How far should I go in trying to get my 87-year-old mother to eat? Will pushing food she doesn't want just cause her more problems?
My 87 year old mother, who is under home hospice care, with myself as her full-time caretaker, has suddenly lost all interest in eating. Up until about a week ago she had what I'd call a normal, very light, appetite but took an interest in her mealtimes. Now I'm lucky if she'll have one snack-sized meal a day.
Her only diagnosed medical problem is congestive heart failure although she doesn't have any symptoms except becoming out of breath if she moves around more than a trip to the kitchen or the bathroom. I suspect some of her problem is depression, and the case nurse has prescribed an anti-depressant, but she refuses to take it.
She has a great deal of anger, and much of it is directed towards me which I think is a common reaction to her lack of control over the aging process. She hates the thought that she's dependent upon anyone, much less someone as imperfect as one of her children. :(
The anger, the frustration, and the depression, I believe have more to do with her refusal to eat than anything specific of a physical nature. She can swallow, and has no obvious digestive problems. Her doctor was by last week and seems to think she's declining, but also seems to think it's a natural progression of events. I think he's also frustrated by her refusal to accept medication for depression.
Should I keep encouraging her to eat, or hope that eventually she'll come around to an interest in food again? I don't want to push food on her if she's not able to digest it properly and cause more problems. She refuses liquid supplements like Ensure or Boost as well. I'm afraid she's just making herself weaker, but could this be nature taking its course?
I feel meddlesome if I try to get her to eat and guilty if I don't. However trying to get her to eat doesn't work anyway—it just makes her more rebellious. What to do?