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My mom has dementia. She is now choking on milk and cocoa, then vomiting the drink with mucus. She's 100 and in a nursing home. Is there anything I can do to help her?
I agree with Willie, why does not the RN know this is happening. CNAs in a NH should have enough experience to know what this is and report it to a Nurse.
You may want to see if Hospice should be brought in.
pamelac, how does your Mom react when drinking plain water? If she is ok, then it sounds like she may have become intolerant to dairy products.
It is not uncommon as we get older to have problems drinking/eating dairy products. My Dad had that problem. I had him try Lactaid milk, and he did fine with that. Dad lived in senior living, and the kitchen was able to order Lactose-free milk.
She is in a nursing home and nobody there is advising you? Dysphagia is common in end stage dementia and they should know how to deal with it - thickening her fluids and/or modifying her solids to the level that she can safely handle. Ask for an immediate meeting with the DON and food services supervisor.... they don't need to wait for a formal evaluation to act.
Sounds like her brain is now forgetting to tell her throat to close thus allowing her food and drink to get into her lungs. That is very dangerous and can lead to aspiration pneumonia and kill her. At this point I would thicken all of her drinks with the product Thick It and I would make sure that she's on a pureed diet only. The same thing happened with my late husband and he ended up getting aspiration pneumonia and he came so close to dying. He pulled through but not before developing sepsis and septic shock and ended up completely bedridden for the last 22 months of his life. Sadly at your moms age it can often be pneumonia that will take a person out.
She may be losing her swallow. You can ask the doctor if he will have her assessed by an OT person (often works out of PT departments) for a swallow reflex. It is not unusual for this to happen for seniors, and at her age it would be more common still. The problem with this is that if there are still attempts to feed her when she cannot swallow well she can get aspiration pneumonia, and suck food into her lung. This can be fatal. She may need to enter hospice is there is no longer the ability to safely take food, or a decision can be made to feed through NG or PEG tube. This will sustain for nutrition, but often causes diarrhea, bed sores, sepsis from the sores, pulling out of tubes and in general a miserable existence. I hope you will follow up with the medical personnel responsible and I surely do wish you good luck.
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.
You may want to see if Hospice should be brought in.
It is not uncommon as we get older to have problems drinking/eating dairy products. My Dad had that problem. I had him try Lactaid milk, and he did fine with that. Dad lived in senior living, and the kitchen was able to order Lactose-free milk.
https://www.agingcare.com/articles/dysphagia-how-to-help-a-loved-one-eat-and-drink-safely-187010.htm
https://www.agingcare.com/articles/swallowing-disorders-tips-for-using-food-and-beverage-thickeners-208048.htm
At this point I would thicken all of her drinks with the product Thick It and I would make sure that she's on a pureed diet only.
The same thing happened with my late husband and he ended up getting aspiration pneumonia and he came so close to dying. He pulled through but not before developing sepsis and septic shock and ended up completely bedridden for the last 22 months of his life.
Sadly at your moms age it can often be pneumonia that will take a person out.
I hope you will follow up with the medical personnel responsible and I surely do wish you good luck.