@article{ref1,
title="Teatime threats. Choking incidents at the evening meal",
journal="Journal of applied research in intellectual disabilities",
year="2015",
author="Guthrie, Susan and Stansfield, Jois",
volume="30",
number="1",
pages="47-60",
abstract="PURPOSE: To explore caregiver perceptions of the socio-environmental issues around evening meal ('teatime') which influence choking. Mealtime difficulties for people with intellectual disabilities and/or mental illness may be underdiagnosed. Difficulties affect quality of life with social aspects impacting on service-users and caregivers. Reporting of choking incidents has increased locally following widespread training. Analysis of reports showed most incidents were occurring around evening meal. <br><br>METHODOLOGY: A qualitative study of caregivers witnessing a choking incident was undertaken. Semi-structured interviews explored perceptions of the causes. Data were analysed using thematic analysis. <br><br>FINDINGS: Thematic analysis elicited individual service user characteristics, and social and contextual factors implicated in choking. The findings will facilitate risk assessment for service-users and inform mealtime practice. Staff familiarity is a key factor. Further research involving service-users is indicated to complement these findings. This study widens the focus of recent studies which have considered physical more than socio-environmental aspects of mealtime difficulties.<p /> <p>Language: en</p>",
language="en",
issn="1360-2322",
doi="10.1111/jar.12218",
url="http://dx.doi.org/10.1111/jar.12218"
}