iStock-820754642-e1525204622582.jpg

It seems we spend most of our adult life battling the bulge wishing for an easy way to lose weight. But, for some older adults, unintentional weight loss causes medical problems. According to the American Family Physician , 16-28 percent of people experiencing unintended weight loss present with no easily identifiable cause.

Elderly people lose weight for many reasons. Natural changes in the body cause reductions in bone and muscle mass. But, rapid weight loss often has a more dynamic underlying cause. Understanding how certain illnesses affect weight, eating, and nutrition will help you create a diet plan to help your loved one.

Cancer

According to the National Cancer Institute, advancing age is a very important risk factor for getting cancer. More than 40% of people reported unintended weight loss when diagnosed with cancer according to the American Society of Clinical Oncology. While cancer is by no means the only cause of unexplained weight loss there is a strong correlation between why elderly people lose weight and cancer. Cancer takes a bite out of physic for many reasons. Cancer cells may affect metabolism and impact the immune system.

Changes to the immune system or metabolism may affect the way food is processed and supplied to the body. People with cancer sometimes report nausea, vomiting, and loss of taste. This makes eating undesirable to some cancer patients which may contribute to unintended weight loss. Depending on the systems affected by cancer, constipation, nutrient absorption, swallowing, and mechanical breakdown of food may become compromised.

If your loved one receives a diagnosis of cancer there are things you can do to help with unintended weight loss:.

Increase the amount of food your loved one gets.

Avoid heavy foods especially before treatments.

Record the foods your loved one eats and record how she feels after eating. Foods that increase nausea should be avoided.

Work with a dietician or nutritionist to create a diet plan that prevents unintended weight loss and nausea.

Dementia

Dementia is the umbrella term for a constellation of illness that present with cognitive impairment including Alzheimer’s Disease. Changes in diet and weight are hallmark indications that mental processing may be affecting eating habits. Often, people who are experiencing mild cognitive impairment undergo subtle changes in diet. If you ask a loved one with mild cognitive impairment if she is hungry, she may say no. But, if you place a plate of yummy food infront of her she will dig right in. Sometimes people with dementia lose sensitivity to sensations of hunger and fatigue and must be cued to eat.

You can help your loved one stop unintended weight loss by giving food at appropriate meal times. Do not offer food. Your loved one may not recognize the need to eat. Take into consideration your loved one’s tastes and prepare to cater to them. People who experience cognitive change may also experience personality changes. Foods that were once adored might now be abhorred.

Change food presentation. Changes in food perception affect what your loved one perceives as appetizing. Big plates of food might look abundant but can cause anxiety in someone with dementia. Some studies have shown that color plates improve overall food intake over plain white plates – you can’t eat what you can’t see.

Model eating behaviors. Dementia often interferes with a person’s ability to complete simple processes. Busy tables make distinguishing food more difficult. And, the use of a fork might become more complicated than your loved one can manage. Consider offering finger foods. To learn more about dementia specific weight loss click here!

Medications

When elderly people lose weight it is important to check with their doctor to ensure medications are not contributing to unintended weight loss. Medications have a myriad of side effects. Some medications act as appetite suppressants or affect the body’s ability to process nutrients. Interactions between medications can also affect a person’s weight. Medication side effects may also include swelling and fatigue. While these symptoms do not directly affect nutritional processes they may adversely affect a person’s ability to prepare and shop for food.

Depression Loneliness and Pain

Depression may affect your loved one’s desire to engage in activity. People who experience depression often report a decrease in appetite. Elderly people lose weight unintentionally when they feel isolated. Your loved one may experience the loss of loved ones and independence. These emotional changes sometimes contribute to declines in food interest.

Pain impacts a person’s desire to engage in meals. If your loved one experiences pain, speak to her doctor about getting it under control. She may feel more interest in food if she doesn’t ache.

If you think your loved one’s weight loss stems from depression, loneliness, or pain, consider sharing mealtimes together daily. You can also hire a caregiver to prepare meals and offer companionship.

Wrap Up

Elderly People lose weight for a variety of reasons. You will need to be patient when encouraging more food intake. Underlying health, emotional, and cognitive issues make food consumption a lower priority or less efficient. Work with your loved one to find and create appetizing foods.

 


iStock-693798372-e1525115001516.jpg

May 2, 2018 Home Care 1012

You have finally found a caregiver your mom loves and who seems to check all the boxes for experience and reliability. But, sometimes you feel there are little communication misses that tarnish the otherwise wonderful caregiver relationship.

You feel like your expectations are reasonable, and you can’t understand why little balls get dropped along the way. While the caregiver client relationship appears straightforward, each person’s needs vary. What seems like common sense to you might be completely wrong in another situation. There are unspoken rules between clients and caregivers. These rules are what allow you to set caregiver expectations but are you aware you may be breaking them?

Put it in Writing

No matter how small the task – put it in writing. In many home care organizations like ours, Green Tree Home Care, we create detailed care plans that outline every expected task. We then ask our Care Professionals to record there shift activity hour by hour every time they care for a client. They feel confident they understand the scope of care and we feel secure knowing all details are clear and we have appropriately set caregiver expectations.

That sounds like a lot of paperwork! It is – but when you write down the expectations and record what tasks are or aren’t accomplished you can easily address any discrepancies. You also have a legal record should you need to make a staffing change.

Avoid the Bait and Switch

You should create a scope of care plan BEFORE you hire a caregiver. Often people start the care conversation by saying: “I need someone to sit with my mom who has a little forgetfulness to make sure she gets breakfast and lunch.” Then, once care starts the duties start to pile on: wash the car-weed the roses-did I forget to mention mom has 7 cats-sometimes she bites when she gets upset.

Make sure you are very clear about what is required of the caregiver upfront. Caregivers may only specialize in one type of care. Companion caregivers may feel uncomfortable with transfers. Medical focused caregivers often avoid cases that require lots of cleaning support. The point – not every caregiver is comfortable with every kind of task. What you present as the scope of care in the beginning of the caregiving relationship should stay pretty consistent. If you need to make changes to the scope of care, have an open and honest conversation with your caregiver before making changes. If your caregiver is not comfortable with changing care responsibilities, you may need to find someone better suited to the new role. You can learn all about San Diego Home Care if you think you might need to make adjustments.

Professionalism Goes Both Ways

You have a lot on your plate managing your life and the care of your loved one. It is easy to get overwhelmed and caught up in all the moving pieces. It is important to remember that caregivers are people first who desire respect and support. Caregivers should not bring personal drama to work but it is YOUR responsibility to remember your loved one’s caregiver depends on you for employment and sustenance. Avoid changing the schedule often or canceling shifts. You want your caregiver to be reliable. They expect the same respect from you.

Communicate lateness if you are errand running with your loved one. You can’t always predict when the doctor runs behind or when the checkout line is backed up. But, leaving a caregiver to wonder when you and the client will arrive might cause frustration over time. If the caregiver arrives on time, but you do not, expect to compensate your caregiver beginning at the agreed upon start time. If your caregiver is a superstar she will appreciate your consideration and your ability to set caregiver expectations.

Don’t Be Stingy with the Praise

Caregivers don’t get into the business to make millions and live like the rich and famous. Most of them feel called to work with the elderly and disabled. Many caregivers supported a treasured loved one through illness, injury, and passing, and now want to support others in a time of need. Most people who receive care are on a fixed income and don’t have extra funds to share with caregivers. But, regular positive feedback and praise is sometimes all it takes to make your caregiver feel like a million bucks. Great caregivers don’t grow on trees. If you have someone you value, take the time to say so. A thank you card for a job well done, or an appreciation text after a difficult night makes a world of difference to your caregiver.

Wrap Up

Remember the caregiver/client relationship is founded on trust and excellent communication. As the leader of the care arrangement it is your role to set caregiver expectations. You can easily do this by making expectations very clear and in writing. Your awareness of the load you place on your caregiver and a willingness to plan for care together creates a partnership your caregiver will appreciate. Always act with kindness and integrity and you will attract like minded people.

 


Green Tree Home Care - 9466 Cuyamaca Street #102, Santee, CA 92071