What is an appropriate response for a nurse regarding feeding a client with Parkinson's disease who has difficulty swallowing?

• A. He will be scheduled for surgery to have a feeding tube placed
• B. It's best to feed him only three meals a day to reduce the chance of choking
• C. Make sure he drinks all liquids through a straw and recline in chair while eating
• D. You should add a thickener to all liquids and make sure he sits upright while eating

Answer: (D)

The correct response emphasizes the importance of safety and effective swallowing techniques for a client with Parkinson's disease who experiences difficulty swallowing, also known as dysphagia. When caring for patients facing this challenge, the nurse should prioritize strategies that promote safe feeding practices.

Adding a thickener to all liquids can help reduce the risk of aspiration, as thicker liquids are easier to control during swallowing compared to thinner ones. This adaptation can make the swallowing process more manageable for individuals with dysphagia. Additionally, ensuring that the patient sits upright while eating is crucial as this position supports better swallowing and minimizes the risk of choking. Gravity plays a significant role in the swallowing process, and being upright can help facilitate the movement of food from the mouth to the esophagus.

The other options, while they might include some beneficial ideas, do not comprehensively address the specific needs of a patient with swallowing difficulties. For instance, scheduling a surgical intervention like a feeding tube may not be immediately necessary and could overlook potential non-invasive strategies like dietary modifications. Feeding only three meals a day does not consider the importance of smaller, more frequent meals that might be easier to manage. Lastly, using a straw could be problematic for some patients with dysphagia, as it might lead to quicker consumption of