CNA Certification (Written Exam)Activities of Daily LivingMedium
A CNA is assisting a resident with feeding who often pockets food in their cheeks. What action should the CNA take to prevent this from happening?
- AMix all food with liquids to make it easier to swallow.
- BOffer larger bites of food to encourage swallowing.
- CRemind the resident to chew and swallow before offering another bite.
- DSeat the resident in a reclined position during meals.
Show answer & explanationAnswer & explanation
Correct answer: C. Remind the resident to chew and swallow before offering another bite.
Reminding the resident to chew and swallow before offering the next bite helps ensure that food is cleared from the mouth, preventing pocketing and reducing the risk of choking or aspiration.
Why the other options are wrong
- A. While some food textures might need modification, mixing all food with liquids isn't a universal solution for pocketing and might not be appropriate for all residents.
- B. Larger bites can increase the risk of choking and make pocketing worse.
- D. A reclined position increases the risk of aspiration and is generally unsafe for feeding; residents should be upright.
Preventing Food Pocketing
Food pocketing, common in residents with dysphagia or cognitive impairments, can be prevented by ensuring the mouth is clear before offering the next mouthful.
- Observe resident's mouth carefully.
- Prompt 'chew and swallow'.
- Offer small, manageable bites.
- Maintain an upright position during feeding.
Memory trick: Clear the Mouth, Then More Will Allow!