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Nursing Assistant Monthly
Food safety
for older adults
July 2011
Copyright © 2011 Delmar, Cengage Learning. All rights reserved.
Why worry?
Foodborne illness can strike anyone
But it is especially dangerous for older adults:
may have other medical problems
are less able to tolerate fluid loss from diarrhea, vomiting,
fever
immune system may not function as well
– due to illness or medications
lower stomach acid in older adults allows bacteria to
survive
July 2011
Copyright © 2011 Delmar, Cengage Learning. All rights reserved.
Food safety for older adults
What happens when food is contaminated?
Contaminated food contains:
1. disease-causing microorganisms
2. toxins produced by these germs
3. or both
July 2011
Copyright © 2011 Delmar, Cengage Learning. All rights reserved.
Food safety for older adults
Common sources of contamination
Hands of food packer or preparer
Dirty food prep surfaces
Food not washed well
Food not well cooked
Food not kept at proper serving temperature
– Bacteria may grow and/or release toxins
July 2011
Copyright © 2011 Delmar, Cengage Learning. All rights reserved.
Food safety for older adults
Common symptoms of foodborne illness
Nausea
Vomiting
Diarrhea
Fever
July 2011
Copyright © 2011 Delmar, Cengage Learning. All rights reserved.
Food safety for older adults
When do symptoms generally begin?
Within hours
– Salmonella, clostridium
Within 1 or 2 days
– Norovirus
Within 1 week
– E. coli (a few days to a week)
Within 2 to 3 weeks
– Listeria
July 2011
Copyright © 2011 Delmar, Cengage Learning. All rights reserved.
Food safety for older adults
Preventing foodborne illness
Good hand washing before prepping or serving food
Good hand washing before eating
– Assist residents who need help
Store food at proper temperatures
Date all food in the refrigerator
Throw away food after 3 days or if it does not look fresh
Follow facility guidelines for serving food to residents
July 2011
Copyright © 2011 Delmar, Cengage Learning. All rights reserved.
Food safety for older adults
Did you know?
Wash all fruits & vegetables before eating
– Even those with rinds or skins that are peeled
– Bacteria on the skins can contaminate the fruit with handling
Wash the top of jars or canned food before opening
– Bacteria, dust, and debris can enter food when opening the can
Some bacteria (such as listeria in hot dogs, deli meats) can
grow in cold conditions
– Check the temperature of the refrigerator — it should be at or below
40°F
July 2011
Copyright © 2011 Delmar, Cengage Learning. All rights reserved.
Food safety for older adults
CNA’s best ally against foodborne illness
HAND WASHING!
– Before touching food when prepping, serving, eating
– Lather hands for 20 seconds, then rinse
– Time yourself by saying the alphabet slowly — it takes about 20
seconds
Your efforts will help to keep you and the residents safe
and healthy!
July 2011
Copyright © 2011 Delmar, Cengage Learning. All rights reserved.
Food safety for older adults