I know failure to swallow is a common late stage problem so wondered if anyone has any advice about encouraging swallowing? Mum is in nursing home and many of the staff find it difficult to give her food/drink as she is now often "switched off" and just gazes into the mid-distance. I go most days and spend ages keeping her alert and focussed enough to eat soup, Fortisip and high calorie pureed desserts but am finding it harder to get her to understand "swallow". She knows I am asking her to do something but just doesn't seem to understand what. The longer she holds fluids in her mouth the more risk of her aspirating as she may need to cough, burp etc. Today I gave up as I could feel myself getting agitated and didn't want her to sense this so went to the toilet, washed hands etc and returned - to find she still had the same mouthful of drink in her mouth. I've tried a tip about stroking the neck to prompt the swallow reflex, but it didn't seem to help. Has anyone been given any tips, or found something that worked for their loved ones? Mum is not actively refusing nourishment (a choice I would try to respect), she is just failing to understand what to do.