Home Feeding
| Select | Name | Description | Delete |
|---|---|---|---|
| Dressing | Increased time given for patient to remember dress sequence secondary to cognitive decline. | ||
| Environment modification | w/ use a tray table if adjusting table height. Ensure adequate lighting, task lighting. Reduce distractions bu turning off tv, clear table. | ||
| Feeding modifications by | use of adaptive equipment (weighted utensil, plate guard, Dycem etc) increase or decrease resistance of theraputty Downgrade to use of hands to promote dining with dignity Pre-cut putty into smaller shapes and practice only on fork or spoon use | ||
| Modified | utensils provided to improve grasp due to decreased dexterity | ||
| Preparatory act | w/ use of heavy weighted spoon to facilitate use of AD to reduce spillage during self feeding task. | ||
| PROVIDED | Tactile cues to encourage bilateral hand use during self-feeding or grooming activities. Verbal cues for timing and coordination during mealtime, such as chewing and swallowing. Physical assistance for proper posture and alignment while sitting at table for eating. Tactile/verbal cues to properly grade pressure while gripping utensils. Physical cues on hands to adjust while holding utensils. Verbal cues to bring mouth to spoon to prevent spillage. | ||
| Pt | required a swivel spoon during self feeding to prevent spillage. | ||
| Pt demos | poor posture (rounded shoulders) decreased head control decreased grip strength lack of fine motor coordination spillage difficulty bringing utensil to mouth decreased oral motor skills slow pacing tremors difficulty with utensils Behavioral issues Poor attention skills Decreased socialization/embarrassment at mealtimes Decrease UE ROM | ||
| Staff | educated on proper AD utensil usage for pt's self-feeding techniques to increase efficiency. | ||
| Utensil training | to identify pt's preferences and see what's easier for to handle for self self-feeding task. Dicussion on use of angled plates plate guards weighted utensils built-up utensils dycem mat under plate to prevent moving suction cup/plates/bowls handled cups straw cup w/ liquids to increase efficiency in self feeding task. |
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