Medical-Surgical II (MSII) Neuro 1 Practice Test

Managing swallowing safety in Parkinson’s during meals relies on pacing, small bite sizes, and a calm mealtime environment. Parkinson’s can slow and poorly coordinate the muscles used for chewing and swallowing, so giving the patient ample time helps ensure thorough chewing and a complete swallow before the next bite. Offering small bites keeps the bolus manageable, reduces fatigue of the jaw, and lowers the chance of residual food slipping into the airway. Minimizing distractions helps the patient focus on each swallow, improving timing and coordination and reducing the risk of mis-timed swallows or coughing. In contrast, large portions, foods that require prolonged chewing, or trying to speak while chewing can disrupt airway protection and increase the risk of aspiration.