7 Mealtime Mistakes That Increase Choking and Aspiration Risk

Swallowing difficulties (dysphagia) are common in aged care and disability settings.

However, small mistakes during mealtimes can significantly increase the risk of choking and aspiration.

Here are 7 common mistakes to watch for, and avoid.

Mistake #1: Rushing during feeding

Rushing reduces control during swallowing and increases the risk of choking and aspiration.

Allow time between each mouthful.

Mistake #2: Offering large bites or sips

Large amounts are harder to manage and increase swallowing difficulty.

Offer small bites and small sips.

Mistake #3: Incorrect food or drink texture

Food or fluids that do not match the prescribed IDDSI level can increase risk.

Always check texture before serving.

Mistake #4: Poor positioning during meals

Slouching or lying down can affect swallowing safety.

Ensure the person is sitting upright during meals.

Mistake #5: Distractions during meals

Talking, noise, or multitasking can reduce focus on swallowing.

A calm environment supports safer eating.

Mistake #6: Not checking the mouth is clear

Food residue can remain in the mouth and increase the risk of aspiration.

Check that each mouthful is cleared before offering more.

Mistake #7: Inadequate supervision or support

Some individuals require assistance or close monitoring during meals.

Providing the correct level of supervision reduces risk.

Over the next 12 weeks, we are also sharing practical safe swallowing tips through our Top Tip Tuesday series, focusing on simple strategies to improve mealtime safety.