(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

Get local stories you won't find anywhere else right to your inbox.
Sign up here

Just Posted

76 new cases of COVID-19 reported Thursday

Active cases at 1,036, 10,713 recovered cases

Alberta RCMP launch online crime reporting

Select property crimes can now be reported online through the province-wide initiative

COVID-19 tests urged for all teachers and school staff

121 new cases Wednesday, active cases up to 1,040

Two-night fundraiser supports Sylvan Lake family after parent death

Billy Cooney, owner of Cooney Creek Plumbing and Heating, died July 25 after a dirt bike accident

Sylvan Lake Community Partners reorganizes to better serve clients

The facility was thoroughly cleaned and reorganized during its shutdown due to COVID-19

Charges likely in fatal attack at central Alberta medical clinic: RCMP

A vigil was held Monday night to mourn the victim

Wetaskiwin Regional Public Schools receive grant from Indigo Love of Reading Foundation.

WRPS has received $15,975 from the Indigo Love of Reading Foundation.

Three people drown at Crescent Falls

Rocky Mountain House RCMP say the incident occurred Tuesday

Feds seeking private consultant to design firearm buyback program

The ban covers some 1,500 models and variants of what the government considers assault-style weapons

Face masks for teachers can impact learning on young children, experts say

Face coverings, mandatory in most indoor public places across the province, can help limit the spread of COVID-19

New Tory leader must build a strong team in Commons and for the campaign: Scheer

Scheer marked his final day in the House of Commons today as leader of the Opposition

Man accused of killing Red Deer doctor says he does not remember attack

Appearing before a judge, Deng Mabiour, 54, rambled about being sick and needing a doctor

Deaths feared after train derails amid storms in Scotland

Stonehaven is on the line for passenger trains linking Aberdeen with the cities of Edinburgh and Glasgow

Man, 54, charged in connection with fatal attack of Red Deer doctor

Doctor was killed in his walk-in clinic on Monday

Most Read