Dad is 96, has end stage Dementia and Silent Aspiration. He was hospitalized in August 2016 due to double pneumonia. He had been in AL but was moved to a NH. He went from honey thickness pureed to pudding thickness. He "drinks" with a spoon his liquid is so thick. The muscles that propel the food to the back of the mouth for swallowing are weakened. Either he can't or he forgets to swallow and must be reminded to swallow. It takes a long time for him to swallow what is in his mouth. Now I notice that he drools occasionally. He also has coughing fits without eating. My thinking is that he is choking on saliva. Yesterday I heard it in his throat, as well as some wheezing. I had the nurse check his lungs. Fine she said. My suspicion is that it just isn't to the point where he becomes sick. They give him breathing treatments 2 or 3 times a day. Blood work came back good the last time. His pulse ox has been 90. I truly believe he is aspirating again. At my 3 month meeting with the NH last week I was asked about a feeding tube if necessary. I won't subject an almost 97 year old man with Dementia to that.This site has become my go to site.... We all know what doctors and nurses don't or too busy to care about.