In what scenario should a nutrition and feeding assistant NOT provide assistance?

The scenario in which a nutrition and feeding assistant should not provide assistance is when a resident has recurrent lung aspirations. This condition indicates that the resident is at risk for aspiration pneumonia, which can occur when food or liquid is accidentally inhaled into the lungs rather than being swallowed down the esophagus. In such cases, providing assistance with feeding could exacerbate the risk of further aspirations, leading to severe health complications.

When a resident is able to swallow normally, has difficulty chewing, or requests help, it is generally appropriate for a nutrition and feeding assistant to provide the necessary support. Each of these situations involves the resident being able to participate safely in the feeding process, either by swallowing effectively, requiring assistance with chewing, or seeking help as needed, thereby allowing for a safe and supportive dining experience. In contrast, the particular concern of recurrent lung aspirations highlights the critical need for caution and potential intervention from a qualified healthcare professional instead of a nutrition and feeding assistant.