2/22/14

Procedure of Feeding a Helpless Patient

During illness, trauma or wound healing, the body needs more nutrients than usual. However, many peoples, because of weakness, immobility and/or one or both upper extremities are unable to feed themselves all or parts of the meal. Therefore, the nurse must be knowledgeable, sensitive and skillful in carrying out feeding procedures.

Purpose
• To be sure the pt receives adequate nutrition
• To promote the pt well-beings

Procedure
1. Prepare pt units
• Remove all unsightly equipments; remove solid linens and arranging bedside tables.
• Control unpleasant odors in the room by refreshing the room. Odor free environment makes eating more pleasant and aids digestion.

2. Prepare the patients
• Offers bedpan and urinals. To comfort pt and avoid interruption by elimination needs.
• Assist pt to wash hands, face and oral care
• Position patient comfortably
  - Mid or high Fowler's position
• Protect the bed using suitable protective cover

3. Prepare the food tray
• Identify the types of diet ordered.
• Assess any special conditions in which the pt delayed or omitted (e.g. Lab, radiologic examination or surgery)
• Assess any cultural or religious limitations, specific likes or dislikes.
• Obtain any special utensils that you planned to use

4. Feed the patient
• Place the food tray in such a way that the patient can see the food.
• Position yourself at pt's eye level, if at all possible
- Digestion is better when pt is not emotionally upset.
• Never hurry a pt's eating. This can make pt uncomfortable and fearful of taking up your time.
• Allow pt to determine when enough has been eaten, as way of providing choices.

5. Comfort patient
• Assist hand washing and oral care
• Offer bedpan and commodes, of indicated
• Comfort patient, provide quite environment so that the pt may relax after meal, which also promote good digestion.

6. Care of equipment

7. Document feeding and any assessment

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