Notes
- Positioning: 90° upright during meals; instruct Pt to remain upright for 30–60 min after meals; never rush Pt.
- Assess Pt for dysphagia/aspiration risk using institution-specific screening tool and enter in Pt’s chart.
- Observe Pt for drooling, coughing, gagging, and choking—have suction available and suction airway as needed.
- Inspect Pt’s mouth for pocketing of food.
- Instruct Pt to use a chin-to-chest posture during initial assessment—begin with small sips of water and progress to larger volumes and different consistencies.
- Use thickener for thin liquids—follow packaging directions.
- Place food on unaffected side in Pts with hemiparesis.
- Monitor Pt’s weight weekly.