Tuesday, May 29, 2012

Wednesday, January 25, 2012 Yolyrod0709 asks

Q: Dad doesn't want to eat

My dad is suffering from vascular dementia for the past 3-4 years.  Recently  he has lost his appetite.  Any suggestions on what I can give him to get him to eat again.  We supplement with Ensure but I am worried as he is very thin.  Any suggestions?

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Answers (4)
AFA Social Services, Health Guide
1/26/12 11:26am

First, if you have not done so already, it is recommended that you consult with you father's physician about this issue.  There may be medical reasons for this decrease in appetite, and there may be treatments available.  It is also important to understand that with the progression of dementia symptoms, your dad may experience changes in abilities and interests, including with eating and food.  The process of eating may seem overwhelming and confusing.  Eating and food may not be the same experience it once was; tastes and textures may be experienced differently, affecting interest and desire. He also might be having difficulty swallowing, which is another issue to discuss with a clinician. With these considerations in mind, it is still important to encourage a healthy and nutritious diet.  Continue to offer foods that your father enjoys and finds comfort in.  You might offer certain foods in smaller pieces so that he can use his fingers rather than utensils, since using utensils might be too confusing.  Do not overwhelm his plate with too many choices; offer foods individually or on separate dishes.  Offer cues and encouragement, and sit with him while he is eating, perhaps eating yourself so as to make it a more social and engaging activity.  To make foods easier for your father to chew and swallow, moisten and soften foods with sauces or gravies.  For extra calories, consider offering snacks such as fruit smoothies using frozen or fresh fruit mixed with yogurt or juices. 

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1/25/12 1:58pm

Hi Yol,

 

I am sorry your Dad lost his appetite.

I don't know about vascular dementia, but I experienced this from my father-in-law who has severe Alzheimer's. He has stopped walking and he is wheelchair-bound. He also talks less now. Back in March, 2010, he stopped taking the desserts from the kitchen and not knowing he needed to eat. It is the brain damage that he didn't know that anymore. However, as long as the caregiver reminded him to eat, he ate. Well we gave him Ensure as well. Somehow he was able to eat if he was told. It was not a very good sign. He got sicker later that spring with other physical conditions and the nursing home happened to have space that summer. We moved him to the home in another state.

 

The funny part is he loves the home thinking he was/is working. In the NH, they bring him to the cafe to eat 3 meals a day and he loves it. So he continued to eat. Last year in late Feb. they started with pureed food and he loves it and now he can still eat regular soft desserts.

 

In your dad's case, you should check with the doctor to see if it is the side effect of aricept (my FIL had this issue back in 2007 and we dropped it.)

 

If it is due to dementia, you need to cue him to eat. Maybe you can eat with him and bring him to the table. Give him babyfood and Ensure. Everyone is different, the key is to make him like to eat. If he goes to a restaurant and sees other people eating, he would eat. It happened to my FIL. When we brought him to the restaurant, he ate it all. He just needs cues and peers.

 

Hope you will find out what he needs.

 

Good luck,
NC

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Carol Bradley Bursack, Health Guide
1/26/12 1:34pm

You may want to check with the nutritionist at your local hospital or in a facility to get some ideas. Lack of appetite is a problem. Sometimes it comes from illness and can get better when an infection or other ailment is taken care of. Sometimes, it means the person is "giving up" on life, as in late stage Alzheimer's. If a person's body has started the death process, then food is not desired. Therefore, medical advice is important.

Take care. We'd love to hear how he's doing as time moves on.

Carol

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Dorian Martin, Health Guide
1/31/12 5:48pm

Hi, Yolyrod0709,

 

I agree with what everyone has written. Mom never really lost her appetite, but she had more difficulty eating as her Alzheimer's progressed. To offset this, I'd take her foods that I knew she would like due to her sweet tooth. At first it was cookies, but when she started having trouble swallowing, I would bring her smoothies.I also made sure that I gave her plenty of time to eat these during our visits since her hand/eye coordination was diminished.


Take care and keep us posted!


Dorian

 

 

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By Yolyrod0709— Last Modified: 01/31/12, First Published: 01/25/12