NSE 12A/B Chapter Notes - Chapter 37: Pharyngeal Reflex, Oral Hygiene, Towel
23 Nov 2016
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Identify when feeding the dependent patient may be delegated. Discuss methods used to feed the dependent patient to reduce the risk of aspiration. The assessment of a patient"s risk of aspiration and determination of positioning cannot be delegated. Unregulated care providers may feed patients after receiving instructions on aspiration precautions: Level of consciousness, ability to cooperate, mobility and activity orders, physical limitation: determines the appropriate positioning for meals and the level of assistance required. Need for toileting, hand hygiene, and oral care before feeding: reduces interruptions and improves the appetite during the meal. Food tolerance, cultural and religious preferences, and food likes and dislikes: determines if certain foods will improve the appetite and desire to feed independently. Weight; consult with dietitian to determine whether the patient requires a diet altered in nutrients, flavoring, or consistency: provides a baseline. Ability to swallow, gag reflex: dysphagia and reduced gag reflex increase the risk for aspiration.
