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Why Elderly People Don't Eat

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Proper nutrition is vital to your parent for maintaining health, retaining and building bone mass and, importantly, to enable medications to work effectively in the body -- and possibly with fewer side effects.

But, what if Mom or Dad won't eat whether properly, or won't eat enough? This creates an added challenge to you as caregiver. There may be valid reasons that your parent may shy away from dining. As the caregiver, you want to uncover the reasons why your parent is not eating, and try to address the underlying issues. Here are 10 reasons why seniors sometimes don't eat properly, according to the National Institutes of Health and its National Institute on Aging, plus augmented in one-on-one-interviews of professional caregivers.

1.  Reduction in Senses of Smell and Taste
Dining involves many senses: aromas, colors and tastes in one's mouth; but many mature adults experience a lessening of the senses of smell and sense of taste in their aging process. There is a reduction in the experience that, in turn, lessens the personal desire for food. There is no magic pill to restore full senses of smell and taste.

As caregiver and chief cook, you can alter your recipes, switching from typical spices used in the past or as used by your parent in his or her own cooking, to herbs and spices with a bit more zing, and that introduce a new, added flavor to the dish.

2. Reduction in Sense of Sight
Cataracts and other conditions in the eyes can reduce your parent's visual perception of the meal servings, thereby reducing the image to "blah."

You can easily enhance the visual representation by increasing the food colors on the plate, separating them so that the colors are defined and easily perceived. Consider a main course with a colorful topping, a multi-colored salad, red potatoes, or orange carrots. Of course, vary the plate presentation by the day, that is, unless your parent really responds to one or two of your designer presentations. In this way you can reach effectively through to the remaining sense of vision.

3. Medications
Some medications have side effects that can change your parent's sense of taste or make her or him less hungry. Ask your parent's doctor if the prescribed medications or medical treatments are causing loss of appetite, bad taste or no flavor. The physician may be able to substitute with a different medication, or prescribe an added medication to correct the problem.

4.  Constipation
A side effect of many prescription drugs is constipation, a most uncomfortable condition where the patient claims to have no room left for additional food. The first step to solution is to reduce the incidence of constipation.

Consider increasing the amount of water your parent drinks throughout the day. With the proper diet and nutrition, the water will help clear the digestion system and, therefore, the volume of food retained in the stomach.

Consider increasing the percentage of food that will actually help the functioning of your parent's elimination system.

5. Problems with Chewing
If your parent has trouble chewing, he or she may have a teeth or gum problem or, if wearing dentures, the appliances may need to be adjusted. Advise your Mom or Dad's dentist about the chewing problem so that the specialist can check and correct the teeth, gums or dentures.

Chewing problems can often be resolved by eating softer foods. This can be resolved by replacing raw vegetables and fresh fruits with cooked vegetables or juices. Good nutrition can also be found in foods like applesauce and canned peaches or other fruits.

Ground or shredded meats are typically easy to chew or, in lieu of meat, consider soft foods such as cooked, dry beans, eggs, tofu, tuna fish and such.

 
 

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PCVS

Give a Hug

Jul 9, 2008

This is, of late exactly the problem my mother is having. Things that she used to like the taste of, she no longer does. She's shrinking and it's scary.

 
 

Not mentioned is a serious medical problem. They should be checked out by a physician. You should call before the visit to explain the situation. Because of HIPPA, you may not be given a lot of information unless you are the health care proxy or they give permission for their medical information be shared with you.

Assuming there is no medical problem, certain supplements like ensure and boost have ingredients that may make your loved one nauseas thus he/she will not drink it. Iron is in many of these supplements. This has been know to make folks nauseas.

Also some of the supplements give a person louse bowel movements. Sometimes the supplements cause a loved one to loose control of their bowels. This will stop them from taking supplements as well.

Occasionally, supplements decrease appetite.

There is definitely a lot to think about

Therefore follow the tips listed before supplements are necessary.

 
 

PCVS

Give a Hug

Jul 9, 2008

Well, I have started her on a morning shake which she has liked the two times I offered it. I add a protied powder, banana,milk, filtered water, other fruit as we have it. I'm thinking about adding more fiber to her diet because while she has always loved salads, of late she has mostly not wanted them. I wonder if the poor air quality and high heat (we don't have any AC) might also be adversely affecting her.

 
 

Heat could definitely be a problem. It sounds like your shake is nutritiious. Sometimes bananas can constipate people.

 
 

[cvs:
Have you considered the heart-to-heart visit with your mother about the vital role of proper nutrition to make her medicines work better and reduce side effects. If you do this, also ask about her currently favorite foods, stating that you will find a way to work them in to the menu planning. If Mom is part of the solution the probability of her new acceptance of what you prepare and serve is very good.

Yes, I agree that heat can be a deterrent to proper nutrition. As you don't have air conditioning, consider buying a small fan that you can direct specifically to the locality around your mother. Also, if there is a breeze outside, open the window that can catch the airflow plus the window on the other side of the room or unit so the airflow can escape. You may have to buy screens for the windows, but such is a one-time purchase.

Also, consider some form of daily physical activity, even an event as simple as a walk around the block or to a nearby grocery store, can help produce an appetite as well as be beneficial to Mom's physical condition, dexterity and strength.

Good luck. I commend you as a concerned caregiver.

Leonard J. Hansen
Author of this feature

 
 

PCVS

Give a Hug

Jul 9, 2008

Thank you for all the advice. We have some fans and I do try to have them going but she has a tendency to turn them off. Thankfully, when there are breezes we can open some windows. Exercise I am not pushing for til the air quality improves, (she has asthema). But all these together are terrific advice and I will be sure to talk to her about it all, especially the nutrition aspect as that has always been an important subject for her.

Thank you again!

:)

 
 

One other thing that might help, Add protein powder to jello when you make it. Of course this will only work if she likes jello. You could add fruit to the jello as well
Susan

 
 

Brandy

Give a Hug

Jul 10, 2008

Force feeding? It seems not eating is a vote from the parent. I wonder if other cultures think force feeding of seniors is the answer to anything? Talk about human dignity...who is the force feeding for? The senior or the family!

 
 

PCVS

Give a Hug

Jul 10, 2008

No one said anything about force feeding. But when someone is losing their appetite her support structure should be aware enough to find out why and to try to remedy this - especially if the person is losing weight she can

 
 

Brandy

Give a Hug

Jul 10, 2008

Read the article. Last paragraph's topic #10 - consider force feeding. I think the person who suggested this should try forced feeding on themselves. If it was going to be of short duration maybe try it. If not, why argue with nature?

My own father decided to stop eating after a year of extreme suffering, struggling valiantly with terminal cancer. His heart was still going strong. We respected him enough to honor his wishes. He died fairly peacefully about two weeks later.

 
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