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Mealtime Management Form
Client Full Name
*
D.O.B
*
Why is mealtime management needed for the participant?
Nutrition issues
Nutrition issues
Swallowing issues
Other issues
Comment
*
Is there any seating and positioning requirements for mealtime management (eating and drinking)?
Yes
Yes
No
Comment
*
Is review of mealtime management needed?
Yes
Yes
No
Comment
*
Is the participant involved in the assessment and development of mealtime management plans that meets their needs and the meals are enjoyable?
Yes
Yes
No
Comment
*
Is the menu or stock for mealtime management meals are nutritious and texture is appropriate to their individual needs.
Yes
Yes
No
Comment
*
Is the worker supporting mealtime management need extra training?
Yes
Yes
No
Comment
*
Is the participant at risk of running out of stock of meal?
Yes
Yes
No
Comment
*
Is there sufficient utensils and procedure in place to deliver mealtime management?
Yes
Yes
No
Comment
*
Is there sufficient and appropriate storage to store meals as per health standards?
Yes
Yes
No
Comment
*
Is there any action plan given by appropriately qualified health practitioner’s highlighting how any risks, incident and emergencies will be managed?
Yes
Yes
No
Comment
*
Message
Submit
