What is this article about?
I recently wrote in an article about the dilemmas nurses face when supporting residents' free choice and decision-making when the action they wish to take is contrary to a non-nurse health professional's clinical assessment and recommendations. The main thrust of the article is about being commonsensical in such decisions so that the resident can experience joy in their final years, even if that joy comes with an element of risk. Over the last few months, I have witnessed three residents being referred to a speech pathologist (SP) for coughing during and/or following drinking or eating. On each occasion, the SP recommended thickened fluids (and a softer diet), which was refused on the first serving or within the first 48 hours.