Feeding the person is usually done while the person is in a vertical position and seated in a chair. However, their attention is directed toward the food with little or no attention directed to maintaining their sense of balance. After being fed, they usually go to sleep because they are worn out. The time being fed does not seem to meet the need to be in a vertical position because the signs of distress still appear.
Prevent malnutrition, dehydration and choking by feeding a pureed diet, with thickening liquids. Total assistance is required.