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Feeding Resident

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									Feeding a Resident

Health Science Technology
          Nursing
       J. Hodge, RN
             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
    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
    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
          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!
         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.
             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.
         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.
   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!
        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.
          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!!!!!
          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!
   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.
   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!
           CHOKING!
• Be alert for signs of choking!
• Feed small quantities to prevent
  choking.
• Allow time to chew.
• Provide liquids to keep mouth
  moist.
               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.

								
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