(Andy Bronson/The Herald)

Grilled cheese under scrutiny in Quebec after seniors’ choking deaths

Coroner has said sandwich appears to pose a particular choking risk to the elderly

Health officials in Quebec confirmed Monday they are revisiting the place of the grilled cheese sandwich on menus in care facilities following the choking deaths of at least two elderly residents in recent years.

A coroner concluded earlier this year that the sandwich appears to pose a particular choking risk to the elderly after two residents of the same St-Jean-sur-Richelieu, Que., care home died in similar circumstances, three years apart.

Coroner Andre-H. Dandavino recommended that both the local health authority and the provincial Health Department review the risks associated with grilled cheese sandwiches following the deaths of Clemence Thibodeau in 2015 and Monique Leboeuf in 2012.

“The grilled cheese sandwich seems to be problematic and risky for the elderly,” he wrote in his report.

Thibodeau, who was 78, died in hospital the day after getting part of a sandwich stuck in her throat at the care home where she lived, the report said.

The woman, who suffered from a long list of health problems including Alzheimer’s disease, Parkinson’s disease, as well as heart, kidney and breathing problems, had been previously evaluated and deemed able to swallow textured foods and eat on her own as long as she was supervised and the meal was cut up.

READ MORE: Death at Victoria long-term care home under investigation

Leboeuf, for her part, began coughing and choking after eating a grilled cheese sandwich in Dec. 2012 and later stopped breathing, even though the obstruction was cleared.

Dandavino ruled it was “a violent death by asphyxia from a foreign body.”

Martine Lesage, a spokeswoman for the regional health authority, said it has since removed grilled cheese from the menu for residents who are on a soft food diet, because “it can form a ball in the mouth that can be more difficult to swallow.”

She said the province’s health department is also finalizing a wider action plan to minimize choking risks that includes information about the risks of sandwiches, including grilled cheese, and more staff training on general food and choking safety and best practices.

But she said the residences also take people’s preferences into account, and will work with residents to make it safe for them to eat their favourite foods even if they aren’t on an approved list.

Nalini Sen, the research program director at the Alzheimer Society of Canada, said people experiencing dementia can be especially prone to choking as the brain loses the ability to direct the body to chew and swallow.

She said that certain foods, including grilled or toasted breads, can be harder to swallow, but that simply banning certain foods isn’t the solution to mealtime challenges.

Rather, she advocates a more “person-centred approach” that includes paying attention to the mealtime environment, how food is prepared and presented and the person’s overall oral health.

Morgan Lowrie, The Canadian Press

Like us on Facebook and follow us on Twitter

Just Posted

Pinettes bring home hardware from waterski nationals

“It should be a really nice experience, and I’m excited to hopefully get some PBs there, too.”

RANCH MUSINGS: No till pasture rejuvenation and silvopasture trials: up-coming event

You can read about on farm research but seeing it and discussing it with others is a much better way

International students get history lesson at Little Red Schoolhouse

The Little Red Schoolhouse at 150 Mile House hosted six students from Matsuyama, Japan

Cycling club excited to open new beginner trail on Fox Mountain

Dubbed ‘Fox Fire,’ the trail parallels Fox Mountain Road from Mason Road to Ross Road

70 years of lifting: Canadian man, 85, could cinch weightlifting championship

The senior gym junkie is on track to win the World Masters Weightlifting championship

U16 B.C. fastpitch team named national champs

Girls went undefeated at national tournament in Calgary

Advocates ‘internationalize’ the fight to free Raif Badawi from Saudi prison

Raif Badawi was arrested on June 17, 2012, and was later sentenced to 1,000 lashes and 10 years in jail for his online criticism of Saudi clerics

Canadian entrepreneurs turning beer byproduct into bread, cookies and profits

Some breweries turn to entrepreneurs looking to turn spent grain into treats for people and their pets

Canada ‘disappointed’ terror suspect’s British citizenship revoked

Jack Letts, who was dubbed “Jihadi Jack” by the U.K. media, has been detained in a Kurdish prison for about two years

Chrystia Freeland condemns violence in Hong Kong, backs right to peaceful assembly

There have been months of protests in the semi-autonomous region

Most Read