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My father is in a care facility. He has been there 4 months. He complains about the food all the time and is now refusing to eat which is causing weight loss. I have eaten in the dining hall before when I visited in my option, the food is not bad. He wants food he is not supposed to have such as greasy, fatty foods. His nurse says he has also become obsessed with his weight but refuses snacks and etc. when they offer it. But he will eat snacks brought by me or his friends. My concern is the weight loss. He even told me that they told him that he might have to have a feeding tube. I checked with two of his nurses and they said they have not told him this.

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My Dad is 89 and he takes spells when he doesn't want to eat or eat very much. When that occurs, I make smoothies which I supplement with protein powder. He really enjoys those. I started to give him a small glass daily before breakfast so it does become routine. So days when he doesn't want to eat lunch or very little else I supplement with an additional protein drink. If not eating became a habit I would need to rethink because I know the protein drinks are not a total answer.
Is there one or two foods he does particularly like that you might get him to eat?
I can usually get my Dad to eat a peanut butter sandwich or some scrambled eggs even if he won't eat anything else. Or fruit cups.
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Reply to Upnorthmi
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My husband is 74 and has Parkinson's. Bedbound for 20 months. We consulted a speech therapist when he started talking very little. She was also very experienced about eating/chewing and meal prep. We discussed with her how my husband no longer enjoyed the foods he used to love. Offering him meals was a guessing game in what he might enjoy. She said that elderly folks have changes in what they enjoy eating. Sweet, salty and cold food items seem to be preferred. I strongly suggest you contact a speech therapist with a specialty in feeding, who can give you and the facility ideas in how to awaken your Dad's taste buds. The speech therapist also can give ideas on making tasty healthy food options you can bring to your Dad. It may take contacting a home health agency to find a specialist for this, as some speech therapists may work on the mechanics of chew & swallow, but may not have the training in foods that will interest geriatric people. Many skilled nursing facilities serve bland foods, with low sugar and low salt to comply with feeding many patients with dietary restrictions. But food that is "not bad" to your taste buds may be "tasteless" to geriatric taste buds. I hope this helps.
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Reply to JanPeck123
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Yes, my dad had frontotemporal dementia and died recently at age 80. He had always been slim at around 5’10 and 175 lbs and most of his adult life he ate a fairly balanced diet. For the 7 or so years of his life, he started eliminating more and more foods and losing weight. He rejected vegetables, then most fruits and meat, and moved from eating yogurt to ice cream for breakfast. Around that time, my mom was driving herself around the bend making fancy meals from scratch every night to try to tempt him — chicken and dumplings, lavish Mexican dishes, pot roast, all kinds of things. He would hardly eat a single bite. He would try to throw out or hide the food instead. It drove her up the wall. I finally convinced her to stop for her own mental health.

About two years before his death, he weighed about 138 lbs, and ate only bread, salmon, cheese, cookies, and ice cream. He then turned against salmon and cheese then eventually he refused bread and cookies and would eat only one bowl of vanilla ice cream and maybe 3 ounces of orange juice per day. Very little water. He lived surprisingly long on this diet. I would say six months and he had several terminal conditions on top of dementia. He was losing like half a pound to a pound per week. He went into home hospice 4 months before he died. By the end, he was only 103 lbs and looked absolutely skeletal. Bones of his face standing out, arms and legs like twigs, ribs in front and on back clearly visible through a shirt. Barely has the strength to stand.

We tried every protein shake, ensure, Gatorade, smoothies, purreed foods, mashed potatoes, that stuff called Thick-It, soups, broth, root beer floats, pudding, custard, candy, etc etc. he did not want any of them. Only the vanilla ice cream. I think the dementia affected his sense of taste. He also sometimes had trouble swallowing. At one point the dr told him his body was digesting muscle to survive. That didn’t bother him. If anything, he seemed to like that idea. There was just no point in fighting it.

If I had to do it over again I would urge him less. It was his life. Even with dementia.

My personal opinion — no way would I advocate for a feeding tube for a 79-year old unless he actively wanted it AND there was a plan to wean him off it and a way he was going to go back to eating.

best wishes to you. It’s hard.
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Reply to Suzy23
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faithfulbeauty: Perhaps the facility's nutritionist should be consulted.
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cover9339 Oct 2, 2024
If they have one
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Even if he isn't eating, he can't be forced to have a feeding tube if he is able to express his wishes. Hopefully, he has a healthcare directive that specifically states this in writing, but if he can speak for himself, he can refuse. A feeding tube would be a hard NO for me.
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Reply to ElizabethAR37
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faithfulbeauty, I know this is going to be an odd question, but what kind of toothpaste is your Dad using?


Years ago I was using a "whitening" toothpaste and after a week or so I noticed food didn't taste good anymore. That worried me, so I tried to think back if I didn't anything different. Then had a light bulb moment - the whitening toothpaste.


I stopped using that toothpaste and went back to my regular, after a week my taste buds were back to normal... whew !! Who knows, maybe it is something as simple as toothpaste, mouthwash, Tums, liquid medicine, etc.
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graygrammie Oct 1, 2024
Oh my goodness, I just had a lightbulb moment. My mouth has been awful for months and I was going to bring it up with my doctor at my next appointment. My husband went in the hospital 9/8 and I started using our bathroom again instead of the family bathroom. In the family bathroom, I was using a new whitening toothpaste. In the main bathroom, it was the toothpaste we have used for years. About three days into my husband being in the hospital, I noticed my mouth was better, no more strange taste, no more brown tongue. Thank you for solving the mystery!
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I have to ask, why not let him have the fat, greasy food he does want to eat? The important thing is to get him eating and his quality of life. Just let him have whatever he wants to have (unless it hurts his health so severely that he truly can't have it because it will make him sick). My 89 year old mother now just wants junk food -- Taco Bell, Checkers cheeseburgers, and Dairy Queen. Guess what? I bring them to her and am happy she enjoys them. At their age, just let them have that quality of life and enjoy themselves with the food they do want to eat. Do anything to avoid that feeding tube -- that is a nightmare and will make him feel even worse about food and his weight. I sure hope he starts eating.
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ElizabethAR37 Oct 1, 2024
Your plan works for me. I still try to eat reasonably healthy foods, but what I WANT to eat (and it isn't always the healthiest!) wins out perhaps more often than it should. But what's the point here anyway? I'm 87 Y/O and in no danger of a "premature" death! I agree--no feeding tube.
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Sounds like a stage my dad went thru and suddenly obsessive about his weight - dreadful time
he had a health scare and found out his heart was slowing -London heart hospital said due to years on doctors tablets ( aspirin !)
anyway
I don’t know if there was any connection with the underlying health issue found but certainly seemed to have a connection. In hospital he ate the food to. It appear rude then back home started the fussiness again.
we then found out he had a mouth ulcer ? And doctor gave him antibiotics
after that he started eating normal
he woukd say he’s not hungry but we just made smaller meals and ones that didn’t have anything hard
mash with cut up pie and beans - small portions and he ate it. Then we moved onto better meals small portions and cut up and now no problem
please have the doctors check your father out
I am sure ours were down to the heart and mouth issues
in meantime we supplemented his diet with small meal replacement drinks
one I found on Amazon and later was told was actually prescribed to patients by doctors so with speaking to his doctor
good luck because I know how frustrating and upsetting it can get.
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Reply to Jenny10
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Rule #1
Limiting any foods when weight loss is of a major concern is just a mistake. What’s the medical diet prescription from the MD? Why are greasy fatty foods limited? Is it a medical issue? The difference between vegetable fats and saturated fats is a wide range. As a dietitian for the aged population, calories do matter. Give the patient foods they enjoy. Dessert first if calories matter! Patients need choices! Special diets can be refused in an institutional setting, but can be documented in the record. Hospital and nursing homes do not produce appetizing options most of the time. Give this patient what he wants. Stop all the little control measures. Autonomy is a right for any patient.
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Reply to Discovery1
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Faithfulbeauty, I think maybe this isn't a control issue with your dad, but is just his body's way of slowing down. You say he has been in a care facilty for four months, so there must be a reason he is there. Is there expectation of him eventually going home?

My husband was at home, and ate less and less as his health deteriorated. I did not worry about whether the foods he chose to eat were good for him, I was just glad he ate something. His last day of eating, he ate four bites of the pizza he had requested, and was satisfied.

While the food in the dining hall may have been satisfactory to you, the older we get, the more salt we want to bring out the flavor, and I will bet that salt isn't even offered. So, while it may have tasted okay to you, he might find it very bland.

I wonder if he doesn't like to eat alone or with strangers, so when you or his friends bring him snacks, he eats them because he is with people he knows.

Just a few random thoughts.
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AlvaDeer Oct 1, 2024
I'm happy to see you here today, graygrammie!
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My mom was like that and it got to the place that strawberry ice cream was something she could not say no to. After she got to eating that, we tried a bunch of things to get her to eat. Grilled cheese with tomato, peanut butter and Jelly, raisin bread toasted, She prefers finger food. THEN, we found she just isn’t interested in feeding herself. I guess it is too much work, so now she will eat what she wants at that time and her caregiver will sit and give her the rest of the meal by talking to her and feeding her. We have a TV over the table so mom will watch Golden Girls or something like that and finish all of her food. Then NapTime! She was never a picky eater but she is now. I also found that her mouth was sore (she has permanent dentures) and even though we clean them daily, she gets spot that are tender and keep her from wanting to eat. Ora gel on a q tip was helpful.
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Reply to Tandemfun4us
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It is normal, please take the pressure off yourself, there is nothing you can do to change his mind
My dad just decided to dislike food one day, I was freaking out!
I decided to give him “milkshakes”
high calorie boost, frozen fruit, strawberry or orange syrup and a scoop of protein powder
it has kept his weight up and he likes them
In my opinion, give him what he wants, let him be happy
maybe ask him to eat or drink his calories during the week and on the weekend you could take him his guilty pleasure food
i know it’s hard not to worry and even lose sleep, there are a lot of hurdles to get through and some of them aren’t in our control
take care
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Reply to Trishbennie
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My 85 year old mom complains about her food in Personal Care too. However, my mom was not enjoying her own cooking and desire to eat when she was living in her home for at least 2 years prior. Your dad may be dehydrated if he doesn't eat or drink enough. I don't know your father's situation and what he thinks about during his day. My mom is a widow and she is in Hospice care. I do think some people give up on life if they have nothing to look forward to. My mom refuses to eat and drink enough. Welcome to this horrible way of life for the elderly. So sorry.
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Reply to Onlychild2024
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If he can eat food that is brought him without problems, I would think that he does not have significant GI or chewing issues. Having said that, my mom does have multiple GI & chewing issues and it took quite a while to narrow down what nutritional drinks she could tolerate(physically and taste-wise). Ensure & Boost are definitely not the best tasting, so there could be other drinks that could add calories. If the food at his facility seems to be generally well-prepared, maybe try some seasonings in shaker that he could add to his food. Lots of lower sodium seasonings out there depending on what flavors he likes.
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Reply to Learn2Cope
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As said in a previous post - as we get older our taster changes.
My daddy would not eat his favorite food that I would make and I had made since I was 12yo. He called it poison and he would pick and choose what he wanted. Example: he wanted two chicken nuggets, two broccoli sprouts, two cauliflower sprouts and fried potatoes - so if thats what he wanted for each meal - not a problem at least he ate it. He also would not eat his favorite dessert which was chocolate donuts. He also called them poison. So I figured it was the medication and just gave him what he was asking for. Easier than arguing. Blessings and prayers for your trying times!
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Reply to Ohwow323
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Yes, this is a very usual / natural response.
It is good that you've discussed with medical providers there.

His behavior / feelings could be from:
* he is depressed.
* he doesn't swallow well (ask facility nurse/MD)
* He doesn't smell 'anymore' - so no interest
* He could have digestive / bowel issues
* He is lonely and only wants to be with you / take food from you (for the company).
* It is hard for any of us to give up foods that taste good = fat, sugar.
* The key seems to be you bringing snacks that are both caloric and as healthy as possible. Try bullet or blender drinks too. (yogurt, bananas ... and add much more (perhaps cocoa, vitamins (in liquid form).

* He may not (and may feel bored) have enough distractions to focus on other things - can you encourage socializing with others, reading books or looking through magazines, watching a movie on a portable DVD player?
* The obsession could be due to how his brain is changing.

See if you can assess what is behind his behavior / thoughts / reactions.

Google "Picky with food at 79" and see what comes up.

Gena / Touch Matters
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Reply to TouchMatters
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Appetite decreases with age. If your dad chooses not to eat you can either provide food he wants or he doesn’t eat. What happens if he eats food he’s not supposed to have? My thoughts are at 79 eat what you want. Enjoy the time you have left on this earth. And definitely no feeding tube!
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Reply to Lizw90
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"He even told me that they told him that he might have to have a feeding tube. I checked with two of his nurses and they said they have not told him this."

Here's dad's attempt # 1,531 to snooker you into taking him home with you. By refusing to eat. So be it, dad. If you choose to starve yourself (totally doubtful), then there's nothing I can do to force you to eat.

I'd continue bringing him snacks, as usual, then ignore the blatant manipulation techniques.
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faithfulbeauty Sep 28, 2024
@lealonnie,
Now he says he is eating again. As I said on an earlier reply, I have to let it go before I have a stroke or heart attack because he is never satisfied.
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I am afraid this is just part of your Dad's overall reactions to aging, Faithful. It likely brings him the attention he craves.
It is true that the elderly eat less and sleep more, but Dad's obsession is likely more a part of his general aging and his reactions to being in care.
You know Dad, it's always SOMEthing.
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faithfulbeauty Sep 26, 2024
@AlvaDeer ,I agree.
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Old people love to complain, and the food is the easiest target.

Ignore it.

Maybe stop bringing him snacks so he doesn’t fill up on those. Remember elder = toddler. Just like a two year old he won’t eat his meal if he fills up on something else.
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Reply to ZippyZee
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Will he drink Ensure or Boost? My uncle resisted food at first and the aides would put an Ensure Plus in a Milkshake looking cup with straw and give him a "shake". He would have one with every meal and put on weight and got nourishment. Good luck!
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Reply to AMZebbC
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faithfulbeauty Sep 26, 2024
@AMZebbC,
He use to drink Ensure and Boost but now he does not want it either. He says it upsets his stomach.
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Ignore it . They all complain about the food . He will eat when he’s hungry . This hunger strike is his latest way to get your attention . Don’t discuss it with him . Leave snacks in his room on your way out . If he continues to lose weight they can try to give him an appetite stimulant or add/change an antidepressant that is also an appetite stimulant . His lie about a feeding tube is him trying to make you worry and bring him food everyday .

I think he is doing this on purpose to make you worry . He is a mentally ill abusive man . Don’t even get involved . If he wants to starve himself , let him . I have no patience for abusive manipulative people like your father . It’s his life , if he wants to starve , so be it .
Also alot of elderly slowly give up and don’t eat . Everyone leaves this world somehow . Either way it’s his choice to not eat.

My mother in her elder years also became the fast food queen . I brought it once a week . She got used to the food at AL , stopped complaining about it . Then as time went on , she admitted to not being very hungry anymore anyway, which is common as they get older .
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Reply to waytomisery
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faithfulbeauty Sep 26, 2024
I agree. I think he tries to get me worried which is awful. He has also said multiple times that he doesn’t feel well. He is on an appetite supplement and the nurse said they were going to increase it.
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Hi faithbeauty, it sounds to me like food is the only thing he has left to control.

This is what eating disorders are all about, not about being thin, or looking good. It's about control. When my life is out of control I , control the only thing I have left and that's food. Sence joining this forum I will say , I've gotten my control back and gained some weight. Which is why I joined because my old habits of not eating where coming back. Your dad is not in control of his life anymore, so he is controlling the only thing he has left.

At 79 years old please talk to others on this forum about feeding tubes, from everything I here they are horrendous.

I will also say that , not eating will very likely be my way out of this world, and I hope those around me accept that.

Also Alva often says that older people need little nutrients to keep them going for an extended period of time.

I'm wondering, have you tried eating meals with him. Sometimes that helps. Not that you should feel like you have to be there at every meal , just wondering if he eats better when your there. It makes it more automatic and less thinking about the food.

Have they tried any meds? An anti anxiety med or a appetite booster?
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Anxietynacy Sep 26, 2024
I want to add, when someone is not eating give them anything they will eat. If he only wants greasy foods. Let him have them.
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