Difficulties Eating in Advanced Dementia | Nancy Weintraub, MD | UCLAMDChat

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  • Опубліковано 27 лис 2024

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  • @fahafarrukh119
    @fahafarrukh119 3 роки тому +17

    Mam I have been dealing with my mother for the last 6 years. Now she is at the advance stage. I feel like crying when listening to u as it seems telling our story. Demented people really don't find anyone to be with.

  • @deborahgolob6275
    @deborahgolob6275 Рік тому +5

    I learned the hard way when i took care of her. I put a feeding tube
    It prolonged her life a year. In my heart i knew it wouldn't help but i couldn't let her go

  • @stephonsconiers466
    @stephonsconiers466 3 роки тому +12

    This video is very informative. Currently somebody who is close to me is not eating and refused the feeding tube. Before watching this video I was going to try to encourage my loved one to get it but now after watching your video, I just going to let go and leave it in God's hand!

  • @patriciamanriquez9934
    @patriciamanriquez9934 Рік тому +2

    Thank you very much doctor. This video really helped me understand better my dad’s condition. I do what I can to make sure he eats properly and I am blessed to have him near me to be with him at this stage of his life.

  • @deborahgolob6275
    @deborahgolob6275 Рік тому +3

    Alzheimers is the most horrible and sad journey. I am a special education teacher with 2 master's degree i owe my success to my mother

  • @DriftyAlison0
    @DriftyAlison0 2 роки тому +3

    You can also get it by aspirating your own saliva. Ty for this video. So important to have the talk before they get to that stage so you could know their wishes.

  • @2008betwixt
    @2008betwixt 10 місяців тому +2

    Thank you so much for this brilliant talk. It will help me with looking after my mum better. God bless this lovely speaker.

  • @carolragsdale1105
    @carolragsdale1105 4 роки тому +11

    Thank you so much, Dr. Weintraub, for your clear, no nonsense, kind and sensitive suggestions in approaching the last stages of this terrible disease.

  • @jboomhauer
    @jboomhauer Рік тому +4

    But what if the patient can still walk and recognise people? Surely then a PEG tube will prolong their life?

  • @Friskyhorton
    @Friskyhorton 3 роки тому +8

    If I can no longer eat, my family knows never to give me a PEG tube. They are so wrong for dementia patients as they rip them out. Once they cannot swallow it’s time for palliative care to ease them off.

  • @ericcummings5579
    @ericcummings5579 3 роки тому +5

    This was very helpful. Thanks for your help and support. Our love one is going to be treated much better now that we understand that there is not much we can do to stop or reverse her condition.
    It is sad to watch them go in this way. It is the not eating reason for us to watch this and we have been fed with more than enough. Thanks for your help and support you.

  • @lorijhoey
    @lorijhoey Рік тому +1

    My grandmother vomited daily with the peg tube and she lost weight. She suffered from a stroke and had this tube for 9 months. It was so difficult to care for her and watching her wasting away.

  • @deborahgolob6275
    @deborahgolob6275 Рік тому +3

    It is awfully painful when when your mother does not know u are her daughter

  • @jozetteswensen5526
    @jozetteswensen5526 4 роки тому +3

    I have been doing this for 3 months. I dont have dementia I am pretty clear in good consistency of mind and ability

  • @lauriechmielecki6576
    @lauriechmielecki6576 4 роки тому +7

    My mom has been on Puréed foods for a few months now!

  • @bobcatstillwell4844
    @bobcatstillwell4844 5 років тому +20

    Jeeze whats the point of living when dementia gets this bad? No quality of life. It's time to let your loved one go when they get this demented. My dad's dementia is about this bad. A peg tube is a cruel and stupid alternative for families who cannot let go. Thank god my dad is a DNR.

    • @catty127
      @catty127 5 років тому +4

      It is sad, quality of life is not great. I work with advanced dementia on a daily basis. So u have to find the food in each day that makes the people smile

    • @happycook6737
      @happycook6737 4 роки тому +3

      Or for nursing homes to keep cash cow paying patients alive. In early 80's the nursing home did this to my grandmother against family's wishes! She lived another 9 months laying in bed with eyes closed and unaware. Luckily she got a urinary tract infection and died.

    • @suziquestionable2845
      @suziquestionable2845 3 роки тому +2

      I totally agree.

    • @suziquestionable2845
      @suziquestionable2845 3 роки тому +1

      I totally agree.

    • @-whackd
      @-whackd 5 місяців тому

      You can reverse Alzheimer's dementia with a ketogenic diet. There's 2-3 placebo controlled human intervention trials on this and a mound of evidence that high blood glucose and high brain fructose progress the disease. There is so much evidence of this that researchers are calling AD as "Diabetes 3.0".

  • @magedabuldahab7481
    @magedabuldahab7481 4 роки тому +3

    28:07 any viewer should appreciate and sympathize with this moment, where the doctor and lecturer is struggling to keep her composure as she speaks about the defining moment of losing your patient with dementia, the moment where you know for sure that the patient will die of aspiration pneumonia

  • @nickstrapko7549
    @nickstrapko7549 2 роки тому +6

    My mother 89 Mid stage Dementia, knows people, family but would have dificulty with computational or intelectual tasks was eating. bathroom skils intact. by herself normaly making chicken broth with noodles, carrots. mushrooms. etc. Also eating deli meat. ala salami, ham, TWO Slices of Pizza or more a week . Had pneumonia in hospital for a week. Staff in hursing home says she has metabolic encephalopathy , from infection,maybe hospital covered up diagnosis. THEY Wont say how to resolve it . She is on Honey thick diet , finds it unapealing. Therapist says swalloing not correct. She would cough during eating sometimes but she went long time maybe coughing for some years.. Just came down with Pneumonia sudenly. Very surprised. Now we are told she cant eat solid food. IN hursing home in bed some therapy. I dont trust the Speech therapist. Motther has not had a video swallow where is the evidence????. She can swallow. But she may aspirate.or is something else going on We arent being told just to keep her in that home , They want hospice. three weeks ago she was walking with walkier and doing most tasks with minimal supervision. Now shes dying WTF

  • @antwanm.toniboysmith3384
    @antwanm.toniboysmith3384 3 роки тому +5

    My mom has dimentia, and we feed her mashed potatoes and apple sauce because she can't swallow solid food now.

    • @jemoeder1991
      @jemoeder1991 6 місяців тому

      Is she still eating that now? Going through the same thing

  • @janetfishwick8887
    @janetfishwick8887 3 роки тому +4

    Her appetite has reduced over the past year and she has lived off paltry meals and snacks. Her biscuit intake is incredible, but now this has slowed down. She eats a few crackers and cheese at lunch time and has a small meal at tea time prepared with the help of her carer. Mother will not tolerate help with anything and insists that she can manage. Time will tell and we await her demise on every level.

  • @nancyschaefer9748
    @nancyschaefer9748 2 роки тому +3

    My 87 year old husband with dementia was in the hospital after breaking his right hip and after that he could not swallow and does not like the honey thick drinks or the puréed food.

  • @skamithi
    @skamithi 5 років тому +6

    Thanks for making this video. Very informative.

  • @jessiestar4157
    @jessiestar4157 2 роки тому +2

    No , sometimes i swallow food or drink 1\2 way down , my throat switches off for about 4 mins , then very very slowly I resume swallowing , then my throat feels bruised & contorted

  • @rescueumbrella
    @rescueumbrella 6 років тому +6

    Thank you! Excellent and clear!

  • @andrewlyons8077
    @andrewlyons8077 4 роки тому +19

    I don’t agree with calling a person with dementia “a demented person” The correct thing to say is “a PERSON with dementia”

    • @yvesouza514
      @yvesouza514 3 роки тому +3

      So in other words, a demented person. Got it.

    • @andrewlyons8077
      @andrewlyons8077 3 роки тому +2

      @@yvesouza514 it’s more to do with the fact that they are a person first and before their condition. Easy. Its pretty standard for health professionals

    • @yvesouza514
      @yvesouza514 3 роки тому +1

      @@aprilmay1700 I am a demented person with cancer.

    • @culturematters4157
      @culturematters4157 Рік тому +2

      Add "demented" to the list of accurate, but politically-incorrect words we're not supposed to use.

  • @paddleduck5328
    @paddleduck5328 Рік тому +2

    27:05 peg tube vs. face to face time, mental stimulation/interaction

  • @lauriechmielecki6576
    @lauriechmielecki6576 4 роки тому +3

    My mom always liked to try my flavored water on visits!

  • @notmyhome
    @notmyhome 4 роки тому +3

    Thank you, that was very helpful.

  • @lauriechmielecki6576
    @lauriechmielecki6576 4 роки тому +5

    Heartbreaking

  • @gary66992
    @gary66992 3 роки тому +9

    good however no good its the end of a persons life / why why why have we not yet found a cure why why after so long

  • @jozetteswensen5526
    @jozetteswensen5526 4 роки тому +4

    Please give me attention and counsel me what is needed next.

  • @Warriorsfan540
    @Warriorsfan540 Рік тому

    Thank you so much. The information about PEG tubes was so helpful. Would you be able to share the links for the studies you were referring to in regards to life expectancy and quality of life with vs without PEG tube and late stage dementia patients? Or maybe point me in some direction where I can find that information?
    Again, thank you so much. This lecture was exactly what I needed to hear.

  • @jozetteswensen5526
    @jozetteswensen5526 4 роки тому +3

    I need to know what options I have, just had a barium swallow test. First swallow showed it is going into my lungs, he didn't dare to give me more have you ever heard of this, what is going on?

  • @laurakinsella1692
    @laurakinsella1692 4 роки тому +5

    What about the person who is always hungery because they forget that they've eaten 4 meals already and it's only breakfast time and if you say no you've had breakfast they get angry because "I've not had any breakfast"

    • @suziquestionable2845
      @suziquestionable2845 3 роки тому +3

      That is my husband. He seems to have no satiety point. He doesn't know when he's full, so keeps eat

    • @suziquestionable2845
      @suziquestionable2845 3 роки тому

      Ing, even though l,'ve asked the staff has been notified about thiš.

    • @laurakinsella1692
      @laurakinsella1692 3 роки тому +1

      At the home I work at we have a resident who can easily eat and this is just at breakfast a bowl of cornflakes, 2 slices of toast, a banana, a yoghurt, two slices of toast, a banana, a yoghurt and a bowl of rice Krispies, and many glasses of milk. The thing is that the only way to get this resident to sit down is to put food in front of them otherwise they will interfere with everyone else who is trying to eat there breakfast. at the rate this resident is going there going to be the size of a house.

  • @Flora-qc4ex
    @Flora-qc4ex Рік тому +2

    Thanks!

  • @janetfishwick8887
    @janetfishwick8887 3 роки тому +2

    My 93 year old mother has stage 4-5 Alzheimers. She was diagnosed in 2014 with MCI and has progressively worsened. She has no memory of days, months,seasons or the hear we are now in. Mother has carers twice a day and is under Adult Social Care Services who have a care package in place which includes a hairdresser, chiropodist and cleaner. Mother has lived on her own for 31 years since dad died. Her appetite has become m

  • @LoveEarthPeace
    @LoveEarthPeace Рік тому

    I am concerned that residents do not get to come out in the fresh air daily, not even weekly, on a regular basis. Even with a wheelchair it would be possible. This is for the mental health and appetite, relaxation and sleep. Families should be encouaraged to help their loved ones at a dementia unit. ☯🌞🌺🌿

  • @pammi100
    @pammi100 9 місяців тому

    Thank you Dr for this invaluable information. 🙏

  • @jewelerdelyi3756
    @jewelerdelyi3756 4 роки тому +2

    Very helpful. Thank you

  • @sorbead1
    @sorbead1 6 років тому +1

    The strow,bad aid......good point thanks.

  • @paddleduck5328
    @paddleduck5328 Рік тому +1

    32:20 exercise is so helpful

  • @PiperPruiksma1986
    @PiperPruiksma1986 5 років тому +10

    Don't feed them at this stage. This is cruel to the patients and it's only for families who can't let go

  • @rescueumbrella
    @rescueumbrella 6 років тому +4

    The body is unable to process the nutrients.

    • @Sofia-nt5xd
      @Sofia-nt5xd День тому

      yes, absorption and processing don't wok well anymore.

  • @CamC-hs2gv
    @CamC-hs2gv Рік тому

    Fantastic, thank you sooo much!

  • @CreatingwithWinglessAngel
    @CreatingwithWinglessAngel Рік тому

    How do you keep them from eating every speck of food while you're trying to get some rest?!

  • @brucemah609
    @brucemah609 3 роки тому +1

    How do you deal with it please?

  • @brucemah609
    @brucemah609 3 роки тому +2

    Is it called pocketing?

  • @RuhulAmin-hi7op
    @RuhulAmin-hi7op 5 років тому +2

    Nice deliberation

  • @jen-lb6lg
    @jen-lb6lg 6 років тому +1

    Very informative but the frequent "uhs" are extremely distracting.

    • @magedabuldahab7481
      @magedabuldahab7481 4 роки тому +1

      Make playback speed 1.5 " the uhs " won't be noticed,

  • @wafaibrahim369
    @wafaibrahim369 Рік тому

    Thanks 🙏🙏♥️

  • @lauriechmielecki6576
    @lauriechmielecki6576 4 роки тому +1

    She has had choking issues in the past!

  • @paddleduck5328
    @paddleduck5328 Рік тому

    28:00 eating vs tube

  • @paddleduck5328
    @paddleduck5328 Рік тому +1

    8:55 food and liquid consistency

  • @paddleduck5328
    @paddleduck5328 Рік тому

    15:19 ng and peg tubes

  • @Toonice20
    @Toonice20 4 роки тому

    Should we start using a straw for drinking?

    • @andrewlyons8077
      @andrewlyons8077 4 роки тому

      We started giving my mother a straw and it did help but she was getting tired easily because of the effort it took to move her muscles was too much. We now use a beaker

    • @donnabonn1892
      @donnabonn1892 2 роки тому

      @@andrewlyons8077
      What is a beaker?

    • @jboomhauer
      @jboomhauer Рік тому +2

      28:30 - she says never use straws.

  • @cathyg1099
    @cathyg1099 5 місяців тому +1

    Uhm, uhm, uhm, uhm, I just can’t watch.

  • @paddleduck5328
    @paddleduck5328 Рік тому +1

    29:15 coughing is good

  • @paddleduck5328
    @paddleduck5328 Рік тому +1

    30:15 feeding motivation

    • @paddleduck5328
      @paddleduck5328 Рік тому

      Large servings overwhelming, feed enjoyed foods frequently

  • @paddleduck5328
    @paddleduck5328 Рік тому

    20:00 considering a peg tube

  • @karencrecco2922
    @karencrecco2922 2 роки тому

    Hard to follow. Inarticulate