She is not active sits most of the day. Lots of bloating. Her daughter has her eat breakfast, cereal or an egg etc. Then a glass of prune juice then a glass of v8 juice with metamucil, a banana then her gummie vitamins then expects her to eat lunch and dinner, isnt this too much?
It's perfectly okay to ask questions and, if appropriate, to make suggestions; but don't start out from the position that the daughter is mismanaging her mother's diet - that will win you no friends.
Are you your client's nurse, or her CNA? Are in a position to monitor her movements?
Would her "trouble with bms" include also the total lack thereof? Can you tell if she is constipated? Or can her BM, if and when it does happen, be described as more of a mixture with some hard stool and some watery brownish liquid mixed in and moving with it. I only recently read this is rather common when a bowl obstruction exists or is forming? Is your client incontinent? Has she always eaten like this? Or is it a new diet put together by a possibly guilt-riddeled daughter? Finally I would say of course she's not active. Just trying to get through her 95 year old digestive system is probably enough activity for her day. (I used to write and also do some freelance editing back in the "glory days" of episodic television,you know stuff like Rockford Files or PoliceWoman, not exactly literature, but the work allowed me to live alone in my little studio apartment at the beach and so I did until I met my husband. It was a lot of fun and a good learning experience though I've got to admit that nothing about this television work ever led me to believe I would some day write so easily of bodily functions, and bodily fluids and movements, slow or fast or disappearing, and al those other tales from the nursing home, so to speak.) As it happens I'm having to do detective work with my 77-year-old stepfather who for the past three weeks has had a huge first time ever spike in blood pressure, and a huge, possibly dangerous drop in pulse rate, as at the same time he has lost his appetite, had 24/7 nauseousness and vomiting, with the vomiting for the past week coming after drinking water and taking medication while being able to hold down light breakfast and dinner. Go figure. I've got him scheduled with his primary care tomorrow and a gastroenterologist the day after. The local hospital IV'd potassium and fluids and in two days discharged him with no instructions! That place is the worst. Believe me. We have a $187,000 bill for a simple pericardial window performed on my poor sweet husband to prove it. If you have a chance please add some additional information and we here at aging care will do our best to help you. Good luck and take care, madeline