After checking with the dietitian, we figured Dad had eaten only about one-quarter to one-half of two meals in two weeks. They kept careful records and weighed the patients regularly. He was refusing most meals. Anorexia nervosa is a disease that primarily affects young women. DSM-IV-TR (APA) defines it as “a refusal to maintain body weight at or above a minimally normal weight for age and height.” It is a psychological disorder that has biological effects as the individual tries to manage or control his or her environment by controlling the amount of food he or she eats. This was Dad’s situation. I have seen it in many seniors due to many issues. It is a combination of lack of appetite and a means by which one can feel as if they are in psychological control. There was nothing to do about it. He would not have benefited from counselling, as he could not hear or cognitively process a therapeutic treatment or process.
Sunday, September 27, 2009
Hearing aids & diet
Dad played constantly with his hearing aids; his ears bothered him. He would try to adjust his aids. Today he refused his bath. His right foot was still painfully swollen. His eyes were itchy and he was on antibiotics for another urinary tract infection. It was a miserable life. His walker, missing yesterday, had been returned. The PSW told me that Dad had been up at night. He “tore up his room,” they told me. I did not ask for too much information. He was wandering down the hall. The charge nurse told me that they gave him some Ativan to calm him down. I thought I could have used one. I wondered what all these drugs did to him.