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Assisting your patient with daily tasks such as eating allows the patient to maintain a higher level of independence.  Remember that many patients will only require a small amount of assistance, and will appreciate that you provide it in a kind and courteous manner.  Your help in feeding a patient can positively impact the patient’s recovery process.

1) Performed beginning tasks. 2) Prepared the resident for the meal (i.e. allowed resident to use toilet and wash hands). 3) Positioned resident in sitting position as appropriate. 4) Matched food tray/diet items with resident’s diet order. 5) Matched food tray/dietary items with appropriate resident. 6) Protected resident’s clothing, as appropriate or as resident prefers. 7) Noted temperature of food and liquids to avoid food that is too hot or too cold. 8 ) Fed moderate-sized bites with appropriate utensil. 9) Interacted with resident as appropriate (i.e., conversation, coaxing, cueing, being positioned at eye level with the resident). 10) Alternated liquids with solids, asking resident preference. 11) Ensured the resident has swallowed food before proceeding. 12) Cleaned resident as appropriate when completed. 13) Removed tray, cleaned area. 14) Performed completion tasks

Expert Tip By Tanya Glover, CNA

Feeding time at the nursing home can be hectic. You have to get the patients who go to the dining room to their spot. You have to pass trays to those who eat in their rooms, and you have to feed those who are unable to feed themselves. Feeding patients has always put me ill at ease. It is not that I find it unpleasant in particular; it is more about me feeling bad that this adult person needs me to feed them. I was in diapers when they were in the prime of their lives and now I am treating them like a baby! I have found that many CNA’s fell the same way and you may too-in the beginning.

If you are uncomfortable with feeding an adult, the best thing to do is to talk to them throughout the meal. Even if they never respond, or are simply unable to respond, talking can calm your nerves. For patients who are aware and just cannot feed themselves, talking puts them at ease as well. There is nothing worse seeing an aid feed a patient with a stone cold face. The patient feels as if they are just another burden and they will eat less. I have seen this with my own eyes and know it to be truth.

If you have a patient who eats very slowly, try feeding them for 10 minutes at a time and go between them and your other patients. Try to get them to eat as much as possible and take notice of their feeding chart to see if there has been a decline in their appetite.

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