[Dysphagia] SDAT with a bottle feed

[kwitte at hebrewhome.org (Kassie Witte)]

We have recently admitted an elderly woman with advanced SDAT and
seizure disorder  and very aggressive behavior who prior to admission
was fed at home solely using a baby bottle with cross hatched nipple.
She retrains only a such swallow.  Hydration and nutrition have been
maintained with this approach. Using the bottle, the resident will often
self feed.  She aggressively resists PO feeds with anything other than a
bottle.  Essentially maintenance of PO is exclusively via a bottle feed.

 

If any of you have experience with bottle feeding approaches in a Long
Term Care setting, I would appreciate any you facility used regarding
cleaning/sterilization  of these items and any approaches your Nursing
staff used to maintain a supply of clean bottles on the nursing unit.  I
know  the approaches to this situation may appear easy, but not for us
at the moment.

Thank you 

Kassie

kwitte@hebrewhome.org