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Who are you caring for?
Which best describes their mobility?
How well are they maintaining their hygiene?
How are they managing their medications?
Does their living environment pose any safety concerns?
Fall risks, spoiled food, or other threats to wellbeing
Are they experiencing any memory loss?
Which best describes your loved one's social life?
Acknowledgment of Disclosures and Authorization
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington. Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services. APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid. We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour. APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment. You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints. Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights. APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.I agree that: A.I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information"). B.APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink. C.APFM may send all communications to me electronically via e-mail or by access to an APFM web site. D.If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records. E.This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year. F.You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
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Mostly Independent
Your loved one may not require home care or assisted living services at this time. However, continue to monitor their condition for changes and consider occasional in-home care services for help as needed.
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Communication – the person with dementia may have problems communicating that they’re hungry, that they don’t like the food they have been given or that it’s too hot. Or they may be unsure what to do with the food. They may communicate their needs through their behaviour. For example, they may refuse to eat or hold food in their mouth. You could try giving them a choice of food, or using prompts and pictures so they can choose the food they would like.
Pain – the person may be in pain or discomfort, which can make eating difficult. They may have problems with their dentures, sore gums or painful teeth. Dental care, oral hygiene and regular mouth checks are important.
Tiredness and concentration – tiredness can cause people with dementia to not eat or give up partway through a meal. It can also lead to other difficulties such as problems with concentration or with co-ordination. People with dementia may have difficulties focusing on a meal all the way through. It’s important to be aware of this and support the person to eat when they are most alert.
Not so much a case of dementia, usually as it is a case of the aging brain. The drive to take in nutrition and especially fluids will diminish DRAMATICALLY in age. The truth is that the elderly, with little expenditure of calories in exercise and movement, require much less and can sustain life with very little.
Not only does the DESIRE for food diminish, but the ability to swallow deteriorates, also, making food a chore. Smell and taste are diminished.
So this isn't forgetting to eat. This is no desire for food. When you think of it, other than by habit of breakfast, lunch and dinner, few of us eat without hunger of some sort being present.
There are many conditions in life, even before aging process, that diminish the drive to eat. Alcoholism is notorious for it. Alcoholics often quite simply do not eat.
Of course they can forget to eat, just like they've forgotten that they haven't had a shower in weeks, or that they can no longer walk, or to take their medicine, and on and on and on. Dementia is all about forgetfulness, so it shouldn't surprise you that someone would forget to eat. And perhaps it's because they believe that they've already eaten, or have forgotten how to feed themselves. So I would try either feeding them yourself or have someone else feed them. If you go into any memory care facilities dining room you will see many folks needing to be fed by either staff or family members.
Two other reasons: unable to tell time may be a problem with scheduled meal times in ILs The other is as the person ages and is nearing end of life, there is no appetite
I've experienced the exact opposite. My Dad was such a picky eater, if it didn't include chocolate, eggs or meat, he wasn't interested. NOW, 92, dementia, in memory care, eats EVERYTHING they put in front of him. The mind is a funny thing.
Sometimes as people age, they forget things, with or without dementia. In my career I have seen many people forget how to feed themselves (sometimes they has lost their sense of taste and smell, sometimes they can no longer swallow easily), forget they need to bathe and even forget how to walk.
One of our residents had been a professional dancer. She was non verbal when she came to us but danced and glided along the halls of our secure memory care constantly during the day (some of our visitors just loved sitting and watching her). Our CNAs put her to bed as usual one night and when they went to wake her the next morning she couldn't get out of bed (unusual for her as she was and dancing silently in the mornings. We sent her to the hospital for a full physical exam. They could find nothing wrong with her. Overnight, she'd just forgotten how to walk.
I would have a swallow evaluation done to make sure there are no issues and then you may have to make arrangements for someone to feed them.
Regular, nutritious meals may become a challenge for people living in the middle and late stages of Alzheimer's. They may become overwhelmed with too many food choices, forget to eat or think they have already eaten.
Why do dementia patients not want to eat?
They may have problems with their dentures, sore gums or painful teeth. Dental care, oral hygiene and regular mouth checks are important. Tiredness and concentration – tiredness can cause people with dementia to not eat or give up partway through a meal.
A person with dementia may lose interest in food. They may refuse to eat it or may spit it out. The person may become angry or agitated, or behave in a challenging way during mealtimes.
If a person isn’t eating enough, it can lead to weight loss and less muscle strength. They may feel tired and weak. This can make them frailer and less able to recover from infections or viruses.
What can cause poor appetite?
Physical difficulties – such as problems with chewing and swallowing or constipation.
Depression – loss of appetite can be a sign of depression. Depression is common in people with dementia. There are effective treatments for depression, including medication and other therapies. If you suspect that the person you are caring for has depression, consult the GP.
Communication – the person with dementia may have problems communicating that they’re hungry, that they don’t like the food they have been given or that it’s too hot. Or they may be unsure what to do with the food. They may communicate their needs through their behaviour. For example, they may refuse to eat or hold food in their mouth. You could try giving them a choice of food, or using prompts and pictures so they can choose the food they would like.
Pain – the person may be in pain or discomfort, which can make eating difficult. They may have problems with their dentures, sore gums or painful teeth. Dental care, oral hygiene and regular mouth checks are important.
Tiredness and concentration – tiredness can cause people with dementia to not eat or give up partway through a meal. It can also lead to other difficulties such as problems with concentration or with co-ordination. People with dementia may have difficulties focusing on a meal all the way through. It’s important to be aware of this and support the person to eat when they are most alert.
Medication – changes to medication or dosage can result in appetite changes. If you think this may be the case, speak to a pharmacist or the GP.
Physical activity – if the person is not very active during the day, they may not feel hungry. Encouraging them to be active will be good for their wellbeing and may increase their appetite. Equally, if the person is very active or restless – for example, walking about or fidgeting – they may use extra calories and may be hungrier than usual or lose weight more quickly.
Patients with Alzheimer's will "forget" to eat when the plaques cover the portion of the brain that sends the signal to eat. Without that signal, (similar to when depressed, or having lack of exercise resulting in lethargy) the person is not triggered to eat.
Yes. My mom, who has Alzheimer’s disease, forgets to eat, and then when she has eaten, she forgets that, too. If she has food placed in front of her, she eats it, but once the dishes are cleared away, she does not know she had a meal and does not seem to notice or understand that she is “full.” She eats much better now that she lives in assisted living than she did when she lived independent living. In AL, she and her friends all go to the dining room together for their meals, so she rarely skips one.
The same with my mom. She doesn't remember what she ate or if she ate an hour ago. When we admitted her to MC six months ago, she was on the line between moderate and severe dementia.
Thank you everyone for your input. We're adjusting and modifying as we must. Mom-in-law is benefitting from the changes. Mahalo for all of your suggestions.
When I first saw my aunt, she was skin and bones. Probably still is now. What I witnessed is that she wouldn't go look for food. Unless there is someone there to prepare her food, she will eat it and eat all of it. She will not seek out food on her own. Her brain doesn't seem to tell her to go eat unless it is right in front of her.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
Communication – the person with dementia may have problems communicating that they’re hungry, that they don’t like the food they have been given or that it’s too hot. Or they may be unsure what to do with the food. They may communicate their needs through their behaviour. For example, they may refuse to eat or hold food in their mouth. You could try giving them a choice of food, or using prompts and pictures so they can choose the food they would like.
Pain – the person may be in pain or discomfort, which can make eating difficult. They may have problems with their dentures, sore gums or painful teeth. Dental care, oral hygiene and regular mouth checks are important.
Tiredness and concentration – tiredness can cause people with dementia to not eat or give up partway through a meal. It can also lead to other difficulties such as problems with concentration or with co-ordination. People with dementia may have difficulties focusing on a meal all the way through. It’s important to be aware of this and support the person to eat when they are most alert.
The drive to take in nutrition and especially fluids will diminish DRAMATICALLY in age. The truth is that the elderly, with little expenditure of calories in exercise and movement, require much less and can sustain life with very little.
Not only does the DESIRE for food diminish, but the ability to swallow deteriorates, also, making food a chore. Smell and taste are diminished.
So this isn't forgetting to eat. This is no desire for food. When you think of it, other than by habit of breakfast, lunch and dinner, few of us eat without hunger of some sort being present.
There are many conditions in life, even before aging process, that diminish the drive to eat. Alcoholism is notorious for it. Alcoholics often quite simply do not eat.
Dementia is all about forgetfulness, so it shouldn't surprise you that someone would forget to eat. And perhaps it's because they believe that they've already eaten, or have forgotten how to feed themselves.
So I would try either feeding them yourself or have someone else feed them.
If you go into any memory care facilities dining room you will see many folks needing to be fed by either staff or family members.
The other is as the person ages and is nearing end of life, there is no appetite
The mind isn't funny. With dementia, it becomes very cruel.
Dementia is heartbreaking to family, and many of us in the field, working w people inflicted. Although... good for your dad.
One of our residents had been a professional dancer. She was non verbal when she came to us but danced and glided along the halls of our secure memory care constantly during the day (some of our visitors just loved sitting and watching her). Our CNAs put her to bed as usual one night and when they went to wake her the next morning she couldn't get out of bed (unusual for her as she was and dancing silently in the mornings. We sent her to the hospital for a full physical exam. They could find nothing wrong with her. Overnight, she'd just forgotten how to walk.
I would have a swallow evaluation done to make sure there are no issues and then you may have to make arrangements for someone to feed them.
Thank God for caring people in the world.
Regular, nutritious meals may become a challenge for people living in the middle and late stages of Alzheimer's. They may become overwhelmed with too many food choices, forget to eat or think they have already eaten.
Why do dementia patients not want to eat?
They may have problems with their dentures, sore gums or painful teeth. Dental care, oral hygiene and regular mouth checks are important. Tiredness and concentration – tiredness can cause people with dementia to not eat or give up partway through a meal.
Visit this website:
https://www.alzheimers.org.uk/get-support/daily-living/poor-appetite-dementia
In part, it says:
How can dementia affect a person's appetite?
A person with dementia may lose interest in food. They may refuse to eat it or may spit it out. The person may become angry or agitated, or behave in a challenging way during mealtimes.
If a person isn’t eating enough, it can lead to weight loss and less muscle strength. They may feel tired and weak. This can make them frailer and less able to recover from infections or viruses.
What can cause poor appetite?
Physical difficulties – such as problems with chewing and swallowing or constipation.
Depression – loss of appetite can be a sign of depression. Depression is common in people with dementia. There are effective treatments for depression, including medication and other therapies. If you suspect that the person you are caring for has depression, consult the GP.
Communication – the person with dementia may have problems communicating that they’re hungry, that they don’t like the food they have been given or that it’s too hot. Or they may be unsure what to do with the food. They may communicate their needs through their behaviour. For example, they may refuse to eat or hold food in their mouth. You could try giving them a choice of food, or using prompts and pictures so they can choose the food they would like.
Pain – the person may be in pain or discomfort, which can make eating difficult. They may have problems with their dentures, sore gums or painful teeth. Dental care, oral hygiene and regular mouth checks are important.
Tiredness and concentration – tiredness can cause people with dementia to not eat or give up partway through a meal. It can also lead to other difficulties such as problems with concentration or with co-ordination. People with dementia may have difficulties focusing on a meal all the way through. It’s important to be aware of this and support the person to eat when they are most alert.
Medication – changes to medication or dosage can result in appetite changes. If you think this may be the case, speak to a pharmacist or the GP.
Physical activity – if the person is not very active during the day, they may not feel hungry. Encouraging them to be active will be good for their wellbeing and may increase their appetite. Equally, if the person is very active or restless – for example, walking about or fidgeting – they may use extra calories and may be hungrier than usual or lose weight more quickly.
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Gena / Touch Matters