|Helping a loved one who resists help can be upsetting and difficult.|
A big issue for a lot of elderly people is a lack or loss of appetite, and they'll often stop eating – or at least, stop eating anywhere near the amount they need. There are 6 million malnourished seniors in the U.S. There are three main reasons for this. Understanding the underlying cause can help you determine the best cause of action to get them to improve their nutrition without being pressured.
- Medication. Lots of medication prescribed to elderly patients has the unintended side-effect of decreasing appetite. If this is the case, you may be able to reason with them into trying an alternative medication, which may help clear up the issue.
- Loss of taste/smell. As we age, we grow less sensitive to taste and smell. It may well be that they find it boring, and therefore have no interest. If you cook or shop for them, you can change this by using stronger tasting ingredients – garlic, spice, citrus and so on are great for making a dish more interesting. Another is to ‘mix it up’ with a selection of food choices. The CareGiver Partnership offers freshly prepared, home delivered meals - up to 70 choices.
- Depression. It may well be a combination of loneliness, sadness or other negative emotions. The best thing you can do in this case is to increase the amount of visiting you do, and see if you can persuade them to join social groups! This is a tricky one to deal with, as the root cause is often hard to impact – plus, if they're resisting help, you may just upset them more. If in doubt, talk with a counselor yourself on ways you may be able to help out.
Many elderly people will stop washing – both themselves and their clothes! This can be distinctly unpleasant, as well as unhealthy. But how can you help with this if they're adamant they don't need help? As above, it's always worth noting depression could be a cause and addressing this, not just the symptom. But it's just as likely to be a lack of care or an unwillingness to invest the effort. Perhaps it's a fear of injury that they don't want to admit to.
Blame Yourself – The Right Amount
There's two important things to remember about blaming yourself: firstly, that you should never do it seriously, and secondly that it can be quite an efficient method! This sounds strange, so let's clarify.
If the elderly person you want to help is resisting your help, and something goes wrong – illness, injury, etc – it is not your fault. They're not a child, and you cannot force them to do anything. While you may want to blame yourself, try to avoid the urge. There is nothing you could have done.
However: if you're trying to encourage someone to change their ways, saying 'You need to do x, because otherwise you...' can sound like an accusation. Try saying 'could you do x, because I will worry/feel better knowing/etc'. This level of self-blame – placing the reasoning on your worries, rather than them, can often lead to good results as it allows them to avoid resenting your removal of their independence, whilst still stressing the importance of what needs to be done. It's a tricky line to walk, but with practice, you'll soon find it easy.
Most importantly, remember you're not alone! You can't care for someone if you're all worn out, so set aside time to look after yourself. Ask advice from others – in particular, medical professionals. They may not be able to break confidentiality but they can give you general advice that may make all the difference. Good luck!
By Edward Francis and Foresthc.com!
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