My mother has Alzheimer’s. We moved her into an assisted living facility this past November. My mother has always had an eating disorder. The assisted living facility has a dining hall but she absolutely refuses to eat anything there. She makes us, her adult- children, take her out to the grocery store and buy her food. Her little apartment has a microwave. Unfortunately I think she usually forgets to eat. We are having the same issues we had before we moved her into the assisted living.
Do we stop buying her groceries? Force her to eat at the dining hall?
Any advice would be greatly appreciated.
My mom was very paranoid. She spoke for at least a year about a man at her apartment she swore was stalking her. In her mind, he was. If she got a hang up call, it was him. If he walked past her apartment, he was spying on her. If something went missing in her apartment, he stole it. She called 911 three times in 2 weeks. Finally, she contracted a UTI that was so bad she had to be hospitalized. She was so combative and off the wall, they had her evaluated and told me they felt she could no longer live on her own. She was in the regular skilled nursing section for about two years and then became really paranoid, combative and did start to wander. They put a wander guard ankle bracelet on her but she cut it off, twice. We had a Care Conference meeting and decided she would get the next bed to become available in the Alzheimer’s unit. Oddly enough, when she became a resident in that unit, she never tried to leave. Stay in close contact with the people who care for your mom. They can advise you about when it’s time.
Some residents require hand feeding every meal. An aide does that. Of course it costs more for this service. (I know this is available in nursing homes, but I'm not sure about all ALFs.) What if an aide came in for at least one meal a day and "reminded" Mother to eat. "I think it is close to snack time. Would you like me to make a pbj sandwich for you, or would you rather do it yourself?" "Well, it is my job to check off a box on my list that says I saw you eat something. I hope you won't get me in trouble with my boss." "The bananas in the kitchen look especially good today -- no brown spots at all. Should I bring you one?" Your mom doesn't need to be hand fed, but she might need some mealtime attention. It may be available for a fee.
If she isn't losing weight, I'm not sure I would make an issue of this, though. She has had a bad relationship with food for a very long time, and she has somehow managed to keep going, so perhaps she is smarter than we are giving her credit for. It doesn't take a lot of calories to watch television, after all.
It might give you a little different perspective to read "Being Mortal" by Atul Gawande. It is about quality of life as we reach the end.
How long has she been in ALF?
Will she eat with you? When you take her to buy groceries?
Have you had a meal with her at the ALF? In her room or in the dining hall?
Have you tried favorites?
Milk shake, ice cream?
There is a medication that will stimulate her appetite if her blood work shows she is malnourished.
Does she drink liquids?
If she has original Medicare you could ask her doctor to order Home Health to check on her vitals. Do you think she should be on hospice? When you say she has always had a problem with food I am assuming she is very thin
Let us know if you find a solution.
The ALF weighs her. I guess I’m over reacting. I’m sure they will let us know if she starts to lose weight.
Wheni visit her I usually take her out for dinner. She refused to eat in the dining hall. What she makes in her room is pretty crappy. Frozen meals. PB&J.
She loves dark chocolate. I am pretty sure she eats a ton of that! I guess at this point worrying about her eating healthy is a waste of time.
She does drink Gatorade.
Just a thought, but needing Memory Care is more than just wandering. My mom didn’t try to leave her facility until after she was in MC. You will see little signs that become big signs. Thinking back on it, the signs were there months and months before I decided to admit Mom to skilled nursing. Keep close contact with the people who care for her to get their observations.
Perhaps more frequent visits to Mom to monitor what she’s eating and not eating, and also for company. And, in the long run, might me a good idea to consider moving her into skilled nursing if you feel she’s becoming more and more forgetful.
I feel like the trigger for moving her into memory care is wandering. She doesn’t wander. She barely leaves her room.
It would be a bit of a pain but that way you would know for sure.
Myself, I would stock her up with food that does not need heating. As long as you get some food into her, it has to be better than nothing, YES?
She wont eat anything they bring to her. She has always had an unhealthy relationship with food.
At least of she ate in the dining hall hall she would get out of her room and they could know she ate something.