by Rebekah Hindman
“Food has been the main topic in our
house for the last year,” shares an anonymous patient on
the Cancer Survivor Network web site. “My husband says
he’s tired of hearing about what I can or can’t eat. I
couldn’t do Ensure or Boost at all. I’m not sure how I
survived the six months—lost 55 pounds. . So for you
caregivers, please be patient. Keep trying different
foods.”
Many caregivers cringe as they feed loved ones the same
meal day-in and day-out. The dilemmas of a liquid diet
disturb not only victims of cancer, but also many other
patients and caregivers dealing with lesser-known health
issues. The diet-limiting aspects of diseases like
Parkinson’s, Alzheimer’s, Huntington’s Disease, and
progressive dementia can discourage even the most
dedicated caregivers. The irrepressible tremors of
Parkinson’s make eating a near impossible task. Dementia
can cause even the thought process involved in eating to
be a struggle. Because of denture problems, chewing is
also a difficult task.
Oftentimes a liquid or pureed diet is the best solution
to eating problems. The patient receives the important
nutrients he needs, but without the laborious struggle
of spending over an hour to consume only a few bites.
But sometimes the added nutrition can come at the cost
of taste. Lack of appetite is a typical problem among
the elderly, which is only enhanced if the meal is
unappealing. This doesn’t have to be the case. Here are
some helpful new menu options to spice up the liquid
diet of your loved one.
Breakfast Items
Yogurt and fruit make breakfast tasty and healthy. Many
yogurt drinks are on the dairy aisle of any grocery
store. Also try buying plain yogurt, and then add your
own fruit blends. Just make sure to puree the fruit to a
manageable consistency. Yogurt is rich in calcium, and
fruits are great sources for other vitamins.
For a drink, cranberry juice acts as a superb
preventative measure against UTI’s (urinary tract
infections) that often plague older or bedridden people.
Cran-grape juice tastes wonderful to someone who would
wince at a glass of straight cranberry juice. Rich
antioxidants permeate this drink.
Thin oatmeal or cream of wheat provides necessary fiber,
but you can add some taste by layering it with pureed
fruit, molasses, or brown sugar. Shoot for the maximum
amount of calories or sugar in the least amount of food
because eating difficulties and a lack of appetite can
lead to malnutrition. Top off breakfast with a cup of
warm hot chocolate. In the place of a generic hot
chocolate mix, substitute a chocolate heath-drink
supplement, which is richer in vitamins.
Smoothies for Lunch
Lunch can be a monotonous meal. Often seniors don’t work
up a lunch time appetite, especially if they eat a late
breakfast. Sometimes a well-made fruit smoothie is a
rich but not overwhelming meal. A fruit smoothie is a
blended combination of frozen fruits, ice, and other
ingredients. There are innumerable smoothie recipes
available.
The secret ingredient for any smoothie is the thickening
agent. Yogurt or pureed bananas work well. Bananas are a
great source of potassium. You can easily sneak some
carrot juice into a fruit smoothie without damaging the
taste. In fact, the vegetable juice helps temper the
sweetness. Don’t feel as if you have to use fresh fruit
all the time. Blended frozen fruit helps to thicken the
consistency. A smoothie is a great way to tailor the
liquid diet to personal tastes and to exercise
creativity.
Soup Lunches
Soup is a staple for a liquid diet, but that doesn’t
mean that it has to be tasteless or overdone. Countless
canned soups and soup recipes are out there. Cheese
based and potato based soups are good for a liquid diet,
but almost any soup can be pureed so that it is easy to
swallow.
If you are in a hurry and don’t have time to stop and
puree the soup, some name-brand soups market drinkable,
microwavable soups. Make sure the soup is not too hot,
but also remember that warm foods are easier to taste.
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Lunch Side Items
Although few doctors would recommend eating just dessert
for lunch, Jell-O’s and puddings are great side items as
a source of protein and calcium. A variety of flavors
are available, and fruit can be added too.
Protein in puddings and Jell-O repairs muscle and
tissues. Bedsores, which plague older bedridden people,
can take additional time to heal without protein.
Puddings are also a perfect medium for crushed medicine
that cannot be swallowed in capsule form. Help your
loved one remember the good old days. Get creative with
the presentation of Jell-O by using molds.
Entrée Options
A Cuisinart or blender is the most essential tool for a
liquid or soft diet. Basically by using one of these,
you are cutting out one step in the process of eating:
chewing. Most vegetables can be blended, but make sure
you still include traditional spices.
Many meats can be blended with broth. Be careful about
the presentation of these courses. Try not to be too
exotic in what you blend together. Two great tools for
cooking no-chew meals are The I-Can’t-Chew Cookbook and
The Easy-to-Swallow, Easy-to-Chew Cookbook, which are
available online at Amazon.
Desserts
Shakes are perfect for a liquid diet. This is where diet
supplements can be used unabashedly. These shakes are
packed with vitamins and protein. They come in multiple
flavors: French vanilla, strawberry, chocolate,
hazelnut, berry blend, etc. Instant coffee grounds can
be added to give drinks added flavor. Ice cream adds
important calories. You can also blend in fruit to
contribute to the taste. Experiment!
Implement these suggestions and entice your loved one to
eat a healthy and tasty liquid meal. Use your own
creativity and tailor these ideas to the needs of your
patient. As in any healthcare situation, be sure you
consult your loved one’s doctor about diet alterations.
Healthcare professionals are wonderful sources for
dietary suggestions. Even they enjoy swapping recipes.
So, go for it! Try something new on the menu.
Rebekah Hindman is from Greenville, South Carolina. She
is a caregiver to her grandmother who is living with
Parkinson’s disease. She teams up with her mother, a
retired RN, and sister to provide her grandmother with
twenty-four hour care. Rebekah wants to help relieve the
monotony other caregivers and loved ones face with the
limitations of a liquid diet.