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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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Presentation Transcript
first off

First off. . . .

Thanks for volunteering!

presentation outline
Presentation Outline

3 sections;

  • Swallowing
  • Feeding assistance
  • Oral care


Swallowing (deglutition)

Swallowing problems (dysphagia)


3 stages involved in swallowing;

  • Oral stage
  • Pharyngeal stage
  • Esophageal stage
why are we concerned about swallowing
Why are we concerned about swallowing?
  • Aspiration
  • Choking (airway blockage)
  • Malnutrition
  • Dehydration
what to watch for when screening for dysphagia
What to watch for when screening for dysphagia.
  • Coughing when eating
  • ‘Wet’ vocalizations or respiration
  • Throat clearing
the goal of assistance
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
different types of assistance
Different types of assistance
  • Companion/encourage
  • Assistance with setup
  • Partial assistance
  • Full, one-on-one feeding assistance
for some helping with setup and being a companion is enough
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
others will need partial assistance
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
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
others will need one on one feeding
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
what do our diets look like taste like
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)

oral care
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.
after the meal
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.