(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

On the Lawn lawn bowling tournament raises over $28,000 for Kelowna-based charity

On the Lawn has raised over $100,000 for Elevation Outdoors in the past five years

Kelowna man arrested after allegedly setting blaze near Fire Department

The man was allegedly seen lighting bushes on fire near the Kelowna Fire Department

Kelowna mothers to share grief, spread awareness for Overdose Day

Moms Stop the Harm is hosting an event for International Overdose Awareness Day in Kerry Park

Latino-American rock ‘n’ roll band The Mavericks coming to Kelowna

Kelowna is the only B.C. stop on the band’s worldwide tour

UBC Okanagan Heat score 10 goals in pre-season double-header

Two exhibition wins in the U.S. to start the year for the mens Heat squad

VIDEO: Could we BE any more excited? ‘Friends’ fans go crazy for merch

Movie theatres will show select episodes to mark the NBC series’ 25th anniversary

Penticton man sentenced in non-fatal 2017 shooting

Elkena Michael Knauff sentenced to seven and a half months in jail

Bodies of two missing Surrey men found near Ashcroft

Ryan Provencher and Richard Scurr have been missing since July 17

Pregnant teachers fight to change WorkSafeBC compensation rules

Agency does not recognize risk to unborn babies when mother catches illness from work

Kamloops RCMP locate and arrest man who fled from police

The 22-year-old male was wanted in relation to a domestic violence investigation

Five hedgehogs quickly adopted after being left at BC SPCA

Lucky new owners picked up their pets from Maple Ridge branch on Aug. 20

EDITORIAL: The best or the least worst

Negative messaging abandons the quest for the best and instead asks voters to choose the least worst

Most Read