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Medical Forum / General / Dentistry / July 2008

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Expanding menu options for jaw-pain patients

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The Webby - 27 Jul 2008 17:19 GMT
We've been exploring some of the issues behind jaw-pain associated with
eating as a hindrance to a person's nutritional well-being.  People who
find it painful to eat for whatever reasons, tend to avoid eating.  It's
crucial to navigate around what seems to potentiate the pain in order to
help a patient with his/her nutritional needs.  

It is my goal that this thread can be developed as an idea-base to
inspire better nutritional options in the jaw-pain individual.
~~~

1.  When a person can't think of anything to eat, it is often a sign of
hunger.  The brain shuts down.  So, in the case of jerm, I think it's
important to wake up his appetite!

2.  Too often, people go for ice cream and sweets to "pack on some
calories".  The trouble with that is that sweetness dulls the appetite.  
So, let's look for some aromas of "home cooking" and spices for the
taste buds to enliven his interest in "what's to eat?"

3.  Since the physical actions of opening to "take a bite of food" and
chewing the food are jerm's trouble-makers, let's find foods and
techniques to minimize those problems and maximize his sense of having
had a satisfying meal.  He shouldn't go away hungry or with that feeling
of needing "something else....".  We all know that sensation.

4.  Most importantly, eating is not only a physical requirement of
living; it is also a social aspect of life.  So, I'll do my best to keep
that in mind when I make suggestions.

~~~

Are we ready????

Webby
The Webby - 27 Jul 2008 19:53 GMT
The main goal for jerm is to determine which items can be eaten with a
minimal amount of chewing.  This is where a knife, fork, and spoon come
in.

Using a knife to cut foods into small pieces is what we do for young
children as they move from baby foods to toddler foods, and beyond.  
They are *not* proficient at chewing, so we cut the food into small
manageable pieces.  The same can be done for people of all ages, of
course.  However, because we have been *chewing* our food for so many
years (by adulthood), we need an "attitude adjustment" of sorts if we
need to go "back in time".  

More to come...

Webby

> We've been exploring some of the issues behind jaw-pain associated with
> eating as a hindrance to a person's nutritional well-being.  People who
[quoted text clipped - 30 lines]
>
> Webby
The Webby - 27 Jul 2008 20:38 GMT
There's an element of frustration involved with my attempt to guide jerm
toward foods that are manageable *for him*.  In my attempt guide him, I
must balance my own experiences with the necessary objectivity
otherwise, I am catering only to my needs.  

This is where feedback from readers (not only jerm) comes into play.

Webby

> The main goal for jerm is to determine which items can be eaten with a
> minimal amount of chewing.  This is where a knife, fork, and spoon come
[quoted text clipped - 46 lines]
> >
> > Webby
The Webby - 27 Jul 2008 21:19 GMT
One trick to eating with a smaller mouth opening is to forget spoons and
favor forks.  Almost everything except soup broth can be eaten with a
fork (even ice cream).  A fork is flat and food upon it requires less
space between the front teeth to get into the mouth.

What does that mean?

Let's take mashed potatoes and gravy as an example.  I *think* most
people use a fork for that side dish but probably don't see the
difference between it and a bowl of ice cream served with a spoon as the
utensil of choice.  (People even give me a spoon for a piece of pie!!  
What gives with that???  I have to ask for a fork.)

Next, consider a boneless chicken breast.  No matter how small you cut
it, you're not likely to reach for a spoon unless you're 18 months old.  
The chicken pieces you eat, probably aren't put on top of the fork
tines, it is usually "stabbed" onto the tines.  Here's the deal:  I have
watched how people eat the piece of chicken; most open widely and put
the fork and the chicken *inside* their mouths, close lips and pull the
chicken off the fork very politely.  *But*, for someone needing to limit
the opening, just put the small piece of chicken between the front teeth
which are not opened widely apart, and let the teeth pull the chicken
off.  If you aren't going to be doing a lot of chewing, your next task
is to learn how to swallow food like you swallow aspirin.

Peas ... obnoxious little things rolling all over the plate.  You could
try to put 5-10 of then on top the fork tines *or* you could put 3 on
the tip... but I can't imagine anyone wanting to capture peas with a
spoon.  But I find that if there's a little dressing or gravy mixed with
my peas, they are much easier to manage... they stick together rather
than roll away.

Oatmeal... a spoon is customary if it is loose with milk.  If it's a bit
stiffer, a fork works great and it takes less opening to accommodate a
mouth full of oatmeal on a fork than in a spoon.

If you use a fork, you should have a knife handy.  The British like to
use their knives to control little pieces of food ... not a bad use for
that tool but I mainly use mine for cutting!  ;-)

What do you think so far?  Most reading this are probably thinking
"what's so new about this?  We already know this."  But!  How often do
you *think* about *how* you eat the food on your plate?  (Not often
would be my guess.)  When I look at a menu, the first thing I think
about is *how* will I be able to manage the items I might order.  At
home, it's the same process but I don't have to explain anything to
anyone.

Webby

> There's an element of frustration involved with my attempt to guide jerm
> toward foods that are manageable *for him*.  In my attempt guide him, I
[quoted text clipped - 55 lines]
> > >
> > > Webby
The Webby - 28 Jul 2008 00:19 GMT
Without "patient motivation" the rest is all commentary.

Webby
jerm - 28 Jul 2008 02:23 GMT
> In article <tmjiatroepidemic-574EB2.13190627072...@news.west.cox.net>,
>
> Without "patient motivation" the rest is all commentary.
>
> Webby

so,  I just make i chop everything up real small and eat with a fork.
The Webby - 28 Jul 2008 02:32 GMT
In article
<aa60a452-f3fd-4ac1-af90-2915f5903258@p10g2000prf.googlegroups.com>,

> > In article <tmjiatroepidemic-574EB2.13190627072...@news.west.cox.net>,
> >
[quoted text clipped - 3 lines]
>
> so,  I just make i chop everything up real small and eat with a fork.

That will help you avoid heavy chewing and wide opening.  You can easily
supplement your meals with products such as "Boost"; there is such as
variety out there and they all taste a little different, some worse than
others. ;-)

In the morning, get some Instant Breakfast and have one with your eggs
and oatmeal.  Where's your juice in the morning???  Get some.

Meals are not that difficult to modify but it takes a little time either
in preparation or after someone else serves it to you, if you're so
lucky!

Mashed potatoes, baked potato with sour cream, soups ... you should not
have difficulty finding food to eat.  But you do need to plan to eat.  
And if you've lost weight that you didn't need to lose, eat inbetween
meals with some Boost or smoothie type stuff.

Pasta can be cooked a little extra to be softer.  

What else can I really do to help you?  You just need to get in the
kitchen and do the work!  Good luck to you, jerm.

Webby
The Webby - 28 Jul 2008 02:46 GMT
Is that all I said?  I hope not ... but if the problem is that simple,
then there's no reason to be going hungry.  

I wish it were that simple for me.  :-(

Webby

> In article
> <aa60a452-f3fd-4ac1-af90-2915f5903258@p10g2000prf.googlegroups.com>,
>
> > so,  I just make i chop everything up real small and eat with a fork.
jerm - 28 Jul 2008 06:02 GMT
> Is that all I said?  I hope not ... but if the problem is that simple,
> then there's no reason to be going hungry.  
>
> I wish it were that simple for me.  :-(
>
> Webby

 Thanks Webby, i really appreciate your helping me out.

> In article <tmjiatroepidemic-1FB5B7.18324727072...@news.west.cox.net>,
>
> > In article
> > <aa60a452-f3fd-4ac1-af90-2915f5903...@p10g2000prf.googlegroups.com>,
>
> > > so,  I just make i chop everything up real small and eat with a fork.
The Webby - 28 Jul 2008 03:24 GMT
I think the thread was intended to be more helpful than it seems to have
been limited to.  I'm closing the thread now unless any others wish to
use it; but I'm finished.

Webby

> We've been exploring some of the issues behind jaw-pain associated with
> eating as a hindrance to a person's nutritional well-being.  People who
[quoted text clipped - 30 lines]
>
> Webby
 
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