Assess swallowing and aspiration risk at meals (including for silent aspiration) and manage the aspiration precautions and diet texture.
Coordinate the SLP swallow evaluation and carry over the plan; manage safe diet-texture progression.
Recognize and immediately manage an aspiration event with positioning, suction, oxygen, and escalation.
Teaching / training (to mastery)
Teach the resident/representative the aspiration precautions, diet-texture and liquid-consistency requirements, safe-swallow strategies, and warning signs, with return-demonstration/teach-back.
Train CNAs on aspiration precautions, safe feeding technique, and reporting coughing/wet voice/pocketing or a respiratory change, with return-demonstration.