When a resident is choking and unable to speak or breathe, the necessary action is to perform:

When a resident is choking and unable to speak or breathe, performing abdominal thrusts is the necessary action to dislodge an obstruction from the airway. This technique involves wrapping your arms around the individual from behind and delivering a quick inward and upward thrust just above the navel. This motion is designed to create enough pressure to expel the object blocking the airway, allowing the person to breathe again.

Abdominal thrusts are specifically recommended for adults and children who are conscious and responsive but unable to clear the obstruction on their own. In contrast, back blows and encouraging coughing are generally appropriate for mild choking situations, where the person can still cough, speak, or breathe. These methods are less effective and can even be harmful in severe choking incidents where the airway is completely obstructed. Chest compressions are primarily used in situations related to cardiac arrest and are not a recommended response for choking. Therefore, understanding when and how to apply abdominal thrusts is crucial for effectively addressing choking emergencies in a healthcare setting.