6015F Patient receiving or eligible to receive foods, fluids, or medication by mouth (STR)

Name of the Procedure:

Oral Administration of Foods, Fluids, or Medications (also known simply as "by mouth" or "PO" administration)

Summary

This procedure involves consuming foods, liquids, or medications through the mouth. It's the most common and straightforward method for the intake of nutrition and medication.

Purpose

Oral administration is used to provide necessary nutrients, fluids, or medications to the body. It helps manage various conditions, from dehydration and malnutrition to chronic illnesses requiring regular medication. The goal is to enhance health, manage symptoms, and prevent complications.

Indications

• Inability to maintain adequate nutrition or hydration through regular diet alone.
• Requirement for medication that is suitable for oral administration.
• Conditions such as mild-to-moderate dehydration, minor electrolyte imbalances, or chronic diseases managed with oral medications.

Preparation

• Follow specific dietary restrictions (e.g., fasting) if required before medication intake.
• No major preparation is generally needed for normal eating and drinking.
• Patients taking medications may need to adjust other medications or undergo baseline tests as indicated by a healthcare provider.

Procedure Description

1. Ensure the patient can safely swallow.
2. Prepare the required food, fluid, or medication.
3. For medications: confirm the dosage and administer with water.
   • Use a spoon or medicine cup for liquids.
   • Swallow tablets or capsules with ample water.
4. For nutrition or fluids: consume the prepared items as directed.

5. Observe the patient for any immediate adverse reactions.

   Typical tools include cups, spoons, pill organizers, and water.

Duration

A few seconds to a few minutes per administration, depending on the type and amount of intake.

Setting

Performed almost anywhere: at home, in hospitals, outpatient clinics, or long-term care facilities.

Personnel

• Primarily handled by the patient themselves or caregivers.
• Supervision by nurses or healthcare providers for patients with swallowing difficulties or those needing medication administration oversight.

Risks and Complications

• Choking or aspiration, especially in individuals with swallowing difficulties.
• Allergic reactions to foods or medications.
• Gastrointestinal discomfort or side effects from medications.

Benefits

• Effective and simple method for managing many conditions.
• Provides nutritional support and necessary hydration.
• Helps maintain or improve general health and manage chronic conditions.

Recovery

• Immediate effects for hydration and certain medications.
• Gradual improvement in overall health status with nutritional support.
• Follow-up appointments may be required for medication management or nutritional assessment.

Alternatives

• Intravenous (IV) administration for fluids or medications.
• Enteral feeding via a tube for patients unable to eat by mouth.
• Sublingual or buccal routes for some medications.

Pros: IV and enteral feeding bypass swallowing issues and ensure precise intake.
Cons: These methods are more invasive and typically require medical supervision.

Patient Experience

• Usually comfortable and familiar experience.
• May experience mild discomfort with new medications.
• Pain management is generally not necessary, but comfort measures include ensuring the right temperature and texture of food and liquids.