Home昔日真理報2016年 真理報文章2016 年 4 月【職場上的祭司】醫院膳食~談何容易!

【職場上的祭司】醫院膳食~談何容易!

 

Hospital每年三月,是加拿大營養師協會定下的營養月,從而向市民推廣健康飲食的重要。亦因如此,我被邀請接受本地電台及報章的訪問,分享一下醫院的病人膳食部的工作,以及醫院的飲食如何幫助病人留院期間的康復進程。

就是在預備訪問的過程中﹐也讓我再一次思考到在醫院提供病人膳食也實在是一個不容易的工作。所以,就讓我在今期的文章中跟大家分享一下這方面的挑戰吧。

病人胃口欠佳:相信大家也曾經歷過不同程度的身體不適,輕則傷風感冒,重則住院留醫,在患病的過程中因病情或藥物的影響下而失去胃口,食慾減低也是十分常見的,正如廣東話所講「食龍肉都無味」,意思就是當身體不適時,就算將最高級的食材放在眼前也是胃口全無。我相信這應該是提供醫院膳食中最大的挑戰,因為我們正是為一群沒有胃口的病人提供膳食,是逆水行舟之舉,所以阻力甚大!

營養指標:對於病人膳食,一般人的反應是覺得淡而無味,令已經胃口欠佳的病人更加食慾不振。其實,醫院的膳食是需要符合一套頗為嚴格的營養指標的,以控制病人對鹽份、糖份、脂肪的吸收,而指標中鹽份、糖份、脂肪的定位絕對是低於酒樓餐廳的份量,甚至是低於一般家庭會使用的份量呢!所以,醫院膳食難免給人淡而無味之感。而同時,醫院膳食亦需要為病人提供一定份量的食物以符合營養指標的要求,而所定的份量是以一個健康的成年人作指標,卻不是按一個胃口欠佳,並活動量偏低的病人來制定的。正因如此,另一我們經常收到的意見是醫院所提供的食物是超過病人所能應付的,這不單沒有幫助病人提振食慾,並且十分浪費資源。

個人的飲食口味:另外,我們除了要顧及病人胃口欠佳而食慾不振,同時符合營養指標之外,亦要顧及個別病人的需要和口味。要明白,醫院膳食部的運作與一般酒樓餐廳等的食肆運作大不相同。在醫院,我們需要在有限的時間和資源的情況下,在每餐大約只有一小時的時間內提供整間醫院每位病人的膳食,所以必須在程序上儘量精簡,集中資源為病人提供因不同病情而衍生的飲食需要,故此難免未能顧及每位病人口味上的喜好。比如說,我們必定會為患心臟病的病人提供心臟病的餐單,但卻未能為一位不習慣吃西式食物的華人病人提供地道的中式食物。

資源的限制:我們病人膳食部的資源和人手實在是有限的,例如每一餐我們只可提供兩個主餐的選擇,而不能提供四個選擇,例如我們每餐的時間是規定了,若病人需要下午二時吃午餐或晚上八時吃晚餐的話,我們只能提供三文治,例如我們沒有足夠的人手每天洗切新鮮生果﹐而需要用罐裝已切好的產品等等。

然而,我們部門卻沒有因為以上種種限制而停滯不前,我們在過去兩年推出了新的餐單從而改善病人膳食的款式及質素。例如為了針對病人胃口欠佳的問題,我們增加了湯類的選擇和改良質素,讓病人在美味、容易入口又營養豐富的湯品中吸收所需養份。例如我們重新編制餐單的時候也重新調配人手,騰出員工去預備新鮮生果蔬菜加入餐單中,又例如提升了食物的賣相,看上來色彩較吸引,從而增加病人對食物的興趣。另外,我們也投放資源去收取病人對食物的意見和喜好並儘量配合。

總括而言,為病人提供膳食始終是一個不容易的工作和使命。盼望 神讓我對這工作繼續投放熱誠和創意,雖然是阻力重重,卻不易棄餒,繼續在挑戰中找到出路!

      聖經金句 (Bible Verses)

喜樂 Joy

喜樂的心乃是良藥;憂傷的靈使骨枯乾。箴言 17:22
A cheerful heart is good medicine, but a crushed spirit dries up the bones. Proverbs 17:22

然而,我要因耶和華歡欣,因救我的 神喜樂。哈巴谷書 3:18
yet I will rejoice in the LORD, I will be joyful in God my Savior. Habakkuk 3:18

要常常喜樂,不住的禱告,凡事謝恩。帖撒羅尼迦前書 5:16-17
Rejoice always, pray continually, give thanks in all circumstances. 1 Thessalonians 5:16-17

饒恕 Forgiveness

主啊,你本為良善,樂意饒恕人,有豐盛的慈愛賜給凡求告你的人。詩篇 86:5
You, Lord, are forgiving and good, abounding in love to all who call to you. Psalm 86:5

你不要說:“我要以惡報惡”;要等候耶和華,他必拯救你。箴言 20:22
Do not say, “I’ll pay you back for this wrong!” Wait for the LORD, and he will avenge you. Proverbs 6:14

你們饒恕人的過犯,你們的天父也必饒恕你們的過犯;馬太福音 6:14
For if you forgive other people when they sin against you, your heavenly Father will also forgive you. Matthew 6:14

你們不饒恕人的過犯,你們的天父也必不饒恕你們的過犯。馬太福音 6:15
But if you do not forgive others their sins, your Father will not forgive your sins. Matthew 6:15

你們各人若不從心裡饒恕你的弟兄,我天父也要這樣待你們了。馬太福音 18:35
This is how my heavenly Father will treat each of you unless you forgive your brother or sister from your heart. Matthew 18:35

謙卑 Humility

敬畏耶和華是智慧的訓誨;尊榮以前,必有謙卑。箴言 15:33
Wisdom’s instruction is to fear the LORD, and humility comes before honor. Proverbs 15:33

敬畏耶和華心存謙卑,就得富有、尊榮、生命為賞賜。箴言 22:4
Humility is the fear of the LORD; its wages are riches and honor and life. Proverbs 22:4

凡事不可結黨,不可貪圖虛浮的榮耀;只要存心謙卑,各人看別人比自己強。腓立比書 2:3
Do nothing out of selfish ambition or vain conceit. Rather, in humility value others above yourselves. Philippians 2:3

但他賜更多的恩典,所以經上說:神阻擋驕傲的人,賜恩給謙卑的人。雅各書 4:6
But he gives us more grace. That is why Scripture says:“God opposes the proud but shows favor to the humble.” James 4:6

驕傲 Pride

驕傲來,羞恥也來;謙遜人卻有智慧。箴言 11:2
When pride comes, then comes disgrace, but with humility comes wisdom. Proverbs 11:2

驕傲只啟爭競;聽勸言的,卻有智慧。箴言 13:10
Do nothing out of selfish ambition or vain conceit. Rather, in humility value others above yourselves. Proverbs 13:10

驕傲在敗壞以先;狂心在跌倒之前。箴言 16:18
Pride goes before destruction, a haughty spirit before a fall. Proverbs 16:18

但他賜更多的恩典,所以經上說:神阻擋驕傲的人,賜恩給謙卑的人。雅各書 4:6
But he gives us more grace. That is why Scripture says:“God opposes the proud but shows favor to the humble.” James 4:6

忍耐 Patience

愚妄人怒氣全發;智慧人忍氣含怒。箴言 29:11
Fools give full vent to their rage, but the wise bring calm in the end. Proverbs 29:11

並且你們要為我的名,被眾人恨惡,惟有忍耐到底的,必然得救。馬可福音 13:13
Everyone will hate you because of me, but the one who stands firm to the end will be saved. Mark 13:13

不但如此,就是在患難中也是歡歡喜喜的。因為知道患難生忍耐。羅馬書 5:3
Not only so, but we also glory in our sufferings, because we know that suffering produces perseverance. Romans 5:3

我們行善,不可喪志;若不灰心,到了時候就要收成加拉太書 6:9
Let us not become weary in doing good, for at the proper time we will reap a harvest if we do not give up. Galatians 6:9

你們也當忍耐,堅固你們的心,因為主來的日子近了。雅各書 5:8
You too, be patient and stand firm, because the Lord’s coming is near. James 5:8

溫柔 Meekness

回答柔和,使怒消退;言語暴戾,觸動怒氣。箴言 15:1
A gentle answer turns away wrath, but a harsh word stirs up anger. Proverbs 15:1

溫柔的人有福了,因為他們必承受地土。馬太福音 5:5
Blessed are the meek, for they will inherit the earth. Matthew 5:5

用溫柔勸戒那抵擋的人;或者 神給他們悔改的心,可以明白真道。提摩太後書 2:25
Opponents must be gently instructed, in the hope that God will grant them repentance leading them to a knowledge of the truth. 2 Timothy 2:25

只要以裡面存著長久溫柔、安靜的心為妝飾;這在 神面前是極寶貴的。彼得前書 3:4
Rather, it should be that of your inner self, the unfading beauty of a gentle and quiet spirit, which is of great worth in God’s sight. 1 Peter 3:4

嫉妒 Envy

不要為作惡的心懷不平,也不要向那行不義的生出嫉妒。詩篇 37:1
Do not fret because of those who are evil or be envious of those who do wrong. Psalm 37:1

心中安靜是肉體的生命;嫉妒是骨中的朽爛。箴言 14:30
A heart at peace gives life to the body, but envy rots the bones. Proverbs 14:30

在何處有嫉妒、紛爭,就在何處有擾亂和各樣的壞事。雅各書 3:16
For where you have envy and selfish ambition, there you find disorder and every evil practice. James 3:16

生氣 Anger

當止住怒氣,離棄忿怒;不要心懷不平,以致作惡。詩篇 37:8
Refrain from anger and turn from wrath; do not fret—it leads only to evil. Psalm 37:8

好生氣的人,不可與他結交;暴怒的人,不可與他來往。箴言 22:24
Do not make friends with a hot-tempered person, do not associate with one easily angered. Proverbs 22:24

愚妄人怒氣全發;智慧人忍氣含怒。箴言 29:11
Fools give full vent to their rage, but the wise bring calm in the end. Proverbs 29:11

生氣卻不要犯罪.不可含怒到日落。以弗所書 4:26
In your anger do not sin: Do not let the sun go down while you are still angry. Ephesians 4:26

我親愛的弟兄們,這是你們所知道的,但你們各人要快快的聽,慢慢的說,慢慢的動怒,因為人的怒氣並不成就 神的義。雅各書 1:19,20
My dear brothers and sisters, take note of this: Everyone should be quick to listen, slow to speak and slow to become angry, because human anger does not produce the righteousness that God desires. James 1:19,20

災難 Calamity

謹守口與舌的、就保守自己免受災難。箴言 21:23
Those who guard their mouths and their tongues keep themselves from calamity. Proverbs 21:23

民要攻打民、國要攻打國、多處必有地震、饑荒.這都是災難的起頭。馬可福音 13:8
Nation will rise against nation, and kingdom against kingdom. There will be earthquakes in various places, and famines. These are the beginning of birth pains. Mark 13:8

憂愁 Worry

你們不要憂愁、因靠耶和華而得的喜樂是你們的力量。尼希米記 8:10
Do not grieve, for the joy of the LORD is your strength. Nehemiah 8:10

主雖使人憂愁, 還要照他諸般的慈愛發憐憫。耶利米哀歌 3:32
Though he brings grief, he will show compassion, so great is his unfailing love. Lamentations 3:32

凡勞苦擔重擔的人,可以到我這裡來,我就使你們得安息。馬太福音 11:28
Come to me, all you who are weary and burdened, and I will give you rest. Matthew 11:28

我留下平安給你們、我將我的平安賜給你們.我所賜的、不像世人所賜的.你們心裏不要憂愁、也不要膽怯。約翰福音 14:27
Peace I leave with you; my peace I give you. I do not give to you as the world gives. Do not let your hearts be troubled and do not be afraid. John 14:27

應當一無掛慮,只要凡事藉著禱告、祈求和感謝,將你們所要的告訴神。神所賜出人意外的平安,必在基督耶穌裡,保守你們的心懷意念。腓立比書 4:6,7
Do not be anxious about anything, but in every situation, by prayer and petition, with thanksgiving, present your requests to God. And the peace of God, which transcends all understanding, will guard your hearts and your minds in Christ Jesus. Philippians 4:6,7

因此, 你們是大有喜樂, 但如今, 在百般的試煉中暫時憂愁。彼得前書 1:6
In all this you greatly rejoice, though now for a little while you may have had to suffer grief in all kinds of trials. 1 Peter 1:6

患難 Trouble, Suffering

義人多有苦難,但耶和華救他脫離這一切。詩篇 34:19
The righteous person may have many troubles, but the LORD delivers him from them all. Psalm 34:19

神是我們的避難所,是我們的力量,是我們在患難中隨時的幫助!詩篇 46:1
God is our refuge and strength, an ever-present help in trouble. Psalm 46:1

耶和華本為善,在患難的日子為人的保障,並且認得那些投靠他的人。那鴻書 1:7
The LORD is good, a refuge in times of trouble. He cares for those who trust in him. Nahum 1:7

為義受逼迫的人有福了,因為天國是他們的。馬太福音 5:10
Blessed are those who are persecuted because of righteousness, for theirs is the kingdom of heaven. Matthew 5:10

不但如此,就是在患難中,也是歡歡喜喜的。因為知道患難生忍耐。羅馬書 5:3
Not only so, but we also glory in our sufferings, because we know that suffering produces perseverance; Romans 5:3

我想現在的苦楚,若比將來要顯於我們的榮耀,就不足介意了。羅馬書 8:18
I consider that our present sufferings are not worth comparing with the glory that will be revealed in us. Romans 8:18

因為你們蒙恩,不但得以信服基督,並要為他受苦。腓立比書 1:29
For it has been granted to you on behalf of Christ not only to believe in him, but also to suffer for him. Philippians 1:29

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