When a loved one is nearing the end of life, every moment becomes precious, and the changes they go through can be both heart-wrenching and confusing. One of the most profound shifts you may witness is in their eating habits. To see someone you care about lose interest in food and drink can leave you feeling powerless and concerned. But understanding why eating changes at the end of life occur and how to approach them with compassion can make this difficult time a little easier to bear. It’s a matter of focusing on how to provide comfort and care when traditional nourishment is no longer possible, so the person’s final days are as peaceful and dignified as possible.
Why Do Eating Changes at the End of Life Happen?
At the end of life, the body undergoes many changes. Metabolism slows down, and the need for calories and nutrients decreases. The person may lose interest in food or have difficulty swallowing due to a decline in physical function. Additionally, medications and the illness itself can affect appetite and digestion.
The Emotional Impact
It’s normal to feel distressed when someone you love refuses to eat or drink. In many cultures, food is a symbol of love and nurturing, so it can be hard to accept when you’re unable to care for the person in this way. You might worry that they are suffering or feel guilty for not being able to nourish them.
Focusing on Comfort
When it becomes clear that the person is no longer able to eat or drink adequately, the primary goal shifts from nutrition to comfort. Here are some ways to ensure their comfort:
- Mouth Care: Regularly moisten their lips and mouth to prevent dryness and cracking. This can be done with a damp sponge or swab.
- Favorite Flavors: Offer small sips or tastes of their favorite flavors if they can still swallow. This can bring some pleasure and comfort.
- Positioning: Ensure they are in a comfortable position that makes swallowing easier, such as sitting up slightly.
- Gentle Touch: Sometimes, the act of feeding can be more about the comfort of your presence and the gentle touch you provide.
The Decision on Artificial Feeding
Deciding whether to use artificial feeding methods, such as feeding tubes or IV nutrition, is complex and deeply personal. It often comes down to a balance between extending life and ensuring quality of life. Here are some factors to consider:
- Quality of Life: If artificial feeding will not significantly improve the person’s quality of life or if it may cause discomfort or complications, it might not be the best option.
- Medical Advice: Consult with the person’s healthcare team to understand the potential benefits and drawbacks of artificial feeding in their specific situation.
- Advance Directives: You’ll need to honor any advance directives or previously expressed wishes the person may have had about end-of-life care decisions.
- Comfort Over Quantity: Sometimes, less intervention can lead to more comfort. Forcing nutrition can sometimes cause discomfort, such as bloating, nausea, or even respiratory issues.
As difficult as it is, allowing the person to eat or drink as they wish – or not at all – can be a compassionate choice. Ensure they are as comfortable as possible, surrounded by loved ones, and in a peaceful environment.
Seeking Support
Remember that you do not have to go through this alone. If you haven’t already, reach out to hospice or palliative care professionals for guidance and support during this challenging time. It’s also incredibly helpful to partner with a home care provider, like Compassionate Care Home Health Services, to fill in any gaps in care and allow you and your family to focus on spending quality time together.
Serving Alpena, Saginaw, West Branch, and the surrounding areas in Central and Northern Michigan, we’re here for you whenever you need us. Contact us at 877.308.1212 any time for a complimentary in-home consultation.