Component Task: Spoon Feeding of an Adult Ill Patient

It is the provision of nutritional meals through the gastrointestinal tract. This can be done directly through the mouth, stoma or with the aid of nasogastric (NG) tube.

Aims

Provide the nutritional needs of patient(s)

Requirements

a.      A tray containing:

·         Food

·         Spoon

·         Bottle of drinking water

·         Cup

·         Napkins

·         Serviette

b.      A bowl of water

c.      Hand washing soap

d.      Bedpan/urinal if necessary

e.      Mouth wash

Steps

1.        Establish rapport (Refer to steps)

2.      Explain the procedure to the patient and inform him/her about the kind of food about to serve

3.      Ask patient if he/she want to empty the bladder/bowel before eating

4.      Offer bedpan/urinal if required

5.      Assist patient to perform hand hygiene

6.      Perform hand hygiene and prepare meal tray

7.       Put patient into a desirable position

8.      Give patient a mouth wash

9.      Bring food in a tray to patient’s bedside and place it on the cardiac table

10.    Protect patient’s clothing with the serviette

11.      Ensure patient is in a comfortable position and ask if prayer is preferred

12.    Sit beside the patient if convenient to make patient feel relaxed

13.    Take food by spoon in small bits into patient’s mouth not too far back

14.    Allow patient time to chew and swallow

15.    Coordinate the opening of the mouth while introducing the food

16.    Continue feeding until patient is satisfied

17.    Give water intermittently as required by patient

18.    Clean patient’s lips and give a mouth wash

19.    Remove serviette and reposition patient comfortable

20.  Encourage patient to comment on the food served

21.    Congratulate patient and discard tray

22.  Dispose off tray and wash items

23.  Perform hand hygiene and document on appropriate charts (manual or electronic)


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