Didn't know ALL OF THAT, Carol Lynn, when I answered your lone question. I'll make sure not to address any more of your questions in case there's something else I don't know.
I'm not sure why you're addressing this comment to me. Many posters have directly answered wolf's question with ideas for high calorie, high protein, fortifying additions to the diet. On the other hand, I asked wolf several questions regarding the person s/he wanted to fortify. Without any additional information, it would be inappropriate, unprofessional, and possibly life threatening for me as a nutritional consultant to even begin to answer that question. Hence, my responsible posing of questions, and you will notice that wolf has not responded in spite of having several days to do so.
I would have wished that those responding would have asked similar questions before posting suggestions. However, not being professional, they can't be held responsible for personal opinions.
I have personally cared for 4 dementia patients myself and I'm well aware of the weight loss that can be involved due to their lack of eating. My mom and I had my dad at home with Alzheimer's from 1984 until 1994, when we had to put him in a locked nursing home because he was a wanderer and he had become violent. He was a big man 6 foot 3 inches and 219 pounds. The staff at the nursing home I was amazed that he was in such good physical condition compared to his very deteriorated mental state. That was because my mom was a cook and my dad was an eater, and that continued as long as he was at home. Immediately upon residency in the nursing home, he lost interest in eating. The psychiatrist said he was depressed and tried him at the time on experimental Paxcil. Horrible...within a week he could no longer stand. Ugly confrontations with the doctor finally got him off and then we concentrated on getting him to eat.
Well, bonfire, it was the slippery slope on the way to the final exit. 16 months after admission, he died at 147 pounds and there was nothing I or anyone else could do about it. Doesn't mean I didn't try but the nursing home wasn't interested in my professional opinion and the doctors were lame. My mom and I were reduced you bringing him fortified milk shakes which we could get past the watchful eyes of the administrators. Sometimes your hands are just tied. We had to be in a medical facility and where we lived, we had already needed to locate him a little less than an hour from home. The next available place was nearly two hours away.
So you see, bonfire, I do understand the ramifications of weight loss and I still would not answer the question for wolf unless s/he have been forthcoming with information about the patient involved. Understand?
Carol Lynn - many times dementia patients won't eat and therefore lose weight. So many times the doctor will recommend giving them higher calorie meals - anything - just so they eat. My mom is already down to 90 pounds because eating is not always on her mind so we are desperately trying to fatten her up a little or she may go the way of many other dementia patients - she will inadvertently starve.
eggs are good, so are ground meat Sandwiches (bake need roast, then Grind it with boiled eggs, sweet pickles, Some add just a touch of sugar, then some mayo or salad dressing. Spread it On bread) scrambled eggs are good, add Some ham or maybe ring balonga. Or Bacon. Make puddings...you can add "goodies" in that. You can cook with Ensure, there is a company that makes High protein cookies used by dialysis Pt. Boost also makes a fortified premade Pudding. Look at company website. If Protein, look at pro-stat liq protein . Find On Amazon. 1 oz equals 15 g protein. I would suggest using the cherry and Make jello gigglers with it.....most tasty Way. Good luck
I'm not sure why the high protein. Some doctors recommend reducing protein in elderly due to decreased kidney function. Check with a doctor or dietician before drastically increasing the protein if this person has kidney problems.
You asked for recipes. Here's a few suggestions: Breakfast: add whey powder to yogurt or cottage cheese with fruit. Also, a cheese omelet made with regular cheese is good. Or spray a cereal bowl (microwave-safe) with PAM and add egg substitute with a little cheese and salsa. Nuke it for about 60-75 seconds. Make a smoothie. Add a container of yogurt, a scoop of whey powder and a banana with a half cup of any other fruit and a half cup of ice/ half-cup of water to a blender and blend completely until ice is smooth. You can add whey powder to oatmeal too. It tastes a little strange at first but you'll get used to it. Use vanilla whey powder. You can always add chocolate syrup or fruit to it for different flavors. Lunch: Fried egg or egg salad sandwich, chicken salad sandwich. Egg salad: just hard boil a couple of eggs, add mayo or Miracle Whip, salt, pepper and a little pickle relish and minced onion , if desired. Chicken salad is the same, except using diced or shredded chicken, with the addition of finely chopped celery. Other things can be added to chicken salad if desired, such as sliced olives, grape halves, chopped walnuts, chopped apples to make a gourmet meal. May be served as a sandwich or on a plate with crackers and slices of tomato. Snacks: String cheese, nuts, and yogurt are all good. A smoothie is good too. Dinner: any meat that is thoroughly cooked, cut into pieces that the patient can chew and swallow easily. Use a meat mallet to pound tougher pieces to tenderize them or use a meat tenderizer product. Don't give chicken on the bone and make sure fish has been completely deboned so there is no choking hazard.
I was on the Healthy Woman board at our local hospital for many years and had the opportunity to meet several knowledgeable dietitians and nutritionists. Check with your local hospital or senior center for recommendations, and you'll be able to get a "designer" diet plan if that's what you feel you need at this time.
Why High protein + High fats? [[high protein may be a mis-statement??]] What do you plan to do about Carbs? [[ hopefully keep carbs low? --else, there'll be excessive weight gain. It's too many Carbs in the mix, that causes a body to accumulate fat cells and pack them with avoirdupois ]]
IF you seek a Ketogenic diet, those are NOT "high protein" --those are high in good fats, only moderate protein, & very low carbs. No worries, though--even loads of medical professionals are ignorant of this..& about the success rates using it.
A Ketogenic Diet [aka: "LCHF" or low carb, high fats] has been used for decades to treat seizures, diabetes, HTN, IBS, & numerous other serious health troubles--including that it is instrumental in losing excess weight, while sparing muscles. http://www.charliefoundation.org/recipes.html This site has information and recipes--lots of information. Good place to start. It's far from being "only for children with seizures"...a Keto-diet is far trickier than most understand--must follow Directions and Cautions carefully, to avoid other issues.
I give my mom whole milk and full fat cheese and ice cream. I use Greek yogurt in any recipes calling for milk/sour cream, as it has more protein. I also use some soy flour (again, more protein than regular flour). When she's in a "down" phase with a smaller appetite, I give her some high-protein Ensure. I make sure she always has pie/candy available (her favorites) and potato chips. At 93, any calorie is a good calorie for her in my book. She also always has plenty of fresh fruit and veggies.
I don't have specific recipes, but would suggest peanut butter sandwiches, avocado & black bean tacos, add almonds or walnuts to salads or other dishes, dishes using while eggs, like a frittata or omelet, etc.
I am caring in my home for my 90 yo Dad. He started having pill-rolling tremors. I gave him a serving of a whey protein powder formula in a cup of almond milk. After 3 hours of consuming this flavored drink, his tremors stopped. The product is called BRAIN SUSTAIN: Comprehensive Brain Support Formula, made by Xymogen, It contains a wide variety of nutrients and cofactors, designed to support brain health, structure, and function, in an easy to use, great tasting form. I give this to my Dad regularly now to promote nutritional balance, neurotransmitter production, and energy. He likes the taste, and calls it his milkshake. drsuze
Between your profile page description and your question, I'm in the dark about who you want this for, how old is the person, man or woman, and what is his or her medical condition, I'm assuming underweight and/or wasting or failure to thrive? Any perceived digestive or intestinal problems (GERD, Crohn's, IBS)? Normal hydration, live at home, nursing home, assisted living, etc.?
My Swedish grandmother was ALWAYS trying to fatten me up when I was growing up and fed me potatoes with sour cream and cheese. (Those calories didn't start applying themselves until I was 50 ... and then ... arghhh!) Anyway, you might look for recipes online for children or children who are ill and undergoing chemo, etc. Here's a start: http://www.lpch.org/DiseaseHealthInfo/HealthLibrary/oncology/hchpd.html
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I would have wished that those responding would have asked similar questions before posting suggestions. However, not being professional, they can't be held responsible for personal opinions.
I have personally cared for 4 dementia patients myself and I'm well aware of the weight loss that can be involved due to their lack of eating. My mom and I had my dad at home with Alzheimer's from 1984 until 1994, when we had to put him in a locked nursing home because he was a wanderer and he had become violent. He was a big man 6 foot 3 inches and 219 pounds. The staff at the nursing home I was amazed that he was in such good physical condition compared to his very deteriorated mental state. That was because my mom was a cook and my dad was an eater, and that continued as long as he was at home. Immediately upon residency in the nursing home, he lost interest in eating. The psychiatrist said he was depressed and tried him at the time on experimental Paxcil. Horrible...within a week he could no longer stand. Ugly confrontations with the doctor finally got him off and then we concentrated on getting him to eat.
Well, bonfire, it was the slippery slope on the way to the final exit. 16 months after admission, he died at 147 pounds and there was nothing I or anyone else could do about it. Doesn't mean I didn't try but the nursing home wasn't interested in my professional opinion and the doctors were lame. My mom and I were reduced you bringing him fortified milk shakes which we could get past the watchful eyes of the administrators. Sometimes your hands are just tied. We had to be in a medical facility and where we lived, we had already needed to locate him a little less than an hour from home. The next available place was nearly two hours away.
So you see, bonfire, I do understand the ramifications of weight loss and I still would not answer the question for wolf unless s/he have been forthcoming with information about the patient involved. Understand?
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Well, at least it's working. 9.6 pounds down, 41.4 pounds to go.
Sandwiches (bake need roast, then
Grind it with boiled eggs, sweet pickles,
Some add just a touch of sugar, then
some mayo or salad dressing. Spread it
On bread) scrambled eggs are good, add
Some ham or maybe ring balonga. Or
Bacon. Make puddings...you can add
"goodies" in that. You can cook with
Ensure, there is a company that makes
High protein cookies used by dialysis
Pt. Boost also makes a fortified premade
Pudding. Look at company website. If
Protein, look at pro-stat liq protein . Find
On Amazon. 1 oz equals 15 g protein.
I would suggest using the cherry and
Make jello gigglers with it.....most tasty
Way. Good luck
You asked for recipes. Here's a few suggestions:
Breakfast: add whey powder to yogurt or cottage cheese with fruit.
Also, a cheese omelet made with regular cheese is good.
Or spray a cereal bowl (microwave-safe) with PAM and add egg substitute with a little cheese and salsa. Nuke it for about 60-75 seconds.
Make a smoothie. Add a container of yogurt, a scoop of whey powder and a banana with a half cup of any other fruit and a half cup of ice/ half-cup of water to a blender and blend completely until ice is smooth.
You can add whey powder to oatmeal too. It tastes a little strange at first but you'll get used to it.
Use vanilla whey powder. You can always add chocolate syrup or fruit to it for different flavors.
Lunch: Fried egg or egg salad sandwich, chicken salad sandwich. Egg salad: just hard boil a couple of eggs, add mayo or Miracle Whip, salt, pepper and a little pickle relish and minced onion , if desired. Chicken salad is the same, except using diced or shredded chicken, with the addition of finely chopped celery. Other things can be added to chicken salad if desired, such as sliced olives, grape halves, chopped walnuts, chopped apples to make a gourmet meal. May be served as a sandwich or on a plate with crackers and slices of tomato.
Snacks: String cheese, nuts, and yogurt are all good. A smoothie is good too.
Dinner: any meat that is thoroughly cooked, cut into pieces that the patient can chew and swallow easily. Use a meat mallet to pound tougher pieces to tenderize them or use a meat tenderizer product. Don't give chicken on the bone and make sure fish has been completely deboned so there is no choking hazard.
[[high protein may be a mis-statement??]]
What do you plan to do about Carbs?
[[ hopefully keep carbs low? --else, there'll be excessive weight gain.
It's too many Carbs in the mix, that causes a body to accumulate fat cells and pack them with avoirdupois ]]
IF you seek a Ketogenic diet, those are NOT "high protein"
--those are high in good fats, only moderate protein, & very low carbs.
No worries, though--even loads of medical professionals are ignorant of this..& about the success rates using it.
A Ketogenic Diet [aka: "LCHF" or low carb, high fats]
has been used for decades to treat seizures, diabetes, HTN, IBS, & numerous other serious health troubles--including that it is instrumental in losing excess weight, while sparing muscles.
http://www.charliefoundation.org/recipes.html
This site has information and recipes--lots of information. Good place to start.
It's far from being "only for children with seizures"...a Keto-diet is far trickier than most understand--must follow Directions and Cautions carefully, to avoid other issues.
I have made this many times.
http://allrecipes.com/recipe/delicious-avocado-egg-salad/
drsuze