Why Appetite Loss Happens at the End of Life
When a loved one is nearing the end of life, the time spent with them becomes increasingly important. However, it can be incredibly difficult to watch as they begin to lose interest in food and drink. This change can feel distressing, as feeding someone is often a way we show care and support. Understanding why appetite loss and other changes occur and focusing on providing comfort rather than nourishment can help you and your loved one through this challenging time. The ultimate goal is to ensure their final days are as peaceful, dignified, and comfortable as possible.
Why Appetite Loss Occurs at the End of Life
As the end of life draws near, the person’s body goes through many changes. One of these changes is a significant reduction in the need for calories and nutrients. Metabolism slows down, and your loved one may lose interest in food or have difficulty swallowing due to physical decline. Medications and the illness itself can also suppress appetite, making it harder for them to eat or drink. These changes are a natural part of the dying process, signaling that the body no longer requires the same level of nourishment.
The Emotional Impact on Families
Watching a loved one stop eating or drinking can stir up a lot of emotions. For many people, food is a symbol of care and love, and when you can no longer provide it, feelings of guilt and helplessness may arise. You might worry that they are suffering without nourishment. It’s important to understand that, during this phase, their body no longer requires food and water in the same way, and they are likely not experiencing hunger or thirst as they did before. Your focus should now shift to ensuring their comfort.
How to Provide Comfort
When your loved one is no longer able to eat or drink adequately, the priority becomes providing comfort. Here are some ways you can help them feel more comfortable during this time:
- Mouth Care: As your loved one stops eating and drinking, their mouth and lips may become dry and cracked. Using a damp sponge or swab to moisten their lips can help prevent discomfort.
- Offer Tastes of Favorite Foods: If they can still swallow, offering small sips or tastes of their favorite foods or drinks can bring some comfort and enjoyment.
- Comfortable Positioning: Ensure they are in a comfortable position, such as slightly propped up, to make swallowing easier if they are still eating or drinking.
- Provide Reassurance and Touch: Sometimes, simply being present and offering a gentle touch can provide more comfort than food. Sitting with your loved one can help them feel at ease.
Deciding on Artificial Feeding
The decision to pursue artificial feeding methods, such as feeding tubes or IV nutrition, is a complex and personal one. It’s important to consider the following factors:
- Quality of Life: Artificial feeding may not improve your loved one’s quality of life, and it may even cause discomfort or complications.
- Consulting with Healthcare Providers: Speak with the healthcare team to understand the risks and benefits of artificial feeding in your loved one’s specific situation.
- Honoring Their Wishes: Be sure to respect any advance directives or previously expressed wishes regarding end-of-life care.
- Comfort First: Reducing interventions can sometimes lead to greater comfort. Forcing food or fluids can cause discomfort such as bloating, nausea, or respiratory issues.
Compassionate End-of-Life Care
Allowing your loved one to eat or drink as much or as little as they choose — or not at all — can be the most compassionate choice. Focus on creating a peaceful, loving environment where they feel comfortable and supported in their final days.
Seeking Support
Hospice or palliative care professionals can offer valuable guidance, and the homemakers and companions at Sterling Care can fill in any gaps in home support, allowing you to focus on spending meaningful time with your loved one.
We proudly serve Greenwich, New Canaan, Darien, and surrounding regions. Contact us online or give us a call at 203-532-0500 to schedule a complimentary consultation.