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Silversmith2 the whole point of a modified diet is to prevent him from choking at all, what exactly is he eating, how is his diet modified? He should be sitting up for his meals and carefully fed with slow small bites, with some people it is helpful to have a sip of water between each mouthful - if there are problems with liquids like water then they will need to be thickened too. Consistently aspirating food can lead to pneumonia, you really need to work with your health care providers to get on top of things.
I am looking for the same answer. We have had the swallow studies, we have modified the diet. The question is - what do you do for them WHEN they are coughing
I know that if it looks like they are choking-coughing (and bed ridden) roll them on their side in the bed and pat/smack their back strongly (as they can tolerate) to help them cough out what ever is stuck. If it continues, is bad, they are getting blue lips etc, (call 911) and try to do a Heimlich maneuver on them from behind while they are laying on their side in bed. (again being mindful of their age/condition so that you don't accidentally cause a broken bone/rib)
But what do you do when they are coughing trying to get something up, (they aren't choking). We sit him up straight as possible, but what else can be done during the episode?
When it is all over, we do use a half dose of cough syrup to help relieve any irritation and control 'left over' coughing after the episode.
This is JUST what I've been looking for - a really good, clear description of how swallowing works. There is an animated diagram halfway down the page which is brilliant.
Once you've watched that, it is easy to see how many factors can go just slightly wrong and mess up the whole process.
So, Berta, thinking about your mother:
has she already suffered some aspiration problems and now has an irritation or an infection in her lung?
is she choking or spluttering when she tries to eat or drink?
I'm just wondering what it is exactly that you're trying to relieve.
If it's the second, have you already been advised to modify her diet and thicken her drinks? This is about prevention, rather than curing symptoms, but it might be worth doing anyway.
Please let us know what has happened so far and what your mother's medical and care professionals are suggesting, if you'd like to.
Berta, my Dad had a cough related to food/liquids going into his lungs. As mentioned prior, one has to cough to bring up what is in the lungs. There is some type of physical therapy that can be done, but it depends on what hospital tests show.
I see from your profile that your Mom is 90. My Dad was 95, and usually what happens is that the tube going from the throat down to the stomach starts to narrow.
The aspiration caught us all by surprised, we thought Dad was just doing his usual coughing over the years when he ate too fast.... [sigh].
Swallow evaluation needs to be done. This can easily lead to aspiration pneumonia in an elder. Pneumonia, of any type, used to be called "The old person's friend" because it ushered them to heaven quick.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
We have had the swallow studies, we have modified
the diet.
The question is - what do you do for them WHEN they are coughing
I know that if it looks like they are choking-coughing (and bed ridden) roll them on their side in the bed and pat/smack their back strongly (as they can tolerate) to help them cough out what ever is stuck.
If it continues, is bad, they are getting blue lips etc, (call 911) and try to do a Heimlich maneuver on them from behind while they are
laying on their side in bed. (again being mindful of their age/condition
so that you don't accidentally cause a broken bone/rib)
But what do you do when they are coughing trying
to get something up, (they aren't choking).
We sit him up straight as possible, but what else can be done during the episode?
When it is all over, we do use a half dose of cough syrup to help relieve
any irritation and control 'left over' coughing after the episode.
https://www.physio-pedia.com/Feeding_and_the_Swallow_Mechanism
Once you've watched that, it is easy to see how many factors can go just slightly wrong and mess up the whole process.
So, Berta, thinking about your mother:
has she already suffered some aspiration problems and now has an irritation or an infection in her lung?
is she choking or spluttering when she tries to eat or drink?
I'm just wondering what it is exactly that you're trying to relieve.
If it's the second, have you already been advised to modify her diet and thicken her drinks? This is about prevention, rather than curing symptoms, but it might be worth doing anyway.
Please let us know what has happened so far and what your mother's medical and care professionals are suggesting, if you'd like to.
Please take him to his PCP & get an order for a swallowing study and an evaluation from a Speech Therapist to assess his needs.
Agree that you don’t want to suppress a cough as this is the body’s means to clear the airway.
Aspiration on can lead to pneumonia. Please have him evaluated ASAP.
I see from your profile that your Mom is 90. My Dad was 95, and usually what happens is that the tube going from the throat down to the stomach starts to narrow.
The aspiration caught us all by surprised, we thought Dad was just doing his usual coughing over the years when he ate too fast.... [sigh].