Caregiver was instructed upon measures to improve oral intake as follows:

  1. Obtain a dietary consult if necessary to assist client in selecting foods/fluids that meet nutritional needs, are appealing, and adhere to personal and cultural preferences
  2. Encourage a rest period before meals to minimize fatigue.
  3. Maintain a clean environment and relaxed, pleasant atmosphere.
  4. Provide oral hygiene before meals to remove unpleasant tastes, which often improves the taste of foods/fluids.
  5. Serve frequent, small meals rather than large ones if client is weak, fatigues easily, and/or has a poor appetite.
  6. Bring in client’s favorite foods unless contraindicated and eat with him to make eating more of a familiar social experience.
  7. Allow adequate time for meals and reheat foods/fluids if necessary
  8. Limit fluid intake with meals to reduce early satiety and subsequent decreased food intake.
  9. Enable client to feed self to promote his independence.
  10. Increase activity as allowed, as activity usually promotes a sense of well-being, which can improve appetite.
  11. Ensure that meals are well balanced and high in essential nutrients; offer high-protein, high-calorie dietary supplements, as indicated.