While living in a nursing home or a long-term care facility, entitles a resident to receive quality care, experience quality of life, and exercise their rights. This press release from Missouri offers tips for visiting family and friends during the holidays as well as inform nursing home residents and about the ombudsman program. Families and seniors: Know that every assisted living facility must carry out a Residents' Bill of Rights. [4uIRA$cl6eJ&}PiY +eV>*;N4cww~w% 1r\TeU>KqSrz9hY5=ajOyF1cS!vnZ"Mf-MuW@e7t The Charter details the rights and responsibilities of all residents including personal, civil, legal and consumer rights. Are diet orders customized according to the resident's wishes (e.g., regular diet with sugar-free desserts and sugar substitute instead of carbohydrate controlled or diabetic, and regular diet with no-salt packet and low potassium foods of resident choice instead of renal diet)? Pudding Thick: Semi-Solid, Make a check mark by all of the correct guidelines for working with residents who have tube feedings, -During the feeding, the resident should remain in a sitting position with the head of the bed elevated at least 45 degrees Stand up and exercise your patient rights. Determine the magnetic field in the region surrounding the wire and coating as a function of the perpendicular distance, $r$, from the central axis of the wire. FACT SHEET: Protecting Seniors by Improving Safety and Quality of Care in the Nation's Nursing Homes - Updated March 1, 2022. Is the TwoCal Med Pass (60 cc or 120 cc of high calorie/protein supplement) considered for extra nutrition without diminishing the resident's appetite? Take a look at this resource for help and direction before moving to an assisted living facility. Donald Rose assert the right to foodadequate nutritional foodadheres to three intrinsic policies. The nursing home should have clearly defined procedures for ensuring that there is follow-up documentation, education of risk/benefit, and alternatives offered by the physician, dietitian (for therapeutic diets), and speech language pathologist(for texture modified diets and thickened liquid restrictions.) Early Multi-Word Speech Nativist Approaches, Julie S Snyder, Linda Lilley, Shelly Collins, Medical Assisting: Administrative and Clinical Procedures, Kathryn A Booth, Leesa Whicker, Sandra Moaney Wright, Terri D Wyman. People at risk for heart attacks and heart disease may be placed on this diet. Trisha Torrey is a patient empowerment and advocacy consultant. what rights do residents have with regard to food choices. Present food choice was found to be influenced by early food experience s and changing political, economic, social and cultural circum stances as well as changes in individual life circumstances. Some of the other factors that influence food choice include. When nutrition interventions are required, are real food options, fortification programs, and high-protein/high-calorie snacks of choice emphasized vs. health shakes and supplements? Examples of these are butter, oil, and salad dressing. `Ni>vmL>.#SHoN(! Home / / what rights do residents have with regard to food choices NEW ORLEANS - Election officials are still counting signatures to determine whether New Orleans Mayor LaToya Cantrell will face a recall vote, but Big Easy residents said support for the effort . New residents are informed that they may sleep in and have a right to a reasonable accommodation of a late breakfast and food opportunities throughout the day, as close to their usual home-like pattern as possible. Resident Rights and Protections. Food Choice Sustainability The wave of global hunger The Three Rights. Our Teams are working hard and pushing the boundaries of possibilities to widen the horizon and provide high quality blogger article to all hardworking bloggers! Therapeutic diets are often unpalatable and poorly tolerated by older persons and may lead to weight loss. Locate an Ombudsman, Citizen Advocacy Group and other resources near you. The questions are based on the categories that are included in the exam. Some are guaranteed by federal law, such as the right to get a copy of your medical records, and the right to keep them private. This control means trying to direct people to eat a certain way or expressly prohibiting or banning the consumption of certain foods. Is It a HIPAA Violation to Ask Someone's COVID-19 Vaccination Status? Member Price: $24.99. what rights do residents have with regard to food choices? The coated wire is in air and the wire itself is nonmagnetic. This downloadable inservice assists in training staff about how to honor residents' rights to make choices related to food and diet, what to do to comply with federal regulations regarding food and nutrition . ALFA.org (Assisted Living Federation Association) recommends making several visits at various times of day to each community you are considering. Each resident and the resident's designated representative, if appropriate, must be given a copy of the resident's rights and responsibilities before moving into the facility. Residents' Rights. Section 3721.13. Most of a person's fruit choices should be _____________. Implementing the dining practice standards described here will help serve our residents with the very best quality of life during their post-acute stay or during their long-term last days. If you don't remember your password, you can reset it by entering your email address and clicking the Reset Password button. Hln0z[ ["`^|Hi2E2}9+9]=x|Z Over 6,000 double-blind peer reviewed clinical articles; 50 clinical subjects and 20 clinical roles or settings; Clinical articles with discussion handouts and online assessments Those exceptions tend to occur when others are subsidizing the patient's income during the period of injury, sickness, and inability to work. Do Patients Have the Right to Refuse Medical Treatment? The right to vote should be extended to every adult resident of the United . The law requires nursing homes to "promote and protect the rights of each resident" and places a strong emphasis on individual dignity and self-determination. These can be classified as monounsaturated, polyunsaturated, and saturated. what is the role of the dietary departments? Your rights and responsibilities as a patient are set out in the NHS Constitution. Carbohydrates. dark green. X Food, universally acknowledged as one of the most important aspects of resident quality of life across the spectrum of post-acute/long-term care. This group has determined that only one diet can be checked off on the diet list, which has invited liberalization and thoughtful change in the ordering of diets. This is the most essential nutrient for life. Fruits, Grains, Vegetables, Protein, and Dairy. Freedom from discrimination Right to education Right to food Right to housing Right to liberty and security of person Right to life Right to. This prevents the consequent cognitive, motor, emotional or other adaptive growth and development that would result if novelty had been pursued. MyPlate's guidelines state that half of a person's plate should be made up of ________________. The Right to Make Decisions About End-of-Life Care. You have certain rights regarding the type of diet and nutritional Most of a persons fruit choices should be. The first resident, Mr. C, wanted non-pureed foods and his favorite thin liquids after he was assessed by a speech language pathologist (SLP), who determined he needed a pureed diet with nectar-thick liquid. Involving Resident Organizations The right to organize as residents without obstruction harassment or retaliation from property owners or management. In an HOA, though, homeowners must still abide by community rules and regulations. Out of the following choices, which color of vegetables has the best nutritional content? Dietary managers use this prescreening opportunity to inform new residents about their dining rights by using open-ended questions, such as Do you want to follow the ordered diet? or Do you know that you have a right to decide what diet is best for you? When the resident does not want to follow the ordered diet, the first step is to try to get the order liberalized to honor the resident's choice. There are certainly barriers in the area of ordering diets and using best practices in this arena: Physicians don't regard this as a medical issue. \#%^~)pX_Z={*hDz>98\8))M/28>>&8` Jb6 When a high-risk resident requires an increase in calories/protein, the attending physician, dietitian, and dietary manager should collaborate to implement the standard of Real Food First. Does the dietitian make recommendations to the attending physician to obtain orders for fortified real food commercial products (e.g., Magic Cup Frozen Dessert, Home Care Nutrition, Hormel Health Labs) or for a planned fortified diet using specific fortification recipes for hot super cereal, soup, cheesy mash potatoes, or pudding, based upon resident preferences? You have the right to and the facility must promote and facilitate self-determination through support of resident choice, including: The right to choose activities, schedules (including sleeping and waking times), health care and providers of health care services consistent with your interests, assessments, plan of care and other applicable . hYO8Wv"*Jo]Dtl mI{Mf&P5d2__F LIe)IL%xkN(`,J(6g aT&YaL1-4xe FOh.g? T F 6. Low-income families, then, turn to places like gas stations and convenience stores to purchase food, and these tend to stock foods high in saturated fat, sodium or sugar, and low in essential nutrients. Are creative hydration stations/carts and snack carts being implemented? The care home must make it easy for you to complain and. Food Choice Sustainability Technology enables three rights. what rights do residents have with regard to food choicesassured partners employee handbook. The process of developing an appropriate diet starts with the resident's admission to the nursing home. The 1987 Nursing Home Reform Law requires each nursing home to care for its residents in a manner that promotes and enhances the quality of life of each resident, ensuring dignity, choice, and self-determination. Care planning the choice 'Tth5um(ZdKAIM5gwQd VZ V H4 TjXq p9(`0X , @P VXa,e`8VG9f }F m ddG%a"`~a~1ka~mZT[ d Most of a persons fruit choices should be. Residents' Rights are guaranteed by the federal 1987 Nursing Home Reform Law. It's important to see the service plan-and help write and update it. Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Diet orders can effectively redistribute the daily food allowance. Know Your Resident Rights and Protections, Person Centered Thinking with Older People, Planning Your Social Security to Better Pay for Retirement, Medication Management and Adherence Education. The Special Rapporteur on the Right to Food defines this right as the right to have regular permanent and free access either directly or by means of financial purchases to quantitatively and qualitatively adequate and sufficient food corresponding to the cultural traditions of the people to which the consumer belongs and which ensures a physical and mental individual. Wheat, rice, oats, cornmeal, and barley are examples of which food group? Corresponding to these patients' rights are a number of patients' responsibilities. Residents Rights are guaranteed by the federal 1987 Nursing Home Reform Law. Out of the following choices, which color of vegetables has the best nutritional content? It's unfortunate that the Dining Practice Standards approved in 2011 have not achieved as much traction as one might have hoped, despite the involvement of two esteemed AMDA past-presidents Karyn Leible, MD, CMD, and Matthew Wayne, MD, CMD. Purpose and methods: This study examines 4 food choice behaviors in a large sample of young adults from 23 countries and tests 2 possible explanatory mechanisms for the gender differences-women's greater likelihood of dieting and women's greater beliefs in the . At the time, many facilities were having difficulties complying with two separate and distinct sets of regulations. 240 0 obj <> endobj Share with the family and assisted living staff what you want to do and the decisions you want to make for yourself. Residents' rights. In fact, low-income populations tend to consume less fiber, vitamin C, folate and beta-carotene, according to a 2008 article published in the . A California resident is a natural person (as opposed to a corporation or . Facility staff continued to monitor Mr. C and offered alternatives, which he accepted and rejected as he defined his own quality of life. Since 2007, she has been doing the research to find answers to common concerns: housing, aging and health, staying safe and independent, and planning long-term. H\0E/BViqP$Q, Hey there, We are Themes! The 1987 Nursing Home Reform Law protects the following rights of nursing home residents: If you have a copy of Residents' Rights in a language not listed here and would like to share it with NORC, e-mail it toombudcenter@theconsumervoice.org. The true stories of two residents illustrate different tactics to approaching residents' rights to eat what they want. She has co-authored two books for the popular Dummies Series (as Shereen Jegtvig). It includes model policies and procedures, tip sheets, benchmark templating, resources, and printable brochures for residents and family (, One of the reference documents in the toolkit is this author's presentation at Pioneer Network's annual conference on August 14, 2013, entitled Applying CMS Mandated QAPI 5 Elements to Ensure the New Dining Practice Standards [DPR], Resident Rights, and Resident Performance Improvement Leaders (, We use cookies to help provide and enhance our service and tailor content. Tips for Holiday Visiting Without this, a person can only live a few days. Every community is unique. The family and staff want to protect you. Fats. being protected from abuse and neglect. (T={ mI~-GAVa9K?/j9^k9_Qg/W{HWU~r\.*)1Y>~lqyO}# i Real food options, including high calorie/high protein choices, are preferred over supplementation. They have the right to not eat/drink certain foods. The Federal Nursing Home Reform Act of 1987 protects residents' rights in federally funded long-term care facilities. Respect the quality of life decisions of residents. For family members, you may or at some point become a relative's legal guardian; the person who makes decisions for the loved one. And to have a quality maintenance program run by management. Elder Rights: Safeguards for the Most Vulnerable Among Us, designed by the Administration on Aging (AoA). H\0ESu3,E&if=1&B "d1_I9IC&9 gv}3pB4x4]oRY?sv0]Jy0O_~}b?&YcjgVx{~6V~,Mx,ahuC{k}5Sl3Vo^O>@Glx&xV`KU (( J*JO jN'AP!hQ@P>@P>@P>@P>@P>@P>@P>@P>@P>@P>@P>@P>@P>@P>@P>@P>UlWrQYC:P}eI8. eIXxAYiG$,rGE7A7ndHXF"t#a{l.aQG[m+k9 Then in 1993 a newly elected administration declared food a right of citizenship. Different Levels Of Food Bullying Same Answer You Can T Have That Bullying Books About Bullying Bully Meaning, Understanding Food Groups For Children Food Groups For Kids Group Meals Five Food Groups, Healthy Eating Scripts Diet Motivation Quotes Made To Crave Diet Motivation. Each state in the United States governs how patients may make and legally record the decisions they make about how their lives will end, including life-preserving measures such as the use of feeding tubes or ventilators. /;9(s\[X ,fMw! Mayor Eric Adams, setting aside prior misgivings, allowed a bill to become law on Sunday that would grant more than 800,000 noncitizens the right to vote in . what rights do residents have with regard to food choices; what rights do residents have with regard to food choices. Facility residents have a right to a diet that is enjoyable and nourishing. The Centers for Medicare Medicaid Services CMS has developed protocols and interpretive guidelines that state the the facility must provide each resident with a nourishing palatable well-balanced diet that meets his or her daily nutritional and special dietary needs taking into consideration the preferences of each resident. Biological determinants such as hunger appetite and taste. This right is closely associated with the Right to Informed Consent. What rights do residents have with regard to food choices. Respecting Resident's Right to Make Choices in Food & Dining Inservice quantity. U.S. Department of Health & Human Services. Each question has been researched and the answer verified. Yes, But It Will Cost You. than using synthetic pesticides? Sodium restriction has become more of a knee-jerk order as congestive heart failure protocols become increasingly common, based on lowering hospital readmission rates (arguably based on financial imperatives, not resident wishes). What is the mass (in amu) of a carbon- 12 atom? HVn7}W[Trx /H) My Personal Directions for Quality Living Forms Angry Ohio residents concerned about their health and wellbeing following a toxic train derailment in East Palestine tore into Norfolk Southern officials during a contentious town hall meeting . www.opendialoguemediations.com. image, www.pioneernetwork.net/Data/Documents/CreatingHomeOnline/Paper-Handy.pdf, www.pioneernetwork.net/Data/Documents/CreatingHomeOnline/Paper-WayneandLeible.pdf, www.pioneernetwork.net/Providers/DiningPracticeStandards, https://www.pioneernetwork.net/Data/Documents/CreatingHomeOnline/Paper-Ronch.pdf, www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Downloads/Survey-and-Cert-Letter-13-13.pdf, http://surveyortraining.cms.hhs.gov/pubs/VideoInformation.aspx?id=1101&cid=0CMSNEWDINPRSTAN, www.pioneernetwork.net/Store/DiningStandardsToolkit, www.cms.gov/SurveyCertificationGenInfo/Downloads/fiveelementsqapi.pdf, www.ihi.org/knowledge/Pages/HowtoImprove/default.aspx. An important patient right is informed consent. These minerals aid muscle function, strengthen bones and help the body to maintain blood pressure and fluid balance. Each resident or the resident's designated representative be given a copy of the resident's rights and responsibilities before move-in. One-half to two-thirds of body weight is this. The 1987 Nursing Home Reform Law requires each nursing home to care for its residents in a manner that promotes and enhances the quality of life of each resident, ensuring dignity, choice, and self-determination. Minerals like calcium, sodium, magnesium and potassium are some of the most important minerals the body needs, though there are others that are also necessary. Individuals Right under HIPAA to Access their Health Information 45 CFR 164.524. He is in one of the earlier developmental periods, concerned with establishing a career and satisfying long-term relationships. As a patient, you have certain rights. YOUR RIGHTS. Can choose what kind of food they do. Source: Kristen Wiig Dammann and Chery Smith. The diet that is checked off may be a regular diet or a texture-modified or puree diet. Section III will look at some . After seven years of helping her aging parents, Carol Marak has become a dedicated senior care writer. Out of the following choices which color of vegetables has the best nutritional content. Pork, scavengers, and shellfish are prohibited, although meat, in general, is not a common food. Does the facility staff offer oral gratification of food with sips of water coupled with effective oral hygiene programs, such as the Frazier Free Water Protocol, which is defined in Pioneer Network's Dining Standards Toolkit (see Ensuring Quality With Dining Standards Toolkit)? All nursing homes are required "to provide services and activities to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident in accordance with a written plan of care that is initially prepared, with participation, to the extent practicable, of the resident, the resident's family, or legal representative." One scrambled large egg cooked with oil. The right to be given reasonable notice in writing of any nonemergency inspection or other entry into your apartment. The HIPAA Act of 1996 provides patients in the United States a right to obtain their medical records, including doctors' notes, medical test results and other documentation related to their care. The Charter also outlines residents' responsibilities in relation to other residents, staff and the residential aged . Staff informed the resident and documented the risk/benefit. Z1}f]Z@'=8>;VQZ\mA][g$!6WKFT(dQ9;&RbSRHte>(g&K;QL!a@^Y&&7bPKgd"'}(\|tE.~$XBmyg l $ )MFBDm5i*$o+7(pO{9&lqWG=8vbZD#n]n.R@, _nFsqmno(z*C%n9+P(d WE-Rz@E[F/hQ/ )7(KRQaSg 7%mzVal. Why is the atomic mass of carbon listed as 12.01amu12.01 \mathrm{amu}12.01amu in the table on the inside front cover of this book? It is OK for a facility to open a . Residents with a diagnosis of dementia can not participate in planning their care and in exercising choice. ThePut a STOP to Poor Care brochure,produced by the Consumer Voicein collaboration with the National Center on Elder Abuse (NCEA), includes indicators of quality care, warning signs, red flags of potential abuse, and advocacy tips to address concerns. H|N0EE&J%g8s=e;|}suvV$}hWE!>QNnz4Wg\zD=:l5}[Id7};? To prevent further heart or kidney damage, doctors may restrict fluid intake on this diet. The Centers for Medicare & Medicaid Services announced surveyor training on the DPS and stated, Research has indicated that many older individuals may not need to be limited to very restrictive diets, pureed foods, and thickened liquids even though they may have many chronic conditions. The second resident, Mrs. A, had been encouraged by staff to accept a tube feeding status, but she repeatedly asked if she could dine on pureed food with her long-time companions. To update your cookie settings, please visit the, AMDA - The Society for Post-Acute and Long-Term Care Medicine, Dextromethorphan/Quinidine Effective for Agitation. People who have kidney disease may also be on this diet, which encourages food like breads and pasta. i2'C.oK>9,`Z~QI[%7_t~f7bZ{_~Z,e=-=\n4g1f)MQmW.L*{11'? being treated by appropriately qualified and experienced staff. Cathy Lieblich, Pioneer Network's Director of Network Relations, posed six questions to CMS that surfaced via providers engaged in the transformation of dining systems. endstream endobj 241 0 obj <>/Metadata 15 0 R/Pages 238 0 R/StructTreeRoot 33 0 R/Type/Catalog/ViewerPreferences<>>> endobj 242 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC/ImageI]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 243 0 obj <>stream In addition your rights as a nursing home resident include the right to. The result was a three factor, 25-item scale with good/excellent internal consistency: Factor One (13 items-good food/service, = 0.896), Factor Two (seven items-resident choice/food . The right to food protects the right of all human beings to be free from hunger food insecurity and malnutrition. The Latin American diet includes fish, shellfish, plant oils, dairy, and poultry choices on a daily basis with other meats, eggs, and sweets only selected on a weekly basis. fundamental rights and explore potential arguments in favor of a right to choice of food. respect and confidentiality. Each facility must maintain and keep current a record of the following information on each resident: (a) A copy of the resident's current negotiated . that influence food choices and attempts to understand the factors contributing to low food security. The Right of Control: A homeowner has the right to use their property as they please as long as it is legal. . Food Choice Sustainability Technology. There are some exceptions, meaning that some patients may not refuse treatment. The team should compare the resident's choice to the resident's condition to determine the nature of potential risks. Residents, or their family members, have the right to make decisions about what the resident wants. Customizing and individualizing diets according to a resident's wishes has become the standard for one of the largest nursing home groups in the country, and facilities in the group now embrace the new dining practice standards. This is the most essential nutrient for life. Some states have residents' rights in state law or regulation for nursing homes, licensed assisted living, adult care homes, and other board and care facilities. What rights do residents have with regard to food choices. U@ U@ U@ U@ U@ U@ U@ U@ U@ U@ U@ U@ U@ U@ U@ U@pTQ6mE g gC$,p6_8$D@Y5HXeH8t#a@7y' n$Wgs >j6U}*~i[_Qg/VGX)sF|Rr/U9^~)G$22JgNp|R6y)}L 7og< ,^ Some food regular growing up including its like as many special foods and many religion time and many festival time for other culture in community. A residential care or assisted living facility must protect and promote the rights of each resident, including each of the following rights: (1) Resident records. . A person living in a long-term care facility maintains the same rights as an individual in the larger community. Respecting residents' diet preferences is becoming standard procedure in post-acute/long-term care. In most cases, a patient may refuse treatment as long as he is considered to be capable of making sound decisions, or he made that choice when he was of sound mind through written expression (as is often the case when it comes to end-of-life care). Make sure it reflects your needs and wants. By Trisha Torrey To full and effective use of his or her personal civil legal and consumer rights. Add to cart. Own an assisted living facility? endstream endobj 248 0 obj <>stream To full information about his or her own state of health and about available treatments. At a minimum federal law states that a nursing home must protect and promote the rights of each resident. Examples of these include bread, cereal, and potatoes. 2012. To receive proper notification if requested to move out of the facility, and be required to move out only for reasons stated in 50-State Assisted Living Facilities Law. Examples of these include bread, cereal, and potatoes. Residents living in an assisted living community, older adults, have rights to make decisions about how they want to live and be cared for, no matter where they call home. Many dietary managers are expanding this initial interview with questions about the resident's diet preferences and when the resident normally eats (i.e., late breakfast, snacking throughout the day, late evening snack). One of frequent causes of weight loss in the long-term care setting is therapeutic diets. The Bill of Rights must state that residents have the right: Shereen Lehman, MS, is a healthcare journalist and fact checker. $$ 1/2 cup low-fat ice cream. Journal of Southwest , 46 (2), 223-252. In a [] The Service Plan comes lists all the resident's needs. Diabetic diet. When you visit the site, Dotdash Meredith and its partners may store or retrieve information on your browser, mostly in the form of cookies. No reputable practitioner or facility that performs tests, procedures or treatments will do so without asking the patient or his guardian to sign a form giving consent. Respecting residents' diet preferences is becoming standard procedure in post-acute/long-term care. What is the value of \omega in radians per second? Please enter a term before submitting your search. The Fine Art of Balancing Protection with Self Determination - Webinar(November 2015), Guidelines for Resident Rights-Problem Solving Presentation (for up to 20 people) - A Tutorial for Ombudsmen, Guidelines for Large Group (30-150 staff) Resident Rights Presentation - A Tutorial for Ombudsmen, View Ombudsman program examples onresidents' rights, Residents' Rights: Your Life, Your Care, Your Choices, Fact Sheet - Residents Rights: An Overview, Piecing Together Quality Long-Term Care - A Consumer's Guide to Choices and Advocacy. Aged care services should do what they can to ensure timely access to medically appropriate care services and ongoing access to visitors. Foods that are hard to chew and swallow, such as raw vegetables, will be restricted, health reasons, a dislike of meat, a compassion for animals, or a belief in non-violence may lead a person to this diet, Twenty-six ounces of water per day is the recommended amount for most people, A force fluids (FF) medical order means to restrict the amount of fluids consumed, Fluid overload occurs when the body is unable to handle the amount of fluid consumed, If a resident has an NPO order, he can drink water but no other type of fluid, The sense of thirst lessens as a person ages, People can become dehydrated by vomiting too much, A symptom of fluid overload is edema of the extremities, In order to prevent dehydration, a nursing assistant should offer fresh fluids to residents often, It is a good idea for residents with swallowing problems to suck on ice chips, The NA should make sure that the water pitcher and cup are light enough for the resident to lift, Offer different kinds of foods and _________, Allow enough ____ for residents to finish eating, Tell the nurse if resident has trouble using ________, Proper position for eating that helps prevent swallowing problems, Something that has a positive effect on eating and helps prevent loneliness and boredom, Use of eyeglasses, hearing aids, and these should be encouraged, Devices that can help residents with eating, Noise level should be kept ___ when residents are eating, It is important for NAs to identify each resident before serving meal trays, The NA should stand while feeding a resident, The resident's mouth should be empty before the NA offers another bite of food, The NA should refer to pureed carrots as "orange stuff" so the resident knows which food the NA is talking about, To promote a healthy appetite, the NA should remain silent while helping a resident eat, If food is too hot, the NA should blow on it for a few minutes until it is cool enough for the resident to eat, Residents should be sitting upright at a 90-degree angle for eating, If a resident wants to eat his dessert first, the NA should explain that it is unhealthy and that he should begin with his entree, Alternating cold and hot foods or bland foods and sweets can help increase appetite, To help keep residents' clothes clean, NAs should insist that residents use clothing protectors when eating.
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