Feeding a Resident
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Transcript of Feeding a Resident
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Feeding a Resident
Health Science TechnologyNursing
J. Hodge, RN
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Good Nutrition
• Important part of a resident’s Rx.• Make mealtimes pleasant• Time for social interactions• Allows time to eat with others• Eat alone? = poor appetite• LTC-Long term care facilities-
encourage eating in dining room
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Resident confined to bed
• Bedridden?• Sit down in CHAIR (Not the Bed!)
to feed the resident• TALK to the resident!• Eat/Feed resident while food is
hot; as soon as it arrives to floor
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Make mealtimes pleasant
• Offer bedpan or urinal or assist to BR before meals
• Clear room of offensive odors• Allow resident to wash hands• Provide oral hygiene, if desired• Position resident comfortably in
upright position
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Make it pleasant
• Clear overbed and position it for tray• Remove emesis basin or bed pan
from view• Place these objects in bedside table.• If meals are delayed because of
procedures/tests, explain this to resident!
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Responsibilities
• Check the tray carefully against resident’s name and room #.
• Check diet type as ordered• Never add any food or condiment
to tray with checking with manager.
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Rehab
• Allow resident to feed self whenever possible.
• Assist by cutting meat, buttering bread, adding condiments on tray, opening beverages, etc.
• Use bib/towel to protect clothes.
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Blind Resident?
• Visually impaired? Instruct resident what food is on tray by comparing to a clock.
• Meat is at 12, beans @ 3, potatoes @ 6, etc.
• Make sure all food/utensils are placed conveniently.
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Before Feeding Resident!
• Check hot foods for temperature! • How would we do that?• Test by dropping sm. amt. on
wrist.• NEVER BLOW on food to COOL
it!
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Points to Observe
• Alternate food by giving sips of liquids between solid foods.
• Use straws for liqs. They will drink more! Diff. straw for each liquid!
• Hold spoon @ right angle-feed from tip of spoon.
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Observations
• Dysphagia? No STRAWS!• Difficulty swallowing-Use product
called Thick-It• This allows liquids to solidify
slightly and make liqs easier to swallow.
• Per MD or Dietitian orders!!!!!
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Observations• Encourage resident to eat!• Provide a relaxed, unhurried
atmosphere!• Give resident sufficient time to chew
food.• Offer liquids and alternate with
dessert if resident does not want to eat!
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Recording/Documentation
• Observe how much the resident ate and record on nutritional record.
• What if the resident does not like certain foods?
• Ask for substitute foods.
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Record Intake and Output
• Intakes must be recorded per MD’s orders-anything taken in body as intake-oral, IV, etc.
• Outputs must be recorded @ times per orders-anything removed from body-urine, feces, emesis!
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CHOKING!
• Be alert for signs of choking!• Feed small quantities to prevent
choking.• Allow time to chew.• Provide liquids to keep mouth
moist.
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CVA• If resident has had stroke, one side
of mouth may be affected.• As you feed resident, direct food
toward unaffected side. • Watch throat for swallowing.• Watch for lodged food=choking.• Be prepared for Heimlich
maneuver.