Common Feeding Problems

Food has an important role in your clients’ health. People who eat a balanced diet have a better shot at avoiding new illnesses or fighting off the diseases they already have! Whether there is a physical problem or an emotional one, clients who eat poorly need your time, your understanding, and your attention.

Poor Appetite

Determine if your clients can smell and taste their foods. If not, talk to your supervisor. There are certain spices and herbs that can be safely added to most people’s food to make it easier to taste.
If possible, encourage and/or prepare five or six small meals instead of three big ones.
Encourage clients to get more exercise (if able). This will stimulate appetite.

Confused Clients

Offer meals at the same time every day to establish/maintain a routine.
Be patient, even if you have to demonstrate how to use a spoon at every meal. Provide a quiet place to eat—without the distraction of radio or TV.
Limit choices . . . such as only one piece of silverware...to simplify the meal.

Chewing Problems

Try putting very light pressure on the lips or chin to remind clients to chew.
Make sure each bite of food is small so that minimal chewing is required.
Avoid sticky foods , like peanut butter. They make the mouth muscles work too hard.
Soak dry foods in coffee, milk, or soup until they are soft enough to chew.

Dysphagia

The biggest risk for clients with dysphagia is choking. Be sure you know how to do the Heimlich Maneuver! Be sure to report any episodes of choking to your supervisor.
Clients should sit up for at least 30 minutes after eating.
Soft, cold foods may be easiest to swallow.

Reflux

Be sure you know any dietary restrictions for these clients.
Make sure you document if and when a certain food causes clients to have heartburn.
Encourage clients to sit up after meals. At night, they may want to sleep with their head and torso propped up by several pillows.

Nausea

Offer clear, cool beverages like ginger ale, 7-Up, or apple juice. Sometimes, salty foods like pretzels or crackers ease the nausea.
Encourage small amounts of food frequently throughout the day.
Avoid giving fatty foods, sweets, or foods with strong odors. These all tend to make nausea worse.