Why do Dementia Patients Refuse to Eat and Drink?

July 14, 2024 - Reading time: 20 minutes

Caring for a loved one with dementia can be challenging, especially when they refuse to eat or drink. This issue is common among dementia patients and can lead to serious health concerns such as poor nutrition, weight loss, and a decline in overall well-being. Understanding the reasons behind this behaviour and finding effective strategies to encourage healthy eating is crucial.


Why do Dementia Patients Refuse to Eat and Drink

Dementia patients often refuse to eat and drink due to a variety of factors, including cognitive decline, sensory changes, depression, and physical discomfort. Understanding these underlying causes is essential for caregivers to provide effective support, ensuring that nutritional needs are met and overall well-being is maintained.

Cognitive Decline:

As dementia progresses, patients may forget how to eat or no longer recognize food, leading to a loss of interest in meals.

 

Physical Discomfort:
Conditions like dental pain, difficulty swallowing (dysphagia), or digestive issues can make eating painful or uncomfortable.

 

Medication Side Effects:
Some medications can cause dry mouth, nausea, or changes in taste, reducing the desire to eat.

 

Sensory Changes:
Dementia can alter taste and smell, making food less appealing.

 

Emotional and Psychological Factors:
Anxiety, depression, or confusion may contribute to a diminished appetite.

 

WHAT TO DO WHEN DEMENTIA PATIENTS REFUSE TO EAT?


When dementia patients refuse to eat, it can be concerning and challenging for caregivers. Addressing this issue requires understanding the underlying causes, such as difficulty swallowing, loss of appetite, or confusion. Implementing strategies like offering favourite foods, creating a calm environment, and ensuring proper hydration can help encourage better eating habits.

This could be due to many more reasons:

  • Not identifying food
  • Difficulty swallowing or chewing
  • Loss of taste
  • Delirium
  • Might be in pain
  • Medication side effects
  • Cognitive impairment; and many more

 

To boost the lost appetite and encourage dementia patients to eat and drink, find a few techniques that carers/caregivers use on the field to deal with hunger in dementia patient care that may benefit you.

Worked together in the food preparation:

Encourage support from beginning to end, such as choosing what to eat, setting up the table, and which plate or dish a loved one would like to have (we recommend getting dementia-friendly coloured plates, dishes, and cups), making the process fun and exciting. It is important to create a comfortable and stress-free atmosphere during meals. 

Communication Difficulties:

Dementia can impair a person's ability to communicate effectively, making it challenging for them to express their needs and preferences. This can lead to frustration and confusion during meal times, causing them to refuse food and drink as a way of asserting control over their environment.

Physical Challenges:

As dementia progresses, individuals may experience physical difficulties such as swallowing problems, which can make eating and drinking uncomfortable or even painful. This can lead to a reluctance to consume food and liquids, as they may fear choking or aspiration.

Mental Health Issues:

Depression and anxiety are common in individuals with dementia and can impact their eating habits. Feelings of sadness or agitation can suppress appetite and lead to disinterest in food and drink. Additionally, certain medications used to manage dementia symptoms can have side effects that affect appetite.

Do not rush:

Encourage loved ones to take their time and savour each bite without feeling rushed. Instead of focusing on finishing the meal, encourage them to enjoy the process and get lost in the flavours. Creating a positive and calming environment can not only help reduce agitation but also make mealtimes a pleasurable experience.

Adapt to their needs:

Remember to adapt to their needs and preferences, as every individual is unique, as are their eating habits. Think of ways to make mealtime more enjoyable by engaging them in light conversations or playing some relaxing music. Let us make mealtimes something to look forward to and celebrate the joy of good food and good company.

Find solid food substitutes:

Supplements, soups, jellies, finger snacks, finely chopped fruits, and cooked vegetables.

Stick to Routine:
Maintain regular mealtimes and a consistent routine, as this can be comforting and reduce confusion.

 

Use Positive Reinforcement:
Encourage eating and drinking gently, without forcing it. Positive reinforcement and patience are key.

Offer Familiar and Favorite Foods:
Serve foods the person has enjoyed in the past. Familiar flavours can trigger memories and make eating more enjoyable.


Provide Small, Frequent Meals:

Offer smaller portions throughout the day instead of three large meals. This approach can be less overwhelming and help maintain steady nutrition.


It's truly remarkable how much of an impact something as seemingly small as frequent meals can have on the health and well-being of our patients with dementia. By offering small portions of food at different intervals throughout the day, we can help support their nutritional intake and ensure they receive the necessary nutrients to maintain their overall well-being!

As healthcare professionals, we are responsible for meeting the dietary needs of the elderly with dementia, and providing them with frequent, small meals throughout the day can make all the difference. Let's work together to ensure we provide the best possible care and support to our patients with dementia because they truly deserve it.

Conclusion
Addressing the refusal to eat and drink in dementia patients requires patience, understanding, and sometimes tailored strategies (care plans). Having recognised the underlying causes, caregivers can better support the patient's nutritional needs and overall health. Early intervention and compassionate care are key to managing this challenging behaviour and improving the patient's quality of life and well-being.


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