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Vpaule13 Posted November 2024

Shoveling food.

My MIL 89 with advanced vascular dementia, shovels food into her mouth at an alarming rate. Today she ate a peanut butter and jelly sandwich in about six minutes flat. I cut her food up and mash it have given smaller portions have given a smaller fork, but it’s like she’s in a race to get her food down to the point where she chokes . She will not/can not comprehend or listen when we ask her to slow down. We encourage her to take a drink to wash the food down, have taken her fork away until she’s chews and swallows but then she gets defiant and flatly refuses. Is anyone else having these issues and can give me any advice? Thank you.

cwillie Nov 2024
I'm with lealonnie, my mom did choke several times before we realized we needed to modify her diet and it was terrible.

lealonnie1 Nov 2024
Margaret, I'd have PTSD for life if my loved one choked to death at the dinner table! 😑

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funkygrandma59 Nov 2024
I personally have always been a fast eater, so to me 6 minutes does not sound like someone is "shoveling" food into their mouth, as I could have one down(if I liked peanut butter and jelly sandwiches)in about 2-3 minutes if that.
But if you are concerned about how your MIL is eating then perhaps it best that someone actually feeds her thus allowing her to get just one bite at a time and not shoving things in her mouth.
And the fact that she may be choking is very common with folks with dementia and may have absolutely nothing with her eating too fast, but instead of the fact that when one's brain is broken the brain forgets to tell the throat to close thus allowing food to get into the lungs and aspiration pneumonia can then occur, which in most cases is deadly.
So I would make sure at this point that you're feeding your MIL only pureed foods and thickening her drinks with the product Thick-It, as that will help keep her from aspirating her food.

MargaretMcKen Nov 2024
We use ‘sporks’ all the time, DH finds them easier with his long term false teeth. I don’t think they would make it “harder for her to pick up her food”, probably easier. We call them ‘splades’, but Google says that’s the same thing.

If MIL is “89 with advanced vascular dementia”, and that’s the way she wants to eat, is it really a problem if she chokes? Perhaps this is just one more thing that’s not worth a battle about.

Vpaule13 Nov 2024
Thank you for the ideas!

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