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Medical Forum / Diseases and Disorders / Alzheimer's / January 2008

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Person with Alzheimer's not eating r drinking

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CarlosWA - 13 Jan 2008 14:44 GMT
My mother is 86 and has been diagnosed with Alzheimer's for 2 years.
In September 2007 she moved to a nursing home and adapted relatively
well. She had been eating little for two years but had a good level of
energy. However, in the last month she has stopped eating and is
drinking very little. The staff give her liquid meal replacements. She
is now very weak and her balance is not good. I am afraid she will
fall and break a bone and will not be able to have surgery because she
is too weak for anaesthetics.

The doctor took her off medications (which she was refusing or hiding
and not taking). Now she is only on Celexa an anti-depressant. However
when I and other people speak to her she does not seem depressed.

Could yopu please tel me about experiences with the lack of eating? Is
this a frequent condition with Alzheimer patients? What can be done?

CarlosWA
Tumbleweed - 13 Jan 2008 19:08 GMT
> Could you please tel me about experiences with the lack of eating? Is
> this a frequent condition with Alzheimer patients? What can be done?
>
> CarlosWA

Yes its frequent, its down to a combination of forgetting to eat, and I
suspect, just giving up. So if its just forgetting, you'll have to sit with
her and feed her. If its beyond that, accept it.

FWIW major surgery with Az patiens is (a) a waste of time, and (b) usually
gives them a huge setback in terms of memory and capabilities so they never
recover mentally in any case. So pointless even if you managed to feed her
up so she was strong.

Why not let her pass peacefully?

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Tumbleweed

email replies not necessary but to contact use;
tumbleweednews at hotmail dot com

Mary_Gordon@tvo.org - 13 Jan 2008 22:25 GMT
Carlos, no matter what you do or don't do, she will lose her sense of
balance and ability to walk. That is part of the disease. They loose
muscular coordination. She may be getting weak from not eating, but
even if she WAS eating, the same thing would become a concern with
time.

It is also very common for them to stop eating and drinking - part of
it is the same loss of coordination - its called dysphagia. They can't
chew and swallow properly - and many of them do not seem to feel
hunger and thirst like a normal person would. Thickened liquids are
usually the best solution. The nursing home will have to do a lot of
prompting and hand feeding to get calories into her, and try to get
every mouthful to count (food that is as high calorie and nutrition as
possible). I'd also be trying to feed her many times a day, rather
than just at normal "meal times" in the hopes that you can get her to
take more in with many smaller meals than fewer large ones.

Beyond that, there isn't anything you can do. When my mother in law
was in Stage 7 (incontinent, bedridden, unable to do anything for
herself, sleeping all day) and she stopped eating, we let her go.
Doesn't sound like your mother is quite at that stage yet. It is a
really miserable disease.

M.
Evelyn Ruut - 13 Jan 2008 22:43 GMT
> My mother is 86 and has been diagnosed with Alzheimer's for 2 years.
> In September 2007 she moved to a nursing home and adapted relatively
[quoted text clipped - 13 lines]
>
> CarlosWA

Carlos,

Please listen to what Mary has said to you.   It is a part of the illness
and a sign that she is letting go.   Let her do what she wants.   I am sorry
to say this, but the illness does sometimes do this.

Signature

Best Regards,

Evelyn

Baird Stafford - 14 Jan 2008 09:12 GMT
> My mother is 86 and has been diagnosed with Alzheimer's for 2 years.
> In September 2007 she moved to a nursing home and adapted relatively
[quoted text clipped - 4 lines]
> fall and break a bone and will not be able to have surgery because she
> is too weak for anaesthetics.

A wheelchair and a "lap buddy" can help; she can't fall down if she
can't get up.  If you're in the US, MediCare will pay most of the cost
of the wheelchair.

Blessed be,
Baird
sweetpickleNO@SPAMknology.net - 14 Jan 2008 21:02 GMT
Carlos, my husband stopped eating and drinking two weeks before he died.  It
may be that your mother is just tired and ready to let go.  If that is true,
don't begrudge her being able to stop the AD.
Gwen

> My mother is 86 and has been diagnosed with Alzheimer's for 2 years.
> In September 2007 she moved to a nursing home and adapted relatively
[quoted text clipped - 13 lines]
>
> CarlosWA
CarlosWA - 16 Jan 2008 15:16 GMT
Thank you Thumblewedd, Mary, Evelyn, Baird for your kind and
informative answers. One more question. What can I expect as she
deteriorates due to lack of food? (Kidney or other organs failure?
When to move to palliative care? Can future discomfort be controlled
with medications?)

Txs, Carlos

>My mother is 86 and has been diagnosed with Alzheimer's for 2 years.
>In September 2007 she moved to a nursing home and adapted relatively
[quoted text clipped - 13 lines]
>
>CarlosWA
 
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