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Husband is in denial about his diagnosed Alzheimer's. Mostly he seems stable but does peculiar things... recently ALWAYS leaving about 2 tablespoons of food on his plate. I serve him or he serves himself small portions since he says he doesn't enjoy food anymore. Knowing that is what happens in this disease. I remind him he needs nutrition, but he is still in denial. He is losing weight. I have googled this and apparently it is normal for those with dementia to regularly leave portions on their plates as a way to have control over something. When things like this pop up I usually discuss it with him since we both feel he is stable enough to discuss his illness. But with this food habit he is stonewalling me and it makes me sad. Have suggested he simply make his own meals, whatever he wants, to make a list and I will purchase it. He agrees but so far just forgets to eat anything at all. Help!!!

He can’t see his illness and behaviors like you can. He’s lost that ability. What food he leaves or if he eats the amount you think appropriate is not important, let it go. Sadly, there will be bigger issues to come. I’m sorry you’re both facing this
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Reply to Daughterof1930
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Don't plant your flag in pointless things, like how much food he leaves on his plate. The only person who can really change now is YOU, since you're not the one with the broken brain. Caregiving demands flexibility and creative problem solving. Choose your battles wisely so you don't burn out. He may never come to see his illness so stop trying to point it out. Work around it.

Here is something that helped me a lot in dealing with my 5 elders with dementia...

Rules for engaging our loved ones with dementia:

1) Agree, do not argue

2) Divert, do not attempt to reason

3) Distract, do not shame

4) Reassure, do not lecture

5) Reminisce, do not ask “Do you remember…?”

6) Repeat, do not say “I told you”

7) Do what they can do, don’t say “you can’t”

8) Ask, do not demand

9) Encourage, do not condescend

10) Reinforce, never force


The overall goals should be to:

1) keep them as calm and peaceful as possible 
     (because they are less and less able to bring themselves to this state on their own)

2) keep them physically protected in their environment and from predatory people

3) keep them nourished with healthy foods that they will accept without fighting or forcing

4) keep them in as good a health condition as is possible, that their financial resources will allow and within their desires as expressed in a Living Will (aka Advance Healthcare Directive) 

5) keep them pain-free as possible and within their desires as expressed in a Living Will (aka Advance Healthcare Directive)

The caregiving arrangement needs to work for both the receiver and the giver. If it is onerous to the caregiver, then the arrangement is NOT working. Alternative types of care must be considered to avoid caregiver burnout. 

Also, Teepa Snow videos on YouTube were extremely helpful to teach me how to engage with my demented LOs for more productive and peaceful interactions.
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Reply to Geaton777
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Leave snacks out to help him get his calories for the day. Fruit in a bowl. Pkged snacks. Instead of 3 meals a day, have 6 small ones, or somethingnlike that.
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Reply to JoAnn29
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He is not in denial, it's known as anosognosia which is the inability to recognize or acknowledge his deficits. Offer your husband a nice milkshake after lunch or dinner and I'll betcha $100 he doesn't leave a drop of that in the glass! My mother pushed her food around the plate as a rule when her dementia advanced, but she'd happily eat ice cream 5x a day if possible. Ice cream is the #1 comfort food for human beings. Now that your hubbys life is full of misery, why not give him some pleasure where you can? Who cares about calories and sugar and nutrition at this stage of the game? I used to bring mom lots of cookies and other of her favorite snacks she'd denied herself her whole life after the dementia set in. At least she could enjoy that.

Good luck to you,.
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Reply to lealonnie1
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My dad (in his 90’s) hasn’t been diagnosed with any type of dementia. But something is going on (he also has chronic UTIs, which I understand can look similar to early stages?). He is worsening in many aspects and one is appetite and eating. And, he complains all the time to people about food not being interesting anymore. He, too, will always leave food on the plate. But I have found making him a daily milkshake is received with gusto and so far, always finished. (His doctor says it is fine for him despite the sugar. She suggests adding protein powder and even some fruits pureyed in. I use Lactaide ice cream and milk to try to prevent GI issues since he is often on antibiotics, and sometimes add some ensure high protein). Maybe this could help? I know it helps dad with hydration goals….
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Reply to Hope21
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Geaton777 2 hours ago
As we age, our tastebuds diminish and the last one to go senses sweet.
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Another aspect of aging for some people, with or without dementia, can be issues with the digestive system slowing down due to muscles and nerves just not being what they used to be. In that case, maybe they don’t need to eat those extra few bites. If that’s happening in a person with dementia, they may be very miserable but unable to tell you. Easy to digest, small, but more frequent “meals” or snacks can help. I hope you find a solution that brings you both peace.
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Reply to Katy69
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My mom in memory care likes to be in charge of her own food and the facility has a policy that if she asks she can have a snack instead or a list of other things to eat. I also take her snacks which she likes far more than meals. You might want to try protein shakes if his doctor thinks that will help. With my mom's new picky behavior towards food she has not lost much weight at all. At some point they need fewer calories to sustain health.
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Reply to JustAnon
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