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Unable to eat or drink and/or refuses to eat or drink.|
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My mother is 80 years old(young). Since last Thursday(October 29th) afternoon, my mother hasn't been able and/or refuses to eat or drink anything. As I'm writing, my mother is in a local hospital, because she hasn't been eating. I took her to the hospital last Thursday evening because in an ensuing to take a tumbler of water that my sister offered her out of my sister's hand, my mother's hand slipped off and she accidentally struck herself in the left eye that caused a severe injury resulting in her having emergency surgery to have the eye removed. Is there anything that can be given intravenously to stimulate appetite. My mother has a host of other ailments, in addition to AD. She has lost a lot of weight since August and was eating up until Thursday October 29th. I have brought this matter to her geriatrics doctor, who placed her on a nutritional supplement, which she has been taking and even that, my mother will not take. What else other than placing her in a nursing home or hospice where she can have a feeding tube inserted, can I do?
Alzheimer's is a brutal disease. |
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Welcome to our online community, I am so sorry for what brings you here.
Eating problems often go hand in hand with many persons living with Alzheimer’s. What you are faced with is your mom’s changes and progression with the disease, and possible other medical conditions complicating her cognition and ability to eat. Below are some Caregiver tips to share with the hospital staff and to use on your own. These may work for a while, and delay the need for other measures. Here is a document with details about eating and Alzheimer’s: http://www.alz.org/national/do...opicsheet_eating.pdf Preparing the meal / Preparing the environment: • avoid over stimulation with television, noise, and too many people. You may want to play soft relaxing music during mealtime. • have the person wear a bib to prevent soiling of clothing. Plastic or cloth capes can often be purchased at a wholesale outlet for beauty supplies. • consult with the physician about vitamin, nutrient, and fiber supplements. Your physician can also refer you to a nutritionist for consultation. If the person is in a facility or hospital, there may be a nutritionist on staff there. • serve foods that don't require much chewing: soups, ground meat, mashed potatoes, applesauce, and pureed vegetables. • baby foods are fine, but expensive: try a food processor, blender, or baby food grinder instead. • don't feed a person who is lying down or drowsy. They could easily choke. If they are bed bound, prop them up with pillows to get them into an upright or sitting position. They will also need to be upright or sitting for at least 20 minutes after they eat. Problems with eating avoidance: • avoidance of food may be a symptom of depression. Consult the physician about this possibility and seek treatment if recommended. • maintain eye contact and model the actions of taking food on the spoon, chewing and swallow. You may have to repeat this step several times throughout the feeding session. • you may want to gently put your hand on their hand and guide the spoon up to their mouth. Putting the spoon on their lips will often stimulate them to open their mouth. Make sure your movements are slow and deliberate. Quick movements may confuse or agitate them. • in a soothing voice, talk them through each step of eating while also showing them with your assistance. For example, say, “Open your mouth,” then open your mouth wide to demonstrate. Problems with swallowing: •thin liquids are often the most difficult to swallow. You may want to add a thickening agent to the liquid. A thickening agent makes the liquid easier to swallow and can reduce choking. Ask your physician or nutritionist for other suggestions of similar products. • do not have the person use a straw. Rather, allow them to sip from a cup. Plastic sipping cups with lids are easy to find in most stores that sell baby supplies. • cold drinks are easier to swallow than hot drinks. • milk may not be a good option as it tends to get caught in the throat. • don’t hurry the person. Each mouthful must be chewed and swallowed before they take another bite. When serving them with a spoon, fill the spoon half full. • when swallowing, encourage the person to keep their chin down and neck forward. You may need to gently rub their throat to stimulate swallowing. Watching such extreme physical changes can be so devastating. This disease is unpredictable in its path of progression, and many persons living with Alzheimer’s are affected by eating issue in the mid to end stages of the disease. Although these issues can be so emotionally taxing, I would strongly encourage you and your family to discuss with her doctor the possibility of enlisting the professionals at Hospice for help. Hospice will assist with palliative care in the end stages of any terminal illnesses, and can be so very supportive physically and emotionally with this very challenging process. Your mom’s doctor can refer her to hospice if appropriate; please talk to him or her more about that possibility. I hope this information is helpful in your situation. Please come back this supportive community as there are many families and persons in similar situations, who may be able to connect with you more! Please check out the Caregiver's Forum to connect with other caregivers http://alzheimers.infopop.cc/e...ms/a/frm/f/214102241 Also, we are here 24/7 to talk with you directly through our helpline. Please call us anytime if you wish to talk more about eating or other issue you are experiencing. Call 800.272.3900 Bests, Jaimie E. Alzheimer's Association Care Consultant |
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Megace is a medication given to cancer patients to get them to eat & it does work for dementia patients too........
SnowyLynne |
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Cecil, this is a perfect example of a person who would benefit from medicinal marijuana. I take it for muscle spasms and pain, but marijuana first gained medical status as helping people regain their appetite. It can be made into a sweet, milky tea, which most people are able to swallow.
My apologies if you don't consider this an appropriate suggestion. Alan |
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Thanks for this last suggestion, but at my mom's age, it is inappropriate. It is bad enough that she has difficulty with swallowing, much less inhale or puffing. My brother and sister, did suggest MJ, cocaine, liquor and maybe a hot looking young man...I'm looking for help, not handcuffs. LOL. Alzheimer's is a brutal disease. |
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Dear Cecil, I'm sorry about your Mom's injury and subsequent enucleation. She's probably devastated and emotionally traumatized.
Ask the doctor to order for Speech Therapy to do a swallowing assessment. Many ADLOs crave sweets. Even though your Mom's diet may not be well balanced from eating candy and desserts, perhaps you can use some treats to tempt her appetite and maintain her caloric intake until you can get her back home and back into her routine. P.S. I grew up in Williamsburg on Throop Ave. Iris L. I am my own caregiver. |
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Hi Iris. Whether my mother is devastated by her eye injury, I don't know. The injury itself was very traumatic, more so, to me than my mom. She was more in shock, than traumatized. My mother, though has diabetes, so I don't know if that could help her. My mom is only 80 years old(young). How is a swallowing assessment done and can it help. As I'm typing this, my mom is in the hospital, not for the eye, but for a UTI, which is being treated. I visited my mom and asked one of her nurses if my mom has eaten anything. I was told that she has, but very well. How long ago did you live in Williamsburg? I'm on Humboldt Street in Williamsburg. Alzheimer's is a brutal disease. |
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I have a blender and have been pureeing her foods. I'm just at a loss as to what could have caused my mom to suddenly stop eating and taking fluids. My mom is not even taking her meds. Do you have a list of prescrition medicines and/or over the counter meds that cause weight loss and/or loss of appetite? My mom takes the following meds: cozaar 25mg, amlodipine besyl 10mg, metoprolol 25mg, low dose aspirin 81mg, multivitamin, vitamin-D 400, aricept 10mg, liptor 10mg and seroquel 25mg. Can any of these meds cause weight loss and/or loss of appetite, as well as difficulty with swallowing? Alzheimer's is a brutal disease. |
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Alzheimer's is a brutal disease. |
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Dear cecilb,
I am so sorry for this rapid change in your mom. This must be so scary and upsetting. It is great you are trying puree foods and other options. Not every option will be a good fit, but it is great you are going through the list of options to try. I am not a medical doctor so I am unable to answer your specific questions regarding medications that could affect her appetite. However, the professional treating your mom would know the answer to these questions. It is very important to keep a close relationship with them at this time. Ask the questions you have on your mind, suggest those things you think may help her take her medications or eat. You are her advocate! Often Alzheimer’s disease rapid changes can come at unpredictable times. In some cases, there could have been a catalyst condition that influenced the changes, like a medical condition like an infection. In many cases, the decline is associated with the progressive nature of the disease. Many times when this happens families do all they can to make sure their loved one is comfortable. Please continue to work closely with the medical professionals caring for your mom. Also, do not forget about yourself in all of this. You are going through so much as you see your mom's changes. I encourage you to call our helpline and speak to one of our counselors about what you are going through. We are here 24/7 call 800.272.3900 Take care, Jaimie E. Alzheimer's Association Care Consultant |
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Questions for the Care Consultant
Unable to eat or drink and/or refuses to eat or drink.
