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puree meals - Carers UK Forum

puree meals

For issues specific to caring for someone with dementia.
since coming out of hospital my mum will only eat puree food any little bit in her food she will reject,at the moment she is having quite a few soups and we have tried wiltshire foods puree meals but find she eats a only about a quarter and the rest is wasted,anyone have any ideas
What is wrong with mum?
Hi Webby,

I only have experience of children who require a puréed diet. Bear in mind that when food is blended it looks a lot less, so she may well be eating more than you think. It also goes cold extremely quickly, so a heated plate might help her to eat more.

The children at school just have what the others are having but liquidised, this ensures the meal is balanced and there are a variety of flavours. Each part of the meal is liquidised seperately. My friend's son also needs blended meals. She does it more in batches, so she'll liquidise carrots for example and then freezes them in portions using ice cube trays or mini tuperware pots. When going on trips, the parents often send a jar of baby food as it is quick and easy to heat up, so maybe buy a few in as a reserve.

It might be worth asking for your mum to be referred to a speech therapist, they specialise in eating and swallowing too and might have some suggestions on either how to reintroduce texture into your mum's diet or if she now has unsafe swallow, how to improve her nutritional intake.

she has dementia,went into hospital with chest infection spent 6 weeks there,while she was there they started giving her puree meals plus she only wears one set of teeth and refuses to wear them now,since coming out of hospital she cant walk and is doubly incontinent she didnt have either before going in,at the moment we cant get her out of bed as they sent wrong sling with hoist have been waiting 10 days for them to sort it!
Webby, there's nothing intrincisablly non-nutritious about pureed foods! But I think the key will be 'little and often'. As you know with dementia, appetite cues fade, and time blurs, so giving your mum little portions, frequently, may work better for her.

Also, she'll probably prefer 'nursery foods' - you know, easy to eat things that are 'yummy' (and hi cal!), like trifles and custard and so on. It won't matter that they don't have vitamins - they have lots of calories, and are palatable and easy to swallow and so on.

That said, you know, I'm going to say something that might seem sombre and distressing, but it COULD be that your mum's lack of enthusiasm for food is the beginning of her body shutting down now, along with her worsening loss of control over body functions.

If this is truly 'the beginning of the end' please think carefully about what you want to do and how you want to manage it.

I say this for two reasons. Firstly, some of the wisest (if saddest) words I've read on this forum in my time have been these:

'We have to accept that they are not dying because they are not eating - they are not eating because they are dying.'

Their bodies are starting to 'shut up shop'......

The second reason is this: My SIL's mum developed dementia, and had an infection, after which she went seriously off her food, refusing just about everything. They coaxed and coaxed her to no avail. Their GP said to them 'This, you know, is Nana's way of leaving you'......

Well, she didn't leave - finally they found something she liked (mashed potato!), and so Nana picked up, an, d kept going. She kept going for another two years....and by the time the end came she was, horrendously, simply lying blankly in bed, staring at nothing, completely unresponsive. It was awful awful awful to see. She died soon after.

To be honest, I think that those last two years of her life were a nightmare - for her, and for her family. And that looking back, really the truly kindest thing to have done when she started to refuse to eat was to let her continue to refuse....and let nature take its course.

Now, I don't say that to hurt you, but there MAY be truth in it.....and whether or not you agree with me, again, the situation now with your mum may be that she is starting to 'fade' towards the end of her life approaching.

Wishing you as well as can be, at a difficult time, Jenny
well you have offended me,you know nothing about my mum and my situation,all i came on here for was puree recipes and your forcing me with your stupid ideas ,which i note you didnt do,its one of the reasons i havnt been on here for a long time peoples negativity and frightning ideas,i wont be coming on here again
Can you get her pureed baby foods in little jars? I have no experience of this but apparently there's a big selection out there.
Have you got one of those little hand blenders ? You could perhaps try blending a small amount of what ever the rest of the family is having.

Otherwise I think I'd go along with the idea of the pureed baby foods especially the savoury flavour ones as a 'main' course. Rice pudding, yoghurts, ice cream, jelly would all be fine for 'deserts'.

My Mum didn't have a problem swallowing but she hated being presented with a large plateful of food - we found it best to use a normal size plate but to only serve her a very small portion; if she managed to finish it she could always have a second helping.
Webby, the forum is about sharing our own experiences, in the hope that perhaps you might find one suitable. Everyone's situation is unique, but often, someone has been in a similar position. It's entirely up to you what you do.
I'm wondering if the discharge was forced on you? Before mum came home, was there a care meeting, an NHS Continuing Care Assessment, an OT visit, a Carers Assessment, a Needs Assessment, a Care Plan? If mum is incontinent, for example, were you offered a hospital bed, continence products, etc.?
Webby, and you know nothing about me or my circumstances either. I didn't say anything about 'offending' you - I said I didn't want to 'HURT' you, which is quite, quite different, because it doesn't matter how desperately sick someone we love is, we don't want to lose them, and thinking about them dying is upsetting.

Love can be selfish. Sometimes the Unselfish thing is to let the person we love have a gentle, easy death, even if it comes more 'prematurely' than medicine or the will power of carers might make it. That was something I myself had to face, when my husband was diagnosed with terminal cancer, and so did he. He never got a chance for a long life.

Humans are mortal. Coping with our mortality is inevitable.

I was talking about my SIL's mother, not mine, so had no influence over their decisions. Plus, my point was that WITH HINDSIGHT it might well have been kinder not to 'force' my SIL's mother to 'recover'.

I wish your mother well, and you, and your choices are yours and yours alone. Making the right one can be excruciatingly difficult.

I understand that you are stressed, and worried and anxious about your mother, and for that reason alone I will ignore your rudeness to me (unless you reply rudely to this as well.)