and appropriate assistance (Department of Health, 2003c). These can be used by care homes, as well as healthcare providers, to benchmark services.

Hydration

  • The evidence suggests that good hydration can help prevent falls, constipation, pressure sores, kidney stones, blood pressure problems and headaches (Ellins, 2006).
  • Poor hydration has been shown to contribute to obesity, depression, inactivity and fatigue and to prolong healing and recovery (Ellins, 2006).
  • There is some evidence to suggest that dehydration can increase mortality in stroke patients and prolong hospital stays for patients with community-acquired pneumonia (Water UK, 2005).
  • For some older people the sensation of feeling thirsty may be impaired and may not be an accurate indicator for good hydration (Kenney et al, 2001; Caroline Walker Trust Expert Working Group on Nutritional Guidelines for Food Prepared for Older People, 2004) particularly for people who have had a stroke and those with dementia (Albert et al, 1994; Water UK, 2005).
  • Following a study of four care homes, Anglian Water has launched the Health on Tap campaign (Anglian Water, 2008) to improve hydration for older people in care homes. The key findings of the study were:
    • Availability, visibility and reminders were some of the key factors to drinking more water.
    • After a regime was introduced and a water cooler installed, anecdotal evidence from one home reported: a 50 per cent reduction in falls; a greater than 50 per cent reduction in the number of residents taking laxatives; and a decrease in GP call-outs and urinary infections.
    • There were language barriers for some staff, with 50 per cent not having English as a first language.
    • Hydration does not feature as a specific training topic in its own right.
    • Residents’ fear of increased toilet trips was the main barrier to drinking more water (the report states: ‘Once the bladder had adjusted and was able to hold more volume, toilet trips soon settled down to pre-trial levels.’)
    • Peer-to-peer learning, rather than formal training, plays a large role in the knowledge and working habits of staff.
    • Knowledgeable and committed managers generate positive results.
    • Visual and mental impairments were a problem for many residents, with a high dependency on care staff to instigate water intake.
    • Staff said they would like promotional materials for themselves, residents and their families, to remind them of the importance of hydration.
    • The ability to spread and share good practice was seen as very important
      (Anglian Water, 2008).

Who can do that for you?

December 4, 2009

Here’s a little observation….and I think that it’s more noticable at this time of year as we rush into the busy festive season.

We get so caught up in what we have to accomplish today,we write the list and never seem to get to the bottom of it cos we keep thinking of stuff to add on 😛 and we never seem to have a minute to spare or a minute to think……chance woud be a fine thing! Some days we feel as though we hardly get a moment to breathe let alone anything else.

And then there are those of us who, as if we didn’t have enough to do, we go and set goals……dream bigger dreams….and so we should….and now we have to fit those into the plan for today too. And as if that’s not enough….well it’s coming up to Christmas and there’s dinners to go to and parties to attend and there’s presents to think about and then to shop for…and we need to plan who’s going where this year and is it my turn to entertan…what will we eat? drink? do?????

Phew! There’s such a lot to get done and so little time.

And then the feeling of overwhelm sets in….followed by panic…..followed by stress and fatigue and when the Day finally arrives you’re too exhausted to enjoy it….or you get the dreaded bug!

Blast!

How would it be if you could just stop…..just for a moment or two….and re-think this whole thing?

Ask a better question……

Who else could help me with this?

Just because they are you To Do’s or Goals…..doesn’t mean that YOU have to be the one who does everything to make them happen. If there was someone else who could do that thing for you…who would it be? How would I ask…..do I have to go shopping or could I do it on-line and have it delivered?

Hmm……You still get to enjoy the achievement – without the stress?

How would that feel differently?

So go through your list and delegate or find another way that would save you running around like mad……ask a better question 🙂

You’ll be glad that you did!

What is Confidence?

August 6, 2009
How would that extra confidence feel?

How would that extra confidence feel?

Confidence, we all talk about it, we all have it and we all generally would like more of at certain times in our lives, but what actually is it?

Quite simply, confidence is just a set of skills that can be learned by anyone to give them the feeling that they can succeed in any given situation or circumstance.  That’s Great News!  Why? Because it means that we can all learn to have more whenever we need it, it’s not genetic, it’s nothing to do with how much money we have, it’s nothing to do with upbringing, it’s not for a select group – it’s there for us all!!! Hooray!!

Very often we are confident in some areas of our lives and not others for example you might be confident at home with your family but not so confident in meetings with those above you at work, you might be confident in your job but not good at making friends easily, you may be confident with your friends but not in dealing with children.  In order to learn the skills we need it’s useful to identify which specific areas do you lack confidence and why and how would life be different if you had more confidence in this area? So go ahead and answer these questions for yourself right now.

What areas of my life do I lack confidence in?

Why?

How would it be different if I had more confidence in this area of my life?

Congratulations! You have just begun the process of being more confident by taking the first steps in identifying what can be improved and importantly why you want to improve it.  So for your chosen situation can you think of someone that you know or have seen who has the kind of confidence that you would like in that situation? Write down their name andCB022665 then list what you admire about them in that situation? How do they walk, stand, breathe, speak, what is their body language, what questions do they ask, what sort of words do they use? Imagine what it’s like to be them. If you have the opportunity, why not ask them? One of the best things to do to learn to be confident is to model someone who is already great at it. Ask them if they are always confident, chances are they feel a little nervous at times too, they just do it anyway and that’s the key. Confident people still feel a bit scared – they are just prepared to give it a go anyway.  That’s good news for the rest of us J We’ll look at some of the other ways to help us just do it anyway in future articles. For now, just take the actions above and you’re well on your way to a more confident you.

Unfaltering Confidence At The Flip Of A Switch!

April 2, 2008

   j0386802.jpg Self confidence seems to be a rare and much sought after commodity in this day and age. It is the one thing that clients come to me for help with more than any other challenge. It is important to your self-esteem, to your self image, to your relationships, to your career and to your business.

 

Beliefs – The Root of All Evil

 

A lack of self confidence has it’s roots in beliefs. Beliefs about who you are, what you are capable of, what you look like, what others think of you. Those beliefs have been formed throughout our lives, particularly in our formative years through feedback, or lack of it, from our parents, siblings, teachers, friends and other peers. That feedback may have been in the form of hurtful comments, chastisements, being made fun of or bullied, name-calling perhaps, kids and parents can be quite cruel with their comments can’t they?

 

When that happens with little or no counter-balance of positive encouragement and reinforcement, little praise when we do something good, little encouragement to develop our skills to our potential, a lack of cheering us on to flourish we end up with a lop-sided view of who we are and believe all of the negative things about ourselves. It devastates our confidence.

 

Plant Seeds In Good Soil

 

That confidence may have taken a bashing, the good news is there is always enough left, even the tiniest spec, that we can nurture and grow again and discover who we really are and the gifts we have to give through being confident again.

 

It begins with identifying those beliefs about ourselves that stop us being confident. What is it that scares you? Holds you back? What thoughts pop into your head? They most likely start with “I am [insert your favourite head trash here]”

 

The Truth Will Set You Free

 

Did you ever believe something in the past though that turned out to be not true? And although you believed it with all your heart at the time you have now recognised that it wasn’t real and now you have the truth. A new belief.

 

For instance, when you were little did you believe in the tooth fairy or Santa Clause? Sorry if I’m about to burst your bubble here – they were not real! And you know that now or for some people you perhaps believed that you were a new home owner, you just bought a new house, are you still a new home owner 10 years down the line though? Or have things changed?

 

So what you believe about yourself right now may well not be real, it’s just a perception that you have had of yourself and not questioned until right now.

 

 

 

You Are Amazing

 

So I want you now to find the truth about who you really are. What is the opposite of that old lie? If you were to remember now all of the great things about yourself that you have kept hidden what would the truth be?

 

Write down 40 things that are great about yourself, why are you amazing? What gifts do you have?

 

Once you have that list use it to create a new belief about yourself. When you create an identity for yourself your unconscious mind has no choice but to make that a reality. It has to make changes to ensure that what you believe is true for you.

 

Allow That Seed of Confidence To Grow

 

Now that the seeds of the new confident you have been sown keep them fed and watered so that they can blossom. Remind yourself every day how wonderful you are. Add to the list of 40 things every day for a week to reinforce your new belief.

 

Every morning before you leave the house and every night before you go to sleep close your eyes and see the new you doing something in your daily life with a new confidence. See yourself standing, walking and acting confidently. What is your new posture like? Hear the words that you say to your new confident self and that you say to others. Hear the words now spoken to you as people admire your new confidence and presence. Feel what it feels like to be in control, to be confident, to feel proud of who you are and what you have to give. Play it out in your mind making it as real and vivid as you possibly can. Visualisation accelerates progress as the brain doesn’t know the difference between what is real and what is vividly imagined. It thinks it IS you and therefore when you use it in real life it will be natural for you to be confident.

 

Smile, put your shoulders back and hold your head high and see what a difference it makes to those around you.

 

If you want to know more about being confident in every day social and business situations look out for more articles next month.

 

For information about coaching and training in confidence and self esteem contact Tracey Dowe

Email tracey.dowe@momentumpeople.co.uk

Or call 01793 700929

www.momentumpeople.co.uk

 

 

 

How to Build Rapport with anyone Instantly!

April 1, 2008


Rapport It’s my experience that people do business with people that they know, like and trust. If you could build stronger relationships with your potential clients faster –would that be of value to you and to your business?

Yes? Then read on.

People like people who are like themselves or who they aspire to become.

Have you ever met a perfect stranger and yet felt instantly comfortable with them? As if you’ve know them for ages.

Have you ever though, met someone for the 1st time and instantly disliked them or felt uncomfortable with them for no apparent reason?

Lots of sales people will say to me …well I’m already pretty good at rapport, I get on with most people….there’s always going to be a few that you don’t hit it off with.

I want to show you how you can get on with anyone, quickly and effectively so that you can do business with them. Even with the ones you wouldn’t normally hit it off with. This is important because they are the extra sales for your business and will give you the edge over the competition.

What is Rapport?

Rapport is that feeling of being comfortable with someone and trusting them.

A crucial component in any interaction particularly a sales interaction. It’s the first thing we need to establish and the most important thing to keep all the way through the presentation to the client.

We often don’t know WHY we like or dislike someone which makes me ask the question then “Where does rapport take place?”

In our minds we have two components – The conscious mind and the unconscious mind. The conscious mind likes to think it is in control. It’s the logical mind, the rational mind, the goal setting mind.

However, the unconscious mind is that part of us that runs the body. It’s the part that stays awake when we’re asleep, listening for the alarm clock. It’s the part that keeps us breathing without thinking about it, it keeps our heart beating and our spleen, dare I say it, spleening!

The conscious mind may set the goals but the unconscious mind is the part that gets the goals. It filters out irrelevant information and makes you take notice of the things you need to look out for, opportunities to meet your goal.

Rapport happens at the level of the unconscious mind so how can we use it consciously to help us build strong relationships quickly and easily?

How do you get into rapport with someone?

How To Get In Rapport

Start with the chit chat – Look for common interests, hobbies, acquaintances, places you have been to, styles of clothing you might like etc. Find some things in common by having a little chat before the sales process begins. You are looking to put them at ease and enjoy having you there.

In order to have this conversation and find the common experiences we have to exchange words AND you need to have good listening skills to notice what information they are giving so that you can use to good effect. You need to be ACTIVELY listening – all too often we’re so busy thinking about what we want to say next that we are not concentrating on what the other person is saying. Key point – be present with your client at all times.

Notice also the language that people use when they talk.

Now obviously I don’t mean are they speaking English or Portuguese here! I mean how do they choose to internally represent the world outside?

People tend to have what is called a dominant or preferred thinking style.

People prefer to communicate in one of three ways:-

Visual

Auditory

Kinaesthetic

We all use all three – we just have one that we prefer to use one more than the others.

What to look for……

If someone likes to communicate using their auditory senses they might use phrases such as

“I hear what you’re saying”

“That rings a bell”

“Tell me more”

If someone likes to communicate using their visual senses they might use phrases such as

“I get the picture”

“I see what you mean”

“Can you imagine that?”

If someone likes to communicate using their kinaesthetic senses they might use phrases such as

“I get the feeling that…”

“I need concrete evidence”

“Give me hard facts”

If you are talking to a client and you just don’t seem to be getting the connection or the understanding that you need – stop and ask yourself – how am I different to them?

It may be that you are speaking a “foreign” language perhaps by noticing their preferred style of communication and adjusting yours to match you’ll achieve rapport.

It’s Not Just The Words You Use

Studies have shown that only 7% of what is communicated between people is transmitted through the words themselves.

38% comes through the tone of the voice, the tempo, the volume and the timbre – or individual characteristics of the voice and

55% of communication, by far the largest part is a result of physiology or body language.

Let’s first understand what is meant by the characteristics of the voice.

You could mirror the tonality and phrasing, the pitch, the speed, volume, tempo – what sort of pauses does that person make?

What about the BIG bit though?

Body language or physiology – one of the fastest ways to build rapport with another person is to mirror and match their body language.

What aspects of another person’s body language could we mirror or match?

The facial expressions,

The gestures,

The quality and type of movements,

Mirror or copy posture….do they stand or sit up straight or are they slouched? Do they have their legs crossed or not? Do they have there hands in their lap or their arms folded or resting their hand on their chin?

Do they make lots of eye contact? What are their facial expressions….if they are looking sad – you wouldn’t want to be sitting there with a big grin on your face!

How do they breathe………long deep breaths, short shallow breaths?

Do they tilt their head to one side……you can mirror all of these things.

Obviously you might want to be a little subtle at times, mirroring and matching some part of their physiology not copying every posture and move – if they notice you’ve blown it! So use it wisely.

Combine that with matching the words or language that they use and you will have them as your friend in no time because whilst the words are working on the persons conscious mind, the physiology is working on the unconscious minds and the brain starts to think WOW! They’re like me!

Practice it, master it and watch your business grow!!

Watch for my next article – I Am In Rapport, Now What? Eliciting Buying Strategies.

For further information on this subject and to discover how coaching and training n this subject can help you and your business grow contact Tracey Dowe at Momentum People Ltd

Email tracey.dowe@momentumpeople.co.uk

www.momentumpeople.co.uk

tel: 01793 700929

Weighty Words

March 5, 2008

scales Weight Loss and dieting are something that will be on the minds of many of you as the weather starts to get better and our thoughts turn to those summer holidays. There are hundreds of diets and exercise programs out there to choose from yet it’s more a function of how we think than what we eat. ‘Yo-yo’ dieting is an all too common occurrence. Why do we eat foods we KNOW add weight and inches to our waist and hips? Why do we sit in front of the tube for hours at a time instead of going for that wonderful walk in the park? The answer lies in our MINDS.

You’ve all heard of the saying “You are what you eat”

WRONG!

You are what you think.

It’s not just what you put in your mouth that affects how you look, it’s the words that you put in your head that does it. We all have conversations with ourselves though we don’t all like to admit it and how often do you take the time to really analyse that self talk? Stop and notice, are the words positive or negative? Do they make us feel fantastic or faulty? Do we tell ourselves how great we are? How awesome we feel? Do we tell ourselves “Hey – I love you, you’re amazing!!”

Take a minute now and tell yourself what you like about yourself. You will be amazed how difficult it is to do. We’re just not used to it. We’re used to putting ourselves down instead. “Look at me still fat” “I can’t believe I can’t lose the weight” “I can’t believe I put it all back on again, I’m hopeless.”

If you talk to yourself in a positive way, what do you think happens to your state? What happens to your confidence? It soars doesn’t it? Your unconscious mind then hears how great you are and must do what ever it takes to be congruent with your identity, therefore it has to do what it takes to make you great. If it hears that you’re a failure, it has to make you a failure.

So the words that you speak to yourself with are absolutely key in every area of your life, including your body shape and weight.

The unconscious mind needs to be spoken to in the positive as it does not recognise negatives. Let me demonstrate that to you really quickly. Right now don’t think of a pink elephant. Don’t think of it. What did you immediately think of? Yep, right before you switched your thoughts you thought of a pink elephant! So, when setting targets be sure to tell it what you want not what you don’t want otherwise what you don’t want is what you’ll get.

Set clear goals for your health and weight. For instance I want to be Xstone and Ylb instead of I want to lose xxxx lbs. I want to be able to run this distance instead of I don’t want to be tired any more. Get the idea? Great. Along side those clear goals write down what it means to have achieved those goals, as if you already have. What has it given you? How do you feel? How does it affect those around you?

Equally, if you don’t reach them what will it cost you in terms of who you are, how you feel? How you look? How is your self-esteem now? Really get some leverage on yourself here.

Finally, only share your goals with people who will support you through the ups and downs, cheer you on and challenge you, remind you why you’re doing it and tell you how proud they are of you. You become the people that you spend the most time with so pick your peers carefully.

There is so much more to learn about how your unconscious mind can support you in reaching your health and weight goals. I hope that you’ll look out for more information here and ask me about it if we meet.

For further information about this subject, coaching on health issues or training events contact:-

Tracey Dowe

Email Tracey.dow@momentumpeople.co.uk

www.momentumpeople.co.uk

Tel: 01793 700929