Invisible-ginger asked about trying to eat enough calories in one day. You gave her some good advice. I have a further question if you don’t mind sharing more wisdom please. I care for my 86 year older mother. I adore her and do the best caregiving I can. She absolutely hates to eat. When it’s time to eat, she gets upset. It’s a struggle to keep food she will eat and coax her to eat. I know she’s lonely and try to make sure she has company for at least one meal everyday. She weighs 94 pounds and is in excellent health otherwise-no glucose, bp, or heart issues that some elderly experience. Any advice or thoughts anyone wants to share would be welcome. Thank you
Oh man, this is a tough one... I really applaud your devotion, and willingness to explore different options, Friend.
The following is how I would go about dealing with the situation, please bear in mind that your mileage may/will vary.
- If your relationship allows for it, ask her directly what it is about food - or the act of eating - that is/may be causing distress.
- She may simply respond with "I'm just not hungry" which is very common in the elderly due to various physiological factors like decreased fuel requirements/ metabolism etc.
- Hunger cues can be negatively impacted by medication, so it is very important to make sure that if she is on meds, they're not interfering. In addition, psychological factors like loneliness, depression, a history of ED's or erratic eating habits, known or unknown sensory issues and the like, play a huge part.
- Obviously this is a very sensitive subject so being as non-confrontational and gentle as possible is extremely important. View this as an information-gathering exercise, the goal of which is to establish (as far as possible) a)what the underlying issues are and b)whether you are in a position to remedy the situation alone, or if consulting with a medical professional is necessary.
- It is very important to rule out any medical issues before making changes to the diet or meal delivery. Things like periodontal disease, gastrointestinal disorders and untreated depression can wreak havoc with any body but especially an older model.
2. If, after discussing it with Mamma, you both agree that approaching meal delivery differently may be of benefit, then you could consider the following:
- Older folk may struggle with cutlery - both the handling of and/or the sensation in their mouths - so opting for foods that don't require much fork/spoon interaction can help a great deal.
- Things like quartered hard boiled eggs, chopped fruit and veg with a dip (cream cheese/tzatziki/hummus/yoghurt etc), diced meat portions, crackers and cheese, smol sandwiches - anything that can be easily picked up with fingers (or a toothpick) and popped in the mouth.
- Teeth being what they are in the later years, it makes sense to offer nutrient-dense foodstuffs in an easy-to-swallow format (use with caution in folks with swallowing issues).
- Fruit, peanut butter/nuts (watch out for allergies!) and vegetables can easily be combined with fruit juice/full cream yoghurts/ice cream/cream to make delicious easy to consume meals. With the added bonus of it being very simple to add protein powder or any assortment of other helpful nutrients if needed...
- Chunky, nutritious soups can be made in large batches, liquidized and frozen to be reheated as needed.
- Meal requirements for seniors are slightly different than for other life stages. While it is still super important to maintain a stable, regular diet, being that the metabolism has most likely slowed (due to age and a decrease in activity) smaller portions of nutrient-dense foodstuffs offered more frequently (say 4/5 times a day versus 3) often become necessary.
- Adding helpful fats like full cream dairy (if tolerated and previously absent), avocados, butter etc can also make a big difference.
The bottom line here is providing smol, nutrient-dense meals at a frequency that Mamma can tolerate.
3. Loneliness can be a big factor.
- Given that as mammals we instinctively gather in groups (family/friends) in general, but especially for the preparation and consumption of food, it follows that having to eat alone would suck goblin toes. You mentioned trying to be with her for at least one meal a day - which is obviously awesome! - it may simply be that she requires a little more human interaction for meal times.
- If you are in a position to do so (which you may very well not be and would be perfectly understandable) why not look into other ways of adding the social element.
- Perhaps inviting a friend/family member to share a meal with her on a regular basis or taking her to a senior centre for lunch (I have heard that such things are available at various community centres/facilities but have no personal knowledge, so maybe try a quick google for your area?).
- Depending on the situation, getting her an easy-to-care-for pet may also fit the social interaction bill - a cat, dog or bird maybe?
Obviously all of the above may be as helpful as a brick to the knee, but with any luck there is at least some food for thought. And please consider consulting with a medical professional as none of the info provided here constitutes anything more than the (hopefully somewhat coherent) ramblings of a random stranger on the internet...
Thank you for the ask, Friend - I hope that if nothing else you feel heard, and somewhat less alone on your journey.
And obviously followers (or other random snausages) are encouraged to add any helpful bits and bobs to the mix. Just remember that we play nice here in Shiny's Howse, and we respect other people's perspectives...
Wishing you (and your Mamma) the very best of luck - may you find the answers you seek.
Much love and sparkley mischiefs, Shiny