For a patient with dysphagia, what feeding precautions are recommended?

• A. Thin liquids and reclining
• B. Regular diet
• C. Ice only
• D. Thick liquids/pureed; sit upright and assess for aspiration

Answer: (D)

When a patient has dysphagia, protecting the airway is the key goal. Thick liquids or pureed textures slow and control the bolus flow, making it easier for the swallow muscles to coordinate and reducing the risk that material enters the airway. Keeping the patient seated upright during meals and for a period afterward uses gravity to aid safe swallowing and minimize aspiration. In addition, ongoing assessment for signs of aspiration (such as coughing or changes in voice after swallowing) helps ensure the patient's safety. Thin liquids, regular diets, or reclining during meals increase the likelihood of aspiration, which is why they are not recommended.