Alzheimer’s disease and eating problems: Tips to encourage and improve nutrition in dementia patients

Text analysis by Zoé and Margot

Alzheimer’s is a brain disease, which provokes dementia and memory loss. It causes eating and muscular problems with loss of social links.

 

Alzheimer’s - eating problems

The main problem of the Alzheimer's disease is the loss of memory. Other symptoms can also appear like:

- Eating problems: patients forget how to eat so there is a risk of malnutrition, they lose interest in eating and they have a poor appetite (depression, communication problems)

-Weight loss problem: patients forget and do not recognize food or drink so they usually are dehydrated and tired

-Muscular problems: they have difficulties in walking, digesting (constipation), using utensils or raising a glass, opening their mouths in order to put food in it or even to chew because they don't have physical activities

-Brain problems: patients lose their ability to concentrate; they are distracted while eating

-Sensory problems: losing the ability to gauge food temperature, leading to burns, developing a reduced feeling of thirst, not being aware of their thirst

Insufficient nutrition and hydration can lead to deterioration of overall health.

Tips for patients

  • Make food look and smell appealing, and give them food they like (a dessert even if they haven’t finished their savory meal)
  • Look for additional opportunities for eating. For example, if a patient is awake at night, then night-time snacks can be useful
  • Don’t overload a patient’s plate: smaller but more frequent meals in small pieces (easier to chew)
  • Try different types of foods and drinks, like a milkshake or smoothie (easier to swallow)
  • Ensure food temperature isn’t too hot
  • Have the patient help out with mealtime preparation (social interaction)
  • Encourage the patient with friendly reminders
  • If the person initially refuses food, try again a bit later
  • Don’t remove food from the person just because they stopped eating, they may be temporarily distracted and will resume once again

Tips to improve the patient's’ environment

  • Eat with the person and turn your meal into a social experience           
  • Make the environment appealing by using familiar sounds or smells to entice eating           
  • Keep the table free of clutter           
  • Keep the environment quiet and free of distractions
  • Allow the patient to choose where they want to sit and eat, even what they want to eat           
  • Ensure the patient can see the food, that it is colorful, and the room is well lit
  • Don’t worry about the mess that can result from eating           

  • Avoid making the patient feel rushed and allow them to eat at their own pace

Zoé and Margot, 2TSA


vocabulary

Caregivers - aide-soignants

Dementia – démence

Disease – maladie

Tip - conseil

To chew – mâcher

Thirst – soif

To overload – surcharger

To swallow – avaler

To ensure – s'assurer de

To entince – inciter

Lit – allumé

discussion

Why should we encourage hospital employees and caregivers to apply those tips?

How can we inform and teach those tips to caregivers?

Development

How to inform and teach those tips to caregivers?

To inform caregivers, we can create a book with recommendations and tips in order to improve their mealtime with patients. It's not complicated to establish those tips, it has to be part of the daily routine.

We can also educate the hospital employees to the good gestures to have with the patients.