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My Mom is 92 and in pretty good shape for her age. She is fairly independent. She eats like a bird and then complains of feeling weak and tired all the time. Any suggestions for getting her to eat more? I live with her and am tired of pushing her to eat more.

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Summernole

Hello are you taking care of yourself (first,)

Blessings 🙏. Suggestions I used fix foods she likes best. Even if it's every day. Reduce her plate to a saucer. ( times they see big plate to much food )

Do she eat alone, if so try eating with her . Lonely for company remembering family ate together.

Place about 4 crackers or granola bar cut in small bites size. and small water in living room while watching television . Daily
Change it with other items she like nutritional. Even Cheerios excellent .

Try this for a week, just tell her Incase you want a snake Eventually she will indulge.

Respectfully
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My mom's care giver makes her a great lunch of food my mom enjoys but she just didn't eat much of it. She had the great idea to serve it to her on a TV tray in front of the TV instead of in the kitchen and now she eats the whole thing. Not sure why but maybe because she wanted to get to a place where she was more comfortable and can take her time.
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Save yourself and mother a lot of anxiety and grief by simply honoring her choices about eating. Period. As for her saying she's weak/ tired, at 92 she most likely is; and eating more most likely would not help that.
Sometimes elders say things like that because they actually do not feel well and cannot describe it any other way. Be sure that her PCP is kept informed and she is being assessed by PCP regularly as needed. You may also benefit from getting some type of in home care services to help with her ; often they can offer good support for patient and family members. Practice good self care for you ! Let her have her dignity and patient rights honored by choosing what and when and amount that she eats.
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My Mom is almost 92 and I deal with the same thing. Drinks hardly anything too which has causes weakness, fatigue, and uti's. I bribe her with desert. If she eats even a few tablespoons of dinner she gets dessert. I also have found that offering her many small snacks in between meals helps. She said her taste buds are off and that sweets is all that appeals to her. At this point any food is fuel for her. Peanut butter and jelly seems to be her go to. If I was not here with her she would not attempt to eat or drink at all. She does drink boosts every day.
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Summernole Sep 24, 2023
It is so sad that we have to convince them to eat and drink. Thank you for your perspective, Friend72.
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try to get her to drink protein shakes like Ensure or Boost. Also soups you make yourself with limited to no salt. Anything else, puree in blender. She probably developing swallowing problems. Hugs :)
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her primary doctor could and should recommend a prescription
for appetite. My husband's doctor put him in touch with Hospice care. The nurse prescribed MESTROL ACET 40 mg/ml. He takes it every morning and evening and he is eating much better and gaining weight.
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Summernole Sep 23, 2023
Thanks. I'll ask about this.
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Summernole: Concentrate on getting mom to eat even small amounts of calorie dense foods.
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I might have answered this already.

Make her a really good tasting milkshake with - if she loves chocolate - lots of cocoa (and malt) and add bananas for creaminess and it is a really good source of nutrients.

Perhaps she loves fruit ... whatever she likes - make it a milkshake.
You can toss in a little of a lot of nutrients, ie protein powder, cinnamin, collogen and lots more - in small quantities. She won't notice over the main ingredient - whether its chocolate or fresh strawberries / strawberry 100% fruit jams.

Also consider the SIZE of the portion. Since she doesn't want to eat, put it in a very small glass with a straw or however will work best. If she is motivated with you eating with her, join her.

The liquid could be milk, almond milk, juice - whatever works.

You cannot push her. That is counter-productive. And, she is 92.
She likely doesn't feel much like eating.
Give her a brownie.
Some people are not food motivated (like dogs ... and I LOVE dogs - no disrespect here).

Gena / Touch Matters
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I am feeling your angst!!! My mom is only 80, and getting her to eat is a slippery battle! (She’s only 80, and has only been in me and my sisters care for barley reaching the 1 yr mark) Me & my twin sister have come up with some pretty reliable go to’s (generally! But some days it’s a total fail…. BUT when she gets hungry enough, she’ll eat!)
*Lots of days She’d rather snack than have real meals: so we have made her custom made “snack trays” that we know she’ll eat (cheese&crackers, ham&cheese, etc.)
*Size of plate & portions is a major issue: she eats better from a desert sized plate with child like portions
*Size of the cut of food is also a major issue: whatever “it” is she will pass if it’s “too big” (ex: stir fry veges, if it’s a full sprig of broccoli = PASS, BUT, if that sprig of broccoli is cut up into teensy portions = devoured)
*LOTS of days, her first response to any food presented is “oh nooo, I’m too (insert excuse) to want to eat”. So, I ignore it, continue prepping the food (cause dads gotta eat, too) and re-present the meal like 15 minutes later - It’s about a 60% positive result when I re-present.
It’s a process!
sending hugs your way!
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Macaroni and cheese. Protein dense and comfort food. My wife eats Cane’s chicken fingers and fried fish. I don’t worry about carbs, she gets them anyway. I will say my wife is 5’6 and weighs 175.
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My father is at 100lbs fully clothed. His dr suggested Megace. It's a liquid appetite stimulating medication. I tasted it and it's not horrible. Dad seems to be eating more frequently but is kinda unsteady on his feet so I only weigh him at the dr office. I looked it up and it is used for anorexia patients and such to get them to eat. I also bought a bunch of junk food snacks that he can graze on if he doesn't want to eat real food. I'm thinking anything is better than not eating.
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I had a similar situation with my husband. He had a poor appetite and I was worried that he would start losing weight. I got him Boost Very High Calorie drinks, which have 530 calories per bottle. He drank one bottle between meals. He enjoyed the different flavors and was able to maintain his weight fairly well.
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heyjmk Sep 22, 2023
Boost is very unhealthy. Try Liquid Hope, it costs more but won't kill you like terrible stuff you buy at Costco or the supermarket will.
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My mother who is always extremely prim and proper is now more comfortable picking up small pieces of food and eating with her fingers. It’s fine everything is cut into bite sizes or I will drop food into her mouth like a baby bird.

She is 94. Recently broke her leg and was hospitalized for hyponatremia low salt so food is extremely important.

she had to go into skilled rehab. I worked hard with the diet Titian in the kitchen to get her the food that she needed. I couldn’t be at the rehab every meal.

I also signed a release for a ring camera so that I could watch her eat her meals. She does eat some thing off of every meal and a lot of ensure shakes. She is on iron and vitamin D.
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Lots of mini meals. Cute sliders instead of overwhelming burgers.

Many small snacking meals.

Aim for calorie dense choices. Try new restaurants. Watch cooking shows together and cook together if she is able.

It’s more fun to eat things you make. Make homemade ice cream and jam from scratch. Have her teach you her specialties. Make foods her mom cooked or things she used to cook and eat when she was younger.

Buy vintage cookbooks from thrift stores and explore time travel through food.
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-Make sure your mom doesn’t have an undiagnosed condition like congestive heart failure. She is about the age my mom was when hers was discovered. Her chief complaint was loss of energy. She was normally very active. All her vitals were good.

-Have her thyroid checked. If she is on meds for thyroid, they may need adjusting.

-Also B vitamins are very important. Make sure her doctor checks them or explains why they aren’t being checked.

-A good multi vitamin can make a difference.

-See if her doctor will order therapy and test her joints, strength etc.
While my mom was in rehab I noticed she was eating with her left hand. I asked her why, she said her right arm wouldn’t work. She had “drop arm” and then later I was shown on X-ray that her rotator cuff was out of place. She had OT for the rest of her life and was able to use her right arm. When something doesn’t work right we have a tendency to quit using it. Especially if the person is not a complainer or has any mental decline. My mom was the type not to mention it because she would have already decided if was “just worn out”. That part was true but what she didn’t know was that therapy would help.

-DH aunt has dementia and is bed bound. She could feed herself easily until a few months ago. It wasn’t noticed that she wasn’t able to feed herself as well. We did notice that she was losing weight and had started appetite stimulate. she had speech therapy to make sure she was swallowing okay. No problem there. Then thinking the appetite stimulate wasn’t working, we changed it. One day I had taken her a chocolate shake, her favorite. Her hands were tucked under the covers so I held the shake where she could drink it.. In the past she objected to anyone trying to feed her. This time no objection. She was really enjoying the shake. I asked her hospice nurse to put an order in to start feeding her. That was the issue. She needed help eating. I know it sounds ridiculous that this was the case and it hadn’t been noticed. By the way, CNAs were reporting that she was eating. She was trying to eat but just disturbing the food. Not much making it to her mouth.

-even with all that, when I was there yesterday I noticed an ensure type drink open on her tray. It was in an opened carton, like a small milk carton…Just sitting there. When I did her laundry I noticed several of her white undershirts looked like they had spilled all over them an off white liquid. (alike baby formula). I assume she was trying to drink from the carton and it spilled. Another round of training the new CNAs and telling the kitchen not to just drop off a drink w/o letting the CNA know. (Sorry, a little side vent here). My point is, she may find it difficult or tiresome to feed herself. she may not have noticed this herself, just doesn’t feel like eating. Another reason to simplify her food, don’t serve too much, cut into small attractive bites, put it near where she sits, etc and know that it doesn’t take a lot of food for someone who is just sitting.

But be careful if you feed her. Both my parents died of aspiration pneumonia. Take it slow and easy. Don’t rush her.

It does wear the caregiver down trying to see that they get what they need, so I completely understand your post.

I would get her a good check up, try the therapy and not say too much about it to her.

Make sure she weighs on a regular basis so you have a guideline as to how big a problem it is. Check her BMI to see if she is considered underweight for her height. (although BMI is getting a lot of push back these days as not a valid measure, it is what most doctors still use.).
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Summernole Sep 23, 2023
Thank you.
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Marijuana brownies. Seriously, my mom and dad ate better, slept better and did not have to take as much pain medication.
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swmckeown76 Sep 22, 2023
What if marijuana is illegal in the state where Summernole and her mom lives? At age 92, just give mom anything she will eat. Try milkshakes or smoothies.
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I wish I had some profound advise to assist with your situation but mine is similar. My 85 year old mother refuses to eat or eats like a bird and doesn't understand why she gets sick when she takes her pills that state "to be taken with food". It too live with my mother and feel like broken record telling her to eat food and drink water. Only to be have her tell me I am nagging her. My heart goes out to you. I hope for the best for you and pray for answers.
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Summernole Sep 22, 2023
I am so sorry you are dealing with this too. A lot of people on this site feel I need to drop this and just give her a Boost or Ensure. I want her to eat better but I am starting to understand that she probably won't. We can only do what we can do and pray for the best.
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All of the answers posted are good suggestion, As my husband ( with Alzheimer's) aged, he no longer wanted the full meals I had always prepared for him, and instead, a cup of tomato soup and maybe half a grilled cheese sandwich was fine.
I did tempt him with ice cream, and got him to drink a glass of milk with each meal, which provided more calories, and needed vitamins and calcium.
After he died at 91, I realized he also had some trouble swallowing, which is not unusual with dementia, but perhaps with just aging also. So, soups, shakes, and other liquids were easier than meats and vegetables to swallow.
It's not worth hasseling; let her eat what she wants.
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First...
Keep in mind that she is probably not expending calories like you or I do.
After a few weeks in the hospital and fighting a UTI can change a person.
While she was "fairly independent" before that has probably changed.
She may continue to decline and if she does she will eat less and less as her body will not need the energy it did before.
To push her to eat more than her body can process can cause problems. the food may come up possibly causing aspiration pneumonia or it can become bound up in the intestins or colon. (either may result in the need for surgery if it is not naturally eliminated)
Offer many little "snacks"
High calorie foods that she likes.
Forget the notion of a "well balanced diet"
Let her eat what she wants and when she wants.
Place a little fridge near where she likes to sit. Keep it stocked with things she likes.

You made the comment that you "dont want her to wittle away"
She WILL stop eating and drinking. This is a part of End Of Life.
PLEASE do not have a feeding tube or IV's placed to provide fluids and nutrion that her body will not need. To do so can cause pain and discomfort.
(Check out Hospice Nurse Julie on YouTube she has a lot of information on artificial nutrition at EOL)
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Summernole Sep 22, 2023
Very well stated comment, grandma1954. It is hard, as a caregiver and a loving daughter, to watch her eat so little but I think I am starting to understand that this is probably the way it is going to be. I've stocked up on nuts, fruit and ice cream for snacks so even if she only eats half a sandwhich at lunch I will have to accept that.
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Smoothies , yoghurt , soft cheeses , sorbet , rice pudding .
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I’m in the same position. My mom won’t eat or drink. I try to give her anything she will take from me. Sometimes it nothing at all. I try to make her but I don’t want to be arguing with her. They say when they get older they lose their appetite. Good Luck with everything.
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Trialsoflife Sep 22, 2023
Good luck with your situation as well. It is difficult to try to help. Bless you for trying.
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My Mom, who is 86 and has Lewy Body Dementia, started eating like a bird. During the first six months, while we were trying to get a diagnosis, we could only get her to eat literally a teaspoon of food at each meal. It didn't matter what kind of food it was - she just wouldn't eat. After eating a teaspoon, she would declare, "I'm full, full, full!" She lost 56 pounds in 6 months. She became frighteningly skinny and very cognitively impaired, beyond the LBD (she was starving her body and her brain). At one point, her doctor even discussed placing a feeding tube. Of course, that was to be a last resort. Before doing that, he decided to try finding a way to increase her appetite. He put her on 30mg of Mirtazapine per day. Mirtazapine is an antidepressant, and one of the side effects can be weight gain. It worked like a charm! Not only did her appetite increase, but her mood improved! She was hungry all the time, and wanted to eat every 2 hours. We loaded the house up with all kinds of healthy snacks, and a few not so healthy things for treats. We also added in the high calorie chocolate Ensure shakes. She gained back all the weight she lost, plus about 10 pounds. Her cognitive health improved dramatically, her energy level improved, her mood improved, and her sleep improved. Once we got her weight where it needed to be, we cut her Mirtazapine back to 15mg per day. She has been able to maintain her weight and appetite for the most part. When we do notice that she's not eating as much and is starting to lose weight, we bump her dose back up to 30mg until she levels out. We also started serving her meals on a full-size dinner plate, rather than the smaller salad plate she was used to. She has always liked to leave a little food on her plate, so by using a larger plate we can put more food on it and she can still leave a little food while actually eating a good portion.
Unfortunately the LBD has taken away her ability to understand the importance of good nutrition or to see the correlation between nutrition and how she feels. Luckily she has a doctor that was able to find a good "work around." We are able to treat two issues at once - the depression and her appetite. I'm not in any way saying this is a fix for everyone. However, it might be worth a conversation with her doctor. Best wishes!
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Summernole Sep 22, 2023
Great information! I will certainly talk to her doctor about it. It is ironic because when I was dealing with a diabetic cat, who didn't want to eat, the vet recommended Mirtazapine rubbed on the inside of her ear. I think it helped for a while - until it didn't.
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What are feeding her? A full course meal breakfast, lunch and dinner? Does she like sweets like candy, lollipops 🍭 , oatmeals? Soups? Cakes?

I did that with my mother. She always had something in her mouth..
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Summernole Sep 22, 2023
Never a full course meal. She will eat some cereal, oatmeal or fruit for breakfast, 1/2 a sandwhich for lunch and sometimes she will skip dinner altogether. She will sleep until 12:00 pm and then eats breakfast around 1:00 or 2:00pm. She will have a really late lunch and then want nothing after that. If she skips dinner I always make her drink an Ensure of Boost.
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Have you tried protein bars? Atkins lower protein bars (like their 7 gram caramel chocolate nut roll) and Kind aren’t chalky. Or reducing her white sugar intake?

But the average life expectancy is 76.4 years. Your mom already beat the odds :)
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Summernole Sep 22, 2023
She does have the Nature Valley bars and likes them except for the frosting stuff they put on the bottom. I know that my Mom has some really good genes. He Mom was 93 when she died and her sister was 94. I hope I have her good genes but only if life is worthwhile.
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After fighting the battle with my father and then my mother I came to realize that you can't force them to eat. At their age they are really able to eat what they want. My sister and I spent days and days searching for the perfect food, creating menus with pictures, trying anything we thought they would like. Cooking for hours without success. In the end I mourn the amount of time I spent fighting to find the perfect food. I am sorry to have made the remaining time with them so focused on something that in the end really only made us anxious and depressed.
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Summernole Sep 22, 2023
Thank you for the advice. It seems to be the concensus on this site.
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I would focus on healthy small meals and snacks. I'm not saying "no" to ice cream and shakes" but don't think that's the answer.
I'm a nurse that works with seniors. Appetite often dwindles.
They seem to enjoy shakes. Make them healthy. I made one with blueberries, threw some kale in,
and the patient never knew.
Hope this helps.
I would be attentive to the matter but not worry too much right now.
Bless you for all you do for your Mom.
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Try one of the meal replacement shakes. My mom likes the Cafe Latte ones at Sam's Club, name brand Premier. Also, who decides what she eats? Give her choices. Also, I buy my mom cookie-like bars, such as Nature Valley Peanut Butter and chocolate wafers. I also keep her stocked up on yogurt. You cannot force her to eat, but you can put tempting things around her and allow her free choice. My mom would rather drink a shake or eat a yogurt and a bar than eat a regular meal. Whatever you do, do not make it a battle because this is one area she can exercise control. And, she will.
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TakeFoxAway Sep 22, 2023
Interesting - your mom would doesn't like to eat a regular meal. My mom gets 'freaked out' by the amount of food they give her, tries to give me half, I put it aside for her and then an hour later she's eating raisin toast with peanut butter.
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I give my 96 year old mother nutrient-dense foods that she likes, early in the day, (eg. liver pate, sausages, whole milk, etc.) and supplement with ensure or ice cream for extra calories at the end of the day. During the day, I try to slip in fruits and vegetables such as lima beans and kiwi for regular bowel movements. I realize that if she gets her own meals that would be harder to do.
I have learned that the principles of traditional diets are very helpful in designing a good dietary regimen, (www.westonaprice.org).
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You could take her for a check-up. She may be anemic, and that's why she feels weak and tired. Try giving her red meat and spinach, or other foods that have iron. But she should have a check-up. My mom is 93 and she takes iron pulls because she doesn't like to eat red meat. She became iron deficient and very weak as a result. But now she's fine.
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You have to. It is her life, not yours.
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