Before feeding a resident who is seated in a chair, how should you position them?

• A. Lie flat in bed
• B. Sit upright in a chair
• C. Stand beside the chair
• D. Lean back with head of bed raised slightly

Answer: (B)

Maintaining an upright, supported posture during and before feeding is essential for safe swallowing. When a resident is seated in a chair, position them with the back well supported, hips at about 90 degrees, feet flat on the floor, and the head and neck in a neutral position. This upright alignment uses gravity to help move food toward the esophagus and reduces the risk of food or liquid entering the airway. Lying flat, leaning back, or being upright in another, non-feeding position can increase the chance of choking or aspiration. Ensure the chair is stable and comfortable, and adjust as needed for comfort and safety.