Before feeding a dependent resident, in what position should the resident be placed?

• A. Supine.
• B. Sitting upright at 0-15 degrees.
• C. Upright 75-90 degrees.
• D. Reclined with the head back.

Answer: (C)

Feeding safety hinges on positioning the resident so the airway stays protected and swallowing works smoothly. Placing a dependent resident in an upright, high Fowler’s position—about 75 to 90 degrees—keeps the head, neck, and spine aligned and allows gravity to help the swallow. This elevation reduces the chance that food or liquid will go into the airway and cause aspiration, while also making it easier to coordinate chewing and swallowing.

Less elevation, like 0 to 15 degrees, doesn’t provide enough clearance for swallowing and increases aspiration risk. Lying flat (supine) or reclining with the head back disrupts airway alignment and further raises the risk of choking or aspirating. So the best position for feeding is upright with the head and torso elevated to about 75–90 degrees.