When to stop feeding end stage Alzheimer's?

When a parent has ES Alzheimer's, is nonverbal, bedbound, and repeatedly choking on pureed food, how does the caregiver know if the parent is hungry or wants to be fed when no discernable expression can be seen? What factors should be considered in feeding when there is no feedback and choking is already a predictable effect of feeding?

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I am going through the same thing with a friend of mine. He swallows food into his lungs and coughs when he drinks water. Hospice is giving him comfort food, he doesn't want to be fed with a tube and I agree with that. He can still sit up and eat, but he is losing weight rapidly. He is taking a big risk but we are letting him make the decision to eat or not. It might be time to let go and stop the feeding for your parent.