In this scenario, the facility failed to ensure that each resident received adequate supervision and assistance to prevent choking and/or aspiration. Could this happen at your facility?
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What actions would you and your staff members take to prevent this from occurring in your facility?
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Could this happen at your facility?
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Share your thoughts and ideas about our monthly Challenge Scenarios (based on real life examples) with a collaborative community dedicated to improving care.
To prevent aspiration I would recommend the following:
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2. All thickened liquids should be prepared by staff that have been tested and demonstrated that they can prepare the drinks at the proper consistency. Or purchase pre-thickened drinks in the different consistencies.
3. Be specific on caregiver instructions on how to feed, Ex: If resident is coughing or gagging on thin liquids or pureed food try alternating with a thicker consistency if ordered.
4. If resident is being given food and drink at the consistency ordered and the resident is still demonstrating symptoms such as coughing or gagging then the MD should be notified on what steps to take such as order Swallow evaluation for another consistency.