If a resident chokes and cannot speak you should:

Starting CPR is not appropriate when someone is choking but still conscious and unable to speak. CPR is reserved for situations where a person is unresponsive and not breathing, which is not the case here. Taking action to clear the airway is the immediate priority in a choking scenario.

While back blows can be part of an emergency response for choking, simply slapping the back four times is not a complete or effective technique. It is important to combine back blows with abdominal thrusts to maximize the chances of dislodging the obstruction effectively. Relying solely on back slaps may not provide sufficient pressure to clear the airway.

Elevating the head of a choking person is not a recommended action. In fact, it may exacerbate the situation by allowing the obstruction to move further down the airway. The focus should be on techniques like abdominal thrusts that actively work to remove the blockage rather than changing the position of the person.