How should you document and report a resident's meal intake?

• A. Record exact percentages of each bite
• B. Record approximate intake (amount/status) and total fluids; report concerns to the nurse
• C. Record approximate intake (amount/status) and total fluids; report concerns to the nurse
• D. Do not record intake

Answer: (C)

When documenting a resident’s meal, the goal is to capture enough information to detect trends in appetite and hydration without getting bogged down in perfect precision. The best approach is to record approximate intake (amount or status) and the total fluids taken, then report any concerns to the nurse. This means noting whether the resident ate most of the meal, some, or none, and how much fluid they drank, using practical terms like 25%, 50%, “about half,” or a stated fluid amount. This provides a useful snapshot that can be tracked over time to spot changes in nutrition or hydration and to catch issues such as poor appetite, dehydration, or swallowing difficulties early. Reporting concerns to the nurse ensures a professional review of the situation and potential adjustments to care, such as offering smaller portions, alternative textures, or seeking a nutrition consult. Recording exact percentages of every bite isn’t necessary and can be impractical, and failing to record intake altogether leaves a gap in care that could delay needed interventions.