CCR2 unit 2 - assist client in feeding oral

Identify the types of clients who need assistance with oral feeding

• visual impairment

• Upper limb limitation

• Difficulty in chewing or swallowing

Outline considerations when feeding the client that have swallowing difficulties

• provide meals compromised with soft foods or thickened fluid

• Place food on the unaffected side(strong side) of the mouth in client of facial paralysis. The assistance should ensure the food does not accumulate in the check of the affected side

• Initiating the swallowing reflex by gentle pressure on the tongue with the feeding utensil

• Offering all food and fluid carefully and monitor to avoid or detect aspiration

Outline considerations when feeding the client that have visual impairment

• encourage client independence (using the clock method )

• The assistance inform the client of the proximity and location of hot articles

• Meal should be placed where it can be seen and smelt, to simulate the appetite

• If client unable to feed themselves, they asked to indicate when they are ready for the next spoonful of food

• Self feeding should be encourage to promote independence and dignity

Outline considerations when feeding the client that have limb weakness

• assist on the stronger side on client if client has stroke

• Encourage client participation

• Encourage client in conversation and seek client preference on the order of food he/she prefer

Outline responsibilities when assisting conscious adult clients with oral feeding (give 3)

• ensure that the client is comfortable, and the table is adjusted to the appropriate height

• Elimination and hygiene needs should be attended to before the meal is started

• The assistance should ascertain whether the client prefers one food at a time or a combination

• Ensure that food or fluids are not too hot or cold

• Encourage independence to promote dignity

• Report and record the intake of food and fluid

Outline safety precaution during feeding

• choking

• Respiratory Distress

• Aspiration

• Decrease level of consciousness

Purpose of nasogastric tube (NGT)

1.Nutritional needs & medication administration

• Unable to/have difficulty swallowing

• Not eating due to medical conditions

• Attend mental status/ unconscious

2.extraction of stomach contents

• medical conditions

• Laboratory purposes

Considerations & Precautions of NGT

• position patient >30 degree during and after feeding to prevent aspiration

• Maintain oral hygiene

• Maintain patency of NGT