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Hi Robert and Kathrynne, Robert, I recommend you consult your gp and get a referral to the Movement Disorder Specialists at UBC. University of British Columbia Neurodegenerative Disorders Centre Vancouver Hospital & Health Sciences Centre Purdy Pavilion 2221 Westbrook Mall, Vancouver, British Columbia, Canada V6T-2B5 Tel: 604-822-7695 Fax: 604-822-7866 http://www.med.ubc.ca/neurodeg.htm They are highly skilled in looking after Parkinson's patients and should be able to assist. If you wanted a speech / language pathologist I can recommend Shalagh M. Davies (604) 261-4364 or Fax (604) 264-1145 [log in to unmask] You could search dietary help locally in the RedBook.... The "Redbook" is now available online... What is the Redbook? The Red Book: Directory of Services for the Lower Mainland is the most comprehensive guide to community, social, and government services available across the Lower Mainland. It is considered by many professionals working in the human services field to be the "Bible" of community resources. http://www2.vpl.vancouver.bc.ca/dbs/redbook/htmlpgs/home.html or...... (this one also gets you there) http://www.vcn.bc.ca/isv/redbook.htm The Site has a Search Page.... http://www2.vpl.vancouver.bc.ca/DBs/Redbook/htmlPgs/search/rbS earch.html Red Book Online - Search Results Your search for "Parkinson's disease" returned 2 documents. 1. BC Parkinson's Disease Association (Vancouver) 2. Neurological Rehabilitation Outpatient Program (North Vancouver) Clicking on "1. BC Parkinson's Disease Association (Vancouver)" gives you this....... BC Parkinson's Disease Association 600-890 W. Pender Street Vancouver, BC V6C 1K4 662-3240 or 1-800-668-3330 Fax: 687-1327 Provides information and services to people with Parkinson's, family members, friends, and health care professionals in BC. Produces a quarterly newsletter; maintains a collection of pamphlets, books, and videos; and offers professional counselling free of charge. 40 self-help support groups meet monthly. Membership fee is $15 per year. Subject: Parkinson's disease, education (public awareness) Parkinson's disease, information and referral Parkinson's disease, support groups I hope this is of some assistance ......... murray ******************************** On 17 Jan 2001, at 7:51, Kathrynne Holden, MS, RD wrote: > Dear Robert, > These problems are too difficult for you to deal with by yourself. A > person who is coughing and choking on saliva and fears drinking needs to > see a speech-language pathologist for a swallowing evaluation. The SLP > will help with safe swallowing techniques. > > The constipation could be due to insufficient fiber and fluid daily, > leading to a hard, dry stool that's difficult to pass. When swallowing > has been evaluated, the individual needs to see a registered dietitian > who can assess current food and liquid intake and determine whether > there is enough fiber and fluid present to prevent constipation. The RD > may advise prunes or prune juice occasionally as well. > > I suggest you ask this person's physician for a referral to a > speech-language pathologist and a registered dietitian as soon as > possible to avoid any risk for further complications. > > Best regards, > Kathrynne > > > Robert McKone wrote: > > > > Anyone pls advise or give advice on how to deal physically with or how > > to assist someone who is (entering end stages) and: > > > > - is coughing and choking on saliva because it does down into lungs - > > has fear of drinking liquid because of same as above - has severe > > constipation > > > > Any tips or tricks are appreciated. > > > > thanks, > > Robert > > > > email: > > [log in to unmask] > > > > > > -- > Kathrynne Holden, MS, RD > Author: "Eat well, stay well with Parkinson's disease" > "Constipation and Parkinson's" -- audiocassette & guidebook > "Guidelines for Medical Nutrition Therapy for Parkinson's > disease" & Risk Assessment Tools > "Risk for malnutrition and bone fracture in Parkinson's > disease," J Nutr Elderly. V18:3;1999. > http://www.nutritionucanlivewith.com/ ******************************** [log in to unmask]