During feeding to prevent aspiration, what torso position is recommended for a resident?

• A. 0-15 degrees
• B. 45-60 degrees
• C. 15-30 degrees
• D. 75-90 degrees

Answer: (D)

Positioning during meals is crucial for protecting the airway. Keeping the resident in a fully upright posture, about 75 to 90 degrees, uses gravity to help keep food and liquids in the esophagus and away from the airway, reducing the risk of aspiration. This upright position also supports better coordination of swallowing and breathing, which is especially important for those with swallowing difficulties. Make sure the back and shoulders are well supported and the resident remains upright for the duration of the meal and for about 15 to 30 minutes afterward. Less upright positions (such as semi-reclined) don’t provide the same protection and increase the chance of material entering the airway.