I have a patient 94 yo, patient. Cannot walk. If he could he would sleep himself into oblivion. However, his family insist on dragging this poor man for half the day. They force feed him breakfast lunch and dinner. Patient has severe dysphagia. It's getting worse everyday. I explain that it's because of the decline in his status. I explain everything a million times. I explain nutritional changes, food for comfort, aspiration precautions. Family refuses to let up! They keep asking me why I can't fix it. Why don't I give him a pill to help him swallow. They believe there is something stuck in his throat even though I explain that he just isn't able to swallow well anymore! The poor patient moans and coughs...them force feeding him is just making him suffer. I stay there for hours each visit trying to explain to them disease progression, aspiration pneumonia, mechanics of dysphagia, hospice role. They don't listen! I don't know what else I can do to stop them from choking their dad every meal. Please give advice.