Mom lives alone and looks severely malnourished. How do I know if she's eating?

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Q: My mother lives alone. When I go over to check on her, she tells me she is eating but I know she isn’t. She is severely malnourished. What can I do?

A: This is a very important subject and I'm glad you asked. Senior nutrition is a concern for many families. As we age and especially when a senior lives alone, the idea of cooking food, eating alone and then cleaning up becomes overwhelming. Our appetites lessen as we age and eating becomes more of a chore than a pleasure.

If you know that your mother is not eating, then you're going to have to take steps to ensure that she is getting nutrition. Malnutrition among seniors is extremely common and if she is taking medication, it's a strain on her system. You can attempt to explain all of this to her and she may smile, tell you she's eating and then do exactly as she pleases.

What often works is to ask her what she would like to eat. If her favorite foods were in her refrigerator or her pantry and they were easily accessible, she might be more inclined to eat. For example, if she likes soup, then have it in the refrigerator ready for her to heat it up. Maybe it's a little dessert that she wants, but it's too much trouble to prepare it.

It's not necessary for her to eat three large meals a day. Unless she's on a special diet, you can prepare food for her, deliver it every few days and then check and see if she's eating. Foods that were once easy to chew and digest might be causing her problems as well. You are going to have to be a detective here and figure what is going to work for her. Make it easy. Have fresh fruit in the house. Make her a large smoothie and put it into smaller glasses in the refrigerator and she can grab one when she wants something. You are going to have to help her.

If she continues to lose weight or it's clear that she's not eating, then you'll have to take her to the doctor and have a conversation and a check-up. It's possible that there is something medically wrong. It's also possible that she's just lonely and doesn't want to eat alone. If this is the case, you can make arrangements for friends or family to come by and eat with her. Having company works wonders for a senior's outlook on the dining experience.


Cindy Laverty is the founder of The Care Company and host of The Cindy Laverty Show, a radio program dedicated to caregivers. Read her full biography

 
 

Comments

 
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JanInTexas

Give a Hug

Jun 16, 2010

There are prescriptions that can help you mom gain an appetite. My mom was the same way, i'm not always there to make sure she eats a good balanced meal, but with her taking this medicine, I DO KNOW she is eating.

 
 

robert888

Give a Hug

Jun 17, 2010

KIDS - there is a saying I recently heard, "Once a man, twice a child." Your mom is now in many ways like a child, one wouldn't expect a 5-year old to have the capacity to shop, cook, clean, eat properly, and wash up on their own. That same stage has returned to your mom.

You'll need to take the appropriate steps necessary to make sure she gets help, be it Meals-on-Wheels, daily pickup to a Senior Center for breakfast, a daily visit by someone, etc.

In my experience, talking to the docs, to her, won't do much.

 
 

anonymous13319

Give a Hug

Jun 17, 2010

I noticed that my Mom eats one good meal a day and thinks she's getting enough nutrition. She is also convinced that she cannot swallow, however, she eats everything when she is visiting us or we go out to eat.
I have given up using reason or having docs convince her...never works. She is at a phase in her life that when talks herself into something, there is just no way to persuade her otherwise.
There is only so much you can do and then the rest is up to them.

 
 

jillo

Give a Hug

Jul 20, 2011

i have clients that are 87 and 85 years old. they get no exercise except for a tiny walk and therapy. the women eats nothing except desserts and is skinny. she has demenia and skakes alot. the man eats but still eats alot of desserts, he had a strike before and is partially paralyzes in one side. he complains alot of lower pain right below his stomach. what can sugar do to them? the family thinks that they should eat sweet so they don't lose weight.

 
 

vstefans

Give a Hug

Jul 20, 2011

Desserts are OK and sugar provides calories that go down easily, which helps if you are underweight - BUT - you do have to make sure the diet is not protein deficient if you rely on that for most of the intake. Cheesecakes, Peanut butter cookies and cups (if fat tolerance is OK), things with lots of egg and milk if not allergic could help with that. The other problem would be fiber on an all -dessert diet, and then the stomach pan should be diagnosed and treated if possible. Ulcers or gastritis limit appetite and can cause a lot of weight loss too.

 
 

vstefans

Give a Hug

Jul 20, 2011

PS - Should have sugar is OK for calories - IF you are non-diabetic.

 
 

judy1

Give a Hug

Jul 20, 2011

My mom has dementia and was very depressed after my dad died. Eventually I noticed she wasn't eating much of what we would buy at the market so I got her on Meals with Wheels. After a short period of time I noticed she wasn't eating their food either.... That is when I decided that she could no longer live alone. Trying to have a logical discussion with her was impossible....once they have dementia its like talking to children.....

 
 

graceterry

Give a Hug

Sep 24, 2011

There is a great company that delivers nutrient-dense, FRESH (not frozen), affordable meals to the home and they deliver in all lower 48 continental United States. They specialize in nutrition for frail elders at home and for disabled people. The meals stay fresh in the refrigerator and take 2 minutes in the microwave to be ready to eat. I do not want to violate the guidelines for submitting information to this website, but if there is an appropriate way that I can share the name/website of the company, it is a great resource.

 
 

Ruth1957

Give a Hug

Oct 2, 2011

My sister would often stop to see her 90-year-old friend and mix up a nice whey protein shake for her. The woman started to count on this, and did very well with that nutritional boost. She made it thick, like a pudding, and room temperature. I believe the combination of the social and bonding aspect of this little gesture, and the intense nutrition of the shake, made all the difference in her life.

 
 

kittycat11

Give a Hug

Oct 2, 2011

My family have addressed this problem with my Mom not eating by frequently visiting her throughout the week, and including with any activity with a full meal (either at a restaurant or at one of our homes). She always cleans her plate.

 
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