In which position should food be placed for a client with unilateral paralysis after a stroke?

For a client with unilateral paralysis after a stroke, positioning food on the side opposite to the paralysis is crucial for a couple of reasons. This approach encourages the use of the unaffected side of the mouth for chewing and swallowing, facilitating safer and more effective eating.

If a client has right-sided paralysis, for instance, placing food on the left side of the mouth prompts them to utilize their left side for mastication, thus preventing aspiration and improving their overall nutritional intake. This technique also helps in stimulating the muscles in the unaffected side, which may contribute to rehabilitation and improved function over time.

In contrast, placing food in the center or on the tongue does not specifically leverage the unaffected side, which may lead to difficulties in swallowing and an increased risk of aspiration if the client cannot clear the food towards their throat effectively. Therefore, placing food on the side opposite to the paralysis maximizes the use of available functionality and promotes safety during meals.