(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

No parole for 12 years for Burns Lake man convicted of second degree murder

Judge said he did not believe Albert Giesbrecht’s claim his gun discharged accidentally

No curtailments expected at Burns Lake area mills

Hampton Lumber working with partners to find solutions

Snowfall warning continues for parts of B.C.’s Interior

First significant snowfall of the season prompts Environment Canada warning

Coastal GasLink receives first delivery of pipe sections

Company expects to begin welding and pipe laying in 2020

Christmas lights burned out? Recycle them

This time of year, residents in Burns Lake are unboxing their Christmas… Continue reading

B.C. seaplane company set to test the first commercial electronic plane

The plane is powered by a 750 horsepower electric motor

Salmonella in outbreak in Canada linked to rodents and snakes

92 cases of salmonella across six provinces, including B.C.

Meng Wanzhou wins right to more documents involving arrest at Vancouver airport

Defence lawyers allege the Huawei executive was unlawfully detained, searched and interrogated

Truck with body inside found at bottom of lake near Kootenay ferry

Investigators believe no foul play is expected but are unsure how the vehicle ended up in the Arrow Lakes

VIDEO: Calgary man narrowly escapes from avalanche while running at Lake Louise

Bryon Howard caught the entire wild experience on camera

PHOTOS: Competitive Christmas light display takes sarcastic turn in Princeton

Heather King of Princeton took a creative and stress-free approach to her holiday display this year

RCMP asks Kootenay cannabis shop to remove image of famous Mountie from storefront

Owner happy to comply with RCMP, but wants more information first

BC Ferries adds 170 extra sailings for the holidays

6 a.m. and 10 p.m. sailings added for busy season

Most Read