A series of transient ischemic attacks have caused an older adult to become dysphagic. Despite failing a swallowing assessment, the client is opposed to eating a minced and pureed diet and wishes to eat a regular diet
How should the care team respond to this request?
A) Insert a feeding tube to provide nutrition while eliminating the risk of aspiration.
B) Continue providing a minced and pureed diet to the client in order to ensure safety.
C) Defer responsibility for feeding to the client's friends and family.
D) Provide the client's requested diet after ensuring the client understands the risks.
Ans: D
A common ethical dilemma is a client's or client's family's desire to continue an activity at risk. In general, an individual has the autonomy to choose this unless he or she is declared incompetent.
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