My husband was diagnosed with/ vascular dementia 9 years ago. Last year he was te-evaluated & diagnosed with Alzheimer’s , Lewy Body. He had always been a fast eater, but became focused on getting his food in mouth as fast as he could about 2 years ago - choking etc…had swallowing test at that time & was diagnosed with silent aspiration. I continue to cut up sandwiches /food, using small utensils —he no longer responds to putting utensil down between bites— & he often goes for food on my plate (forgetting he’s eaten).
He’s had 4 hospitalizations in 2025 for silent aspiration pneumonitis.
It cannot be treated with antibiotics - origin of source is food bacteria in lungs. Last visit his lungs had to be drained of fluid. He came home from hospital w/hospice - full delirium unable to remember how to swallow…..fortunately he returned after 5 long weeks of delirium — with increased memory loss, but back to his sweet soul. Whew!
I’m still recovering as that was pretty stressful being his around the clock caregiver.

I’m hoping to read more comments - maybe learn other techniques to slow their eating down….
Thank you all for all your input, if anything to validate that I’m not only one learning how to navigate the journey of this disease. Diane