When assisting with feeding a resident who cannot feed themselves, what should you do?

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

Answer: (B)

Keeping the resident seated upright during feeding is essential because gravity helps swallowing and reduces the chance that food or liquid will go into the airway. Feeding small bites gradually allows time for the resident to chew and swallow safely, decreasing the risk of choking or aspiration. Watching carefully for coughing or gagging is crucial—these signs can indicate swallowing trouble or aspiration, so feeding should be paused and assessed if they occur. Recording intake ensures accurate tracking of what was eaten for nutrition and care planning. Reclining or standing during feeding increases aspiration risk and is not appropriate, which is why this approach is the safest and most effective.