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Feeding Assistance Program

Feeding Assistance Program . First off. Thanks for volunteering!. Presentation Outline. 3 sections; Swallowing Feeding assistance Oral care. Swallowing. Swallowing (deglutition) Swallowing problems (dysphagia). Swallowing. 3 stages involved in swallowing; Oral stage Pharyngeal stage

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Feeding Assistance Program

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  1. Feeding Assistance Program

  2. First off. . . . Thanks for volunteering!

  3. Presentation Outline 3 sections; • Swallowing • Feeding assistance • Oral care

  4. Swallowing Swallowing (deglutition) Swallowing problems (dysphagia)

  5. Swallowing 3 stages involved in swallowing; • Oral stage • Pharyngeal stage • Esophageal stage

  6. Oral stage

  7. Pharyngeal stage

  8. Esophageal stage

  9. Why are we concerned about swallowing? • Aspiration • Choking (airway blockage) • Malnutrition • Dehydration

  10. What to watch for when screening for dysphagia. • Coughing when eating • ‘Wet’ vocalizations or respiration • Throat clearing

  11. So, what can you do to help? Feeding assistance

  12. The goal of assistance • Maintain adequate nutrition and hydration. This is essential for fighting infection, recovering from illness, stopping skin breakdown, and helping to reduce confusion • Watch for signs of aspiration! • Companion

  13. Different types of assistance • Companion/encourage • Assistance with setup • Partial assistance • Full, one-on-one feeding assistance

  14. For some, helping with setup and being a companion is enough • Wash your hands • Remove wrapping • Open cartons • Open and place straws • Remember infection control • Butter bread • Dice foods

  15. Others will need partial assistance. . . • You may need to help with the menu • Wash your hands • Setup the environment • Make sure the meal is appropriate • Glasses on and hearing aids in • Remember, eating is social! • Sit at eye level and off to one side

  16. Table at the right level • Food in front and reachable • Orient them to the location of items • Think of a clock • Sometimes special feeding aids • Oxygen mask? • Dentures • Upright at 90 degrees • Call bell

  17. Others will need one-on-one feeding. . . • These patients will be fed by hospital staff • Special needs that require 1-on-1 help • We control all aspects of the meal • Generally very serious risks associated with feeding and/or significant nutritional risks

  18. What do our diets look like. . . . taste like? Food can be pureed, minced, chopped, or regular. Liquids can be very thick, thick, or thin (regular)

  19. Oral care • Another area where you can help make a HUGE difference • Many patients don’t even have a toothbrush/toothpaste in the hospital. • One study found that almost 90 percent of nursing home residents with pneumonia got pneumonia from aspirating bacteria from poor oral care.

  20. After the meal. . . . • Encourage oral care after all meals. • Especially in the evening • Studies show that if you do it at all, do it in the evening. • You can help with setup of the brush, paste, mouthwash. • Check to see if we have special products there for them. • You may need to put the paste on.

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