Medicare is a big issue for the older adult who depends on this medical insurance to pay for his or her hospital bills, medications, and rehabilitation. When talking to your older client about what Medicare will pay for and what it will not, what do you tell your client that Medicare will not cover the cost of?

A. Stroke under the chin in a downward motion.
Explanation: Stroking under the chin in a downward motion is not considered a standard technique for managing dysphagia. It's important to focus on strategies that promote safe swallowing and prevent aspiration.

B. Keep pulse oximeter ready at all times.
Explanation: While monitoring oxygen saturation is important in certain situations, having a pulse oximeter ready at all times may not be a routine instruction for feeding a client with dysphagia. Monitoring for signs of distress and ensuring a safe feeding environment are key aspects of care.

C. Avoid rushing the client or force feeding her.
Explanation: Rushing or force-feeding a client with dysphagia can increase the risk of aspiration. It's important to allow the client to eat at their own pace and take adequate time to chew and swallow safely.

D. If facial weakness is present, place food on the impaired side of the mouth.
Explanation: Placing food on the impaired side of the mouth can help compensate for facial weakness and promote more effective chewing and swallowing.

E. Alternate solid and liquid boluses.
Explanation: Alternating solid and liquid boluses can help with the overall coordination of the swallowing process. It can also facilitate the movement of food and liquids through the digestive tract.

F. Have the client sit at 90 degrees during all of oral intake.
Explanation: Ensuring that the client sits at a 90-degree angle during oral intake helps promote an upright position that aids in swallowing and reduces the risk of aspiration.

A. Transportation can be a critical factor in nutritional insufficiency in older adults.
Explanation: Limited access to transportation can be a barrier for older adults in obtaining nutritious food. This can lead to challenges in grocery shopping and accessing fresh, healthy food options. Lack of transportation may contribute to nutritional insufficiency in older individuals.

B. Soul food is a concern primarily for the African-American culture.
Explanation: This statement is not accurate. Dietary concerns and considerations, including those related to health, are not exclusive to any particular culture. Soul food, like any cuisine, can be enjoyed in moderation, but it's important to focus on a balanced and nutritious diet.

C. No government programs promote congregate dining among older adults.
Explanation: This statement is not true. There are government programs, such as the Older Americans Act Nutrition Program, that support congregate dining among older adults. These programs aim to provide nutritious meals to older individuals and foster social interactions by offering group dining opportunities.

D. The older person should be encouraged to practice strict controls on cholesterol intake to ensure protection against heart disease.
Explanation: While monitoring cholesterol intake is important for heart health, the term "strict controls" might not be universally applicable. Recommendations for cholesterol intake can vary based on an individual's overall health status, medical history, and specific dietary needs. It's advisable to consult with a healthcare professional for personalized advice on cholesterol management for older adults.