First and foremost, it is important to know exactly what to do to keep me safe.
- Bring a cupful of water and a toothette (swab) to the food table. This can be used to moisten my mouth, to move food from the roof of my mouth or to remove food.
- Be prepared to call for additional help from nursing in the event of a choking incident. Pull the call light cord from the wall.
- Make certain patient is upright. For me, 90-degrees is unsafe for respiration.
- Temperature check. Touch food to patient's bottom lip whenever presented with hot, fresh food.
- Spicy factor. Spicy or overly sour foods can produce excessive saliva.
- No thin liquids by mouth. Jello turns into a thin liquid.
- No mixed textures. Soups are the usual suspects.
- Small bites.
- No multiples. Loading the spoon or fork with small pieces of food creates a hazard. I can't track.
- No flat pieces. Sliced cheeses, meats, pickles, etc. Can't track within my mouth.
- Use gravies, sauces, and condiments to bind food together to make a bolus.
- Avoid overly thick items, like thick yogurts and puddings.
- Check for pocketing after every meal. Immediately use a toothette to remove remaining food particles.
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