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I'm the only child and my dad lives with my mom 15 minutes away. I've been handling his many medical issues including COPD diagnosis after one of his more recent strokes three years ago. He suffered a MAC infection along with the COPD and had just gotten over that after 18 months of fighting it. They told him he needed to quit smoking once and for all. He wants to quit but after smoking from age 12 up (he is now 70) it's been hard. They recommended the patch and lozenges, but soon after recommended he switch to Chantix. He stopped the patch abruptly without advising me and began to suffer stomach issues including nausea and minor vomiting. He had mood swings and absolutely no energy or appetite for four days. They recommended he get on Chantix right away and the appetite loss got even worse as the days went on. Now, he's sitting in a recliner - and sleeping there too as a result of the COPD - and has not eaten barely anything in three weeks. He eats the occasional slice of watermelon, slice of toast and sip of soup. He drank Gatorade during this time which is atypical of him, but stopped two days ago. He absolutely refuses to drink Ensure or Boost as he's tried it before and hates it. He did stop the Chantix two weeks ago at the advice of his pulmonologist. But the appetite hasn't come back at all. He has occasional cravings for food he sees on TV. My mom goes out and gets it for him, but when she brings it home he says he can't eat it and just to put it in the fridge. I asked him what would happen if he were to try and force himself to eat and he says, "I just can't. So I dont." When I talk to him and even cry sometimes I tell him he NEEDS to go to the doctor, and he brushes it off with sayings like, "Well... have a good evening." If we mention the hospital he says he'll refuse to go. Also, his lips are dry and cracked and bleeding the past couple days. My mom got him campho phenique but he won't use it as he says it smells too bad. He refuses to use vasoline as well. She just got him Blistex Ultra Rich Hydration SPF15. We're hoping this helps! He says how is he supposed to eat even if he wanted to with his lips so painful like this. This is killing me inside! I feel like we're not doing enough. Please, ANY suggestions are appreciated!

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There is a medication given to promote appetite in the elderly named Megesterol (Megace). Ask her PCP if it's appropriate for him. It is only given for a month or two. I got it prescribed for my mom when she just would not eat and it did work - she gained an appetite and a few pounds too! 
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My FIL started telling us "I can't eat" . To make a very long story shirt, he'd had a stroke and could no longer swallow.

Call 911. Have the EMTs evaluate and take them aside, beg them to convince your dad to get checked out at the ER.
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I've had "the talk" with my mom on several occasions, basically asking her if she is tired of her life and is ready to go. So far she has always said no, so I have told her that not eating or drinking will increase her frailty and shorten her life so she MUST eat. I was prepared to honour her wishes if she had given a different answer though.
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I just wanted to start off by saying thank you to everyone for all of the positive feedback. I am also thankful for a nurse at my dad's pulmonology office who has stuck by me through all that's happened and has never EVER made me feel like I'm a bother!! She recommended we try the Megestrol for appetite stimulant first before approaching our local hospice support program for COPD patients. Basically not an "End of Life" program, but rather a program that is used many times to prevent the patient from getting to that stage. So I got the Megestrol called in by his PCP today and while we just discovered that the pharmacy is currently out of it, it will be in for him tomorrow. I'll keep you all updated on his progress. In the meantime if any of you have experience with the Megestrol and have any advice about how to take it, when to take it, for how long he should take it, etc... please let me know your thoughts. Thanks again friends!
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There are a lot of discussions on this site about elders who won't eat, the key to resolving this is understanding the cause. Is it depression? Inability to swallow properly? Pain or discomfort after eating? Lack of appetite? Dental problems? Something else? Getting him to the doctor may have to involve some trickery - for instance I've read of people telling their loved ones that their insurance is requesting everyone get an annual physical or they will drop coverage - or bribery - I'll take you to the casino after the appointment. Or you can just firmly insist he needs help and call the paramedics as Barb suggested in the first post. Good luck with this, and let us know what you decide to do.
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If he's motivated you don't need to wait for PT, he can start on his own. There is a great website Elder Gym - google it - which has a lit of low impact exercises and includes videos on how to do them. You may think they are too simple to be of any benefit, but many of the ones my mom's PT had her doing are included there.
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Mandolina, is your father on oxygen b/c of his COPD?
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@GardenArtist:  No, he is not. He was at the beginning on oxygen at night only. His oxygen levels are typically around 94-96. He actually did not want oxygen, but went along with it. Then the medical supplier came in on a routine check a few months later and gave him something to check his O2 levels at night, and when they read the results it was determined that he didn't need it/didn't qualify for it. So they took him off of it. And... his pulmonologist was very happy with the levels and said he didn't want him on O2.
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It is liquid so administer using a teaspoon or whatever the prescribed dose is. We gave it in the morning. It was only prescribed for a month or two but it was effective for my mother. So happy to have helped you!
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So my dad is eating again and his depression level is going down. He says he's feeling better in that retrospect. The only thing I really need advice for now is this...

He's lost so much muscle mass that he can't get out of his chair. A stronger bigger Amish neighbor stopped by - a buddy of his - and he tried to pull my dad out of his recliner. He couldn't. So yeah... that says something. Now, my dad WANTS to get out of his chair, but I'm thinking maybe he needs some type of in-home physical therapy? My dad is 70, my mom is 68. Her unemployment is just about to end and sadly with all of their bills, she needs to go back to work and is unable to retire. She's trying to get a job but at her age it's extremely difficult. When she starts being gone during the day, who will care for my father? He will definitely refuse going to a home, and I don't want to send him to one. He just wants to put on muscle and regain strength to regain his mobility. Does anyone have suggestions? I'm not sure if insurance would cover hospice coming in or if he would even qualify for in-home physical therapy or if he needs more than that? He said he's in no real pain other than a few bed sores, which he is now sitting on a pillow to try and help with. He really wants out of his recliner. Friends... now's the time. If you have any advice, I'm open to it.
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