5. Skilled interventions and teaching

Skilled interventions

• Monitor and record weights on schedule and calculate the loss/gain against the thresholds; escalate a significant change.
• Implement the therapeutic/altered diet and aspiration precautions; assist and cue at meals as needed; track intake and hydration.
• Manage enteral feeding per order (rate, residual, flushes, site care) and recognize intolerance early.

Teaching / training (to mastery)

• Teach the resident/representative the diet rationale, aspiration precautions, and enteral-feeding care, with teach-back.
• Train CNAs on safe feeding technique, aspiration precautions, and intake documentation, with return-demonstration.