Consider quality of life and dignity issues of your enterally fed residents when you visit them and review their tube feedings monthly. Does the facility try to place enterally fed residents in rooms together? Or does the resident with a tube feeding have to see and smell the food that his roommate gets to eat three times a day without being able to taste it himself. If that scenario is happening often, bring it up to the IDT to consider changing dining location or changing rooms to allow for dignity for the enterally fed resident. Refer to the speech therapist if appropriate for evaluation of resident's ability to have any food for oral gratification to improve his quality of life.