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HARTFORD

The panel that investigates deaths of developmentally disabled people in state care has recommended additional training for nursing-home staff members in the wake of the latest choking death of a convalescent-home resident.

Charlotte Valdambrini, 82, died after choking on marshmallows on March 6 at the Aurora Senior Living Center in Cromwell. She had been a client of the state Department of Developmental Services.

A nurse at the Aurora home had improperly given a visitor permission to give Valdambrini two marshmallows as she sat in a wheelchair in front of a nursing station. The nurse was fired after the incident, and state healthcare regulators fined the nursing home for not following protocols for residents on highly restricted diets.

Choking deaths are on the rise in institutional settings, said James McGaughey, executive director of the Office of Protection & Advocacy for People with Disabilities. The agency's Fatality Review Board examines such deaths and makes recommendations on how to better protect people and improve the system.

The review board this week recommended designing a series of training sessions for nurses and aides aimed at helping them work with patients who are on ground-food diets and require constant supervision while eating.

"The idea would be to raise awareness about some of the common problems we have seen that contribute to deaths of people with intellectual and developmental disabilities,'' McGaughey said.

He said, for instance, that it was crucial that staff members in nursing homes strictly follow the doctor's orders and the patient's treatment plan concerning "consistency of food and the individuals' feeding and eating protocols.''

He said the board contemplates separate levels of training for nursing supervisors and for the direct-care staff. He said nurses with the Department of Developmental Services could do the training, which would also involve case studies.

Valdambrini's death was the second fatal choking in a little more than four weeks at a Connecticut nursing home.

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More Training Urged After Choking Deaths In Nursing Homes

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