Abfm Ite 2023 Test Questions With Answers All Correct

The daughter of an 82-year-old bedbound female with Alzheimer dementia requests a home visit to discuss transitions of care due to continued deterioration of her mother's condition. The daughter has been the caregiver for the past 5 years since her mother began to struggle with independently managing her activities of daily living (ADLs). Recently, the patient's appetite has significantly diminished, and her daughter is concerned that she has lost 15 lb in the last 6 months. She asks about feeding tube placement, medications to help her appetite, or ways to improve her dementia. The patient no longer recognizes her daughter and is nonverbal but smiles when approached at her bedside upon examination. Her vital signs are stable, she appears cachectic, a physical examination is unremarkable, and pain is not present upon palpation. Which one of the following is recommended at this time? {Ans: Assited Oral Feeding; According to the American Geriatrics Society's Choosing Wisely recommendations, oral handfeeding is no worse for outcomes such as aspiration pneumonia, patient comfort, and death compared to percutaneous feeding tube placement. Agitation and pressure ulcers may worsen with tube feeding. High-calorie shakes or supplements and appetite stimulants are not recommended as they may increase