David Rose
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Patients are at risk of malnutrition because of a shortage of nursing staff to feed them properly, a survey suggests.
Almost half of the 2,000 nurses questioned by the Royal College of Nursing said that they did not have enough time to make sure that patients got their meals and were able to eat them because they were too busy. The findings come six years after the Government spent £40 million to improve nutrition in hospitals.
Difficulties getting food for patients outside set mealtimes was cited as the main problem by 49 per cent of nurses. Almost as many (46 per cent) nurses blamed a lack of staff to assist those patients who needed help eating.
Campaigners from the charity Age Concern say that elderly patients in particular are regularly going without meals because they are placed out of their reach or because they are unable to eat without assistance.
The survey was released at the annual congress of the college in Harrogate yesterday.
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In fact it's far worse than nursing 'Cardex', care plans and the like wasting nursing time while patients (many of whom don't stare in anguish at a tantalising regenerated meal, many of them plainly refuse to eat, out of exhaustion with illness frailty and dementia) starve in their beds. I, a doctor (who did get an interview) need FedEx to handle patient's notes, 75% of which is nursing care plans - as germane to medicine as the old testament. A frequent flyer with my Trust can have 4 volumes of notes.
malcolm morris, london,
When i asked my late father why he wasnt eating he said he could not lift his arms up , the nursing staff said that he must try . How long can you survive without getting food to your mouth. This was the sort of treatment reserved for a gallant old soldier.
robert appleby, dewsbury, uk
I have to agree with Mr Honeyball and I am a nurse. When I did my training in the mid 60's our first priority was to the patients dietary and toiletry needs. these days this seems to have gone out of the window. I have not worked on a Ward for almost 30years now but on the occasions that I have had to go on to the wards I have seen, as Mr Honeyball states, the nurses all congregated around the Nurses Station or off having a quick coffee whilst meals were being served.
True, we have employed Auxiliary nurses to take a some of the pressure from the trained staff but I have often seen that even they think that it is beneath them to feed or wash a patient. When I began my training in 1967 the Matron gave us all a 'pep talk' in which she said that the day we felt we could not give a patient a bedpan, was the day we could stop calling ourselves nurses. I have carried those words with me to this day. I became a nurse to care for people, not to sit at a computer.
Kathy Haq, Sunderland, UK
In my experience,which is fairly comprehensive, it is not a shortage of nurses, or nurses that are too busy, which is leading to patients being left unfed.
It is because many see this kind of work as being beneath them now, with the excuse of extra paperwork being often mooted.
In the majority of hospitals more & more tasks are being delegated to auxillaries, with the nurses mainly medicating & monitoring the patients.
If I wish to find a nurse when I vist my local hospital I walk to the nurses station, invariably 5 or 6-and on one occasion I found 12-are sitting there doing paperwork.
If you ask for any assistance, they always advise you to speak to an auxillary on the ward.
If they are not doing paperwork, then they are in meetings discussing god knows what.
The Oxford Dictionary defines the word nursing thusly: A person trained to care for the sick or infirm.
Some of our nurses should bear this in mind, when tending to our sick & infirm on their wards.
Trevor Honeyball, Eastbourne, United Kingdom
Sounds to me like mis-placed priorities. But then career always comes first. Be afraid,. be very afraid!
eddie reader, birmingham, uk