Symptoms |
Solutions |
Dyspnea and fatigue |
- Consider easy meal preparation.
- Prepare meals utilizing simple recipes in bulk where single portions can be frozen.
- Stocking up on prepared foods may also be an alternate solution.
- Arrangements of home delivered meals may also be a possibility.
- Encourage resting before eating and cough techniques prior to meals (if necessary).
- Encourage the individuals to eat slowly and use pursed-lip breathing.
- Consider use of oxygen (if indicated) at meal times.
|
Dysphagia/Dental problems |
- Promote good dental hygiene.
- Assess denture fit and ensure adequate oral rinsing.
- Encourage high calorie, dense foods in a soft diet.
- Consider liquid nutritional supplementation.
|
Oral thrush due to improper inhaled corticosteroid use |
- Assess oral cavity.
- Promote good dental hygiene.
- Ensure appropriate medical follow up.
- Ensure adequate rinsing of mouth post-inhaled corticosteroid.
- Consider liquid nutritional supplementation if individual is unable to eat.
- Utilize holding chamber
|
Decreased appetite related to impact of disease, depression and/or social isolation |
- Assess nutritional intake and eating habits.
- Consider alternative eating environments (e.g., church-based or community- based volunteer programs)
- Promote easy meal preparation alternatives (e.g., meals on wheels)
|
Dyspepsia/Aerophagia |
- Encourage individuals to eat slowly and chew food well. Smaller meals (5-6 small meals/day) are ideal for encouraging adequate nutritional intake.
- Avoid drinking while eating or carbonated beverages to prevent gas swallowing.
- Gas producing foods such as broccoli, cabbage, cauliflower and onions should be avoided.
|
Early satiety during meals |
- Avoid drinking liquids one hour prior to meal time.
- Cold meals instead of hot meals, as hot meals create a sense of fullness.
- Consider liquid nutritional supplementation, to compensate for inadequate nutritional intake.
|
Constipation |
- Recommend high fibre foods and drinking of fluids.
- Promote mobility by encouraging exercise/activity as tolerated.
|