New or worsening dysphagia with aspiration signs: new coughing and a wet, gurgly voice with meals and pocketing (or a new low-grade fever and respiratory change suggesting silent aspiration) — an aspiration-risk problem. Oral intake held pending evaluation, the resident positioned and monitored, the speech-therapy and provider notified, a swallow re-evaluation and a diet modification ordered, aspiration precautions reinforced, and the resident watched for respiratory signs. Will reassess swallowing and respiratory status; supports the Section K update. Skilled recognition and management required to prevent aspiration pneumonia. (The respiratory picture routes to the Respiratory reference.)

Aspiration event: coughing and choking during a meal with a color change and new congestion afterward — a witnessed aspiration. The meal stopped, the resident positioned and suctioned as needed, oxygen saturation and lung sounds assessed, the provider notified, a chest film ordered, aspiration precautions intensified, and the resident monitored for aspiration pneumonia; the responsible party notified. Will reassess; supports the Section K/respiratory update. Skilled recognition and immediate management required.