Eating and Drinking

The changes in ability to eat and drink represent one of the most difficult challenges that caregivers have to deal with.

Why This Happens

  • It is important to understand that people stop eating during the last stages of dementia.
  • The inability, the lack of desire to take anything by mouth, is part of the natural course of this disease
  • It is understandable that the family of patients dying with dementia are concerned and anxious about their loved ones not eating or drinking
  • Over many years of research, we have learned that when eating and drinking stop at this stage, it is usually not associated with hunger or suffering in the way we might expect
  • It is the body's natural process of slowing down

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Why Forcing Food or Fluids Can Cause Harm

  • The body is no longer able to process food and fluids
  • Food may cause nausea and vomiting
  • Liquid can enter the lungs (aspiration) causing distress or infection
  • Excess fluids can lead to swelling or difficulty breathing
  • Trying to push food or fluids when the body is shutting down can increase discomfort

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What Helps Most Now

  • At this stage, the focus shifts from nutrition to comfort

  • Gentle mouth care

  • Moistening the lips and tongue (ask hospice team for mouth care products)

  • Small sips only if desired