I have a stroke patient that is almost impossible to feed. She had the stroke about 2 wks ago, and is completely dependent/verbally unresponsive/still sleeping most of the time.
The SLP told gave me a couple of tips (including tapping her cheek and throat gently which only works for about 5 mouths full, then she just won't open her mouth no matter what I do), and told me that I just "need to be really patient". Duh.
I am being as patient as I can, but at this rate, I literally CANNOT spend the amount of time reqired to get her all the food she needs. It would take me over an hour and a half to feed her a single bowl of puree. Her family will not consider a feeding tube.
The nurses, of course, do not seem to understand that I have other feeders that need to eat, as well as a full patient load. They have also told me that most of the other CNA's have been charting her as having eaten 60-70% of her food at every meal. I think the CNA's are lying because there is NO WAY they could get her to eat that much unless they spent 3-4 hours per shift just feeding her.