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• Referral from August 27, 2015
  

  American A. asked:

  What would you do? Final scenario! Stella is 92 and has always had a healthy appetite; however, now that she is having difficulty swallowing, her physician has prescribed a pureed diet with thickening liquids. Stella dislikes the taste, eats very little, and is losing too much weight. She wants to eat a regular diet, but her nurses know that she will be at risk for aspiration and choking. What would you suggest that Stella’s nurses do? Have you faced a similar situation? Tell us how you handled it. Let us know by commenting on this post!

  

  Relish S. replied:

  I would have the dietician consultant develop a menu of "Real Foods First" (https://www.pioneernetwork.net/Providers/DiningPracticeStandards/) based on the food preferences of Stella that include foods that may minimize the aspiration risk. If Stella isn't interested in that, then allow the regular diet, with education for Stella on how she can minimize the risk.

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