How should you assist with feeding a resident who cannot feed self?

• A. Sit the resident upright, offer small bites, monitor for coughing or gagging, and record intake.
• B. Sit upright, feed large bites.
• C. Recline while feeding.
• D. Stand during feeding.

Answer: (A)

The safest and most effective approach to assisting a resident who cannot feed self focuses on safe swallowing and accurate intake tracking. Sitting the resident upright (ideally about 90 degrees) supports airway protection and makes it easier to coordinate chewing and swallowing, reducing the risk of aspiration. Offering small bites slows the pace, gives the swallow time to happen, and helps you notice any signs of difficulty. Throughout the meal, watch for coughing or gagging, which can indicate swallowing problems or airway irritation; if these occur, stop feeding, allow the resident to clear the airway, and notify the supervisor as needed. Recording intake is essential to ensure the resident receives adequate nutrition and fluids and to guide care planning. Large bites, reclining during feeding, or standing while feeding increase the risk of choking or aspiration and are not appropriate.