Strategies for Feeding Patients with Dementia

diet and dementia

Feeding individuals with dementia can be a challenging task for caregivers due to a variety of physical and cognitive factors that can impact their ability to eat and drink. In addition, eating problems in individuals with advanced dementia can lead to malnutrition and dehydration, which can have serious consequences for their health and well-being. However, with the right strategies and support, caregivers can help to promote adequate nutrition and hydration in their loved ones with dementia. In this article, we will discuss some effective strategies for feeding patients with dementia.

Diet and Dementia: Strategies for Feeding Patients with Dementia​

An important aspect of diet and dementia is to ensure that the food is easily chewed and swallowed. Chewing and swallowing can become difficult for individuals with dementia, and this can increase the risk of choking and aspiration. Soft foods, such as mashed potatoes and cooked vegetables, can be easier to chew and swallow. It is also important to cut food into small pieces and avoid foods that are hard, sticky, or tough.

Mealtime can be a challenge for those living with dementia, as they may have difficulty with decision-making and may become easily overwhelmed. It is important to create a calm and comfortable environment during mealtime. This can be achieved by reducing noise and distractions, and using simple and familiar dishes. Family members and caregivers can also provide gentle encouragement and support during mealtime.

In some cases, individuals living with dementia may experience a loss of appetite or difficulty with eating. This can lead to weight loss and malnutrition, which can further exacerbate the symptoms of dementia. There are several strategies that can be used to encourage eating and prevent weight loss. Offering small, frequent meals throughout the day can be more manageable for individuals with dementia, and can help prevent feelings of fullness and discomfort. Finger foods, such as crackers and fruit, can be easier to eat than meals that require utensils. It is also important to offer a variety of foods to ensure that the individual is receiving all the necessary nutrients.

There are also some specific strategies that might help with diet and dementia. 

Make Mealtimes More Enjoyable Again,
Less of a Struggle

Mealtimes can be challenging during the middle stages of dementia, but with a few tips, you can make them calm and comfortable. 

Here are some strategies for feeding patients with dementia that can help you and your loved one:

  1. Distinguish food from the plate and plate from the table. Changes in visual and spatial abilities may make it tough for someone with dementia to distinguish food from the plate or the plate from the table. Using contrasting colors between plates and tablecloths can help. Try using white plates or bowls with a contrasting color placemat. Avoid patterned dishes, tablecloths, and place mats.
  2. Keep the table setting simple.  You can also consider using plastic tablecloths, napkins or aprons to make clean-up easier. Provide only the utensils needed for the meal to avoid confusion. 
  3. Limit distractions. Try to serve meals in a quiet environment, away from the television and other distractions. This will help your loved one focus on their food and enjoy the meal.
  4. Be flexible with food preferences. It is possible the person may suddenly develop certain food preferences or reject foods they may have liked in the past; understand this is normal and cater to their new preferences accordingly. 
  5. Check the food temperature. A person living with dementia might not be able to tell if something is too hot to eat or drink. Always test the temperature of foods and beverages before serving.
  6. Don’t rush it: Allow plenty of time to eat. Keep in mind that it can take an hour or more for the person to finish their meal.
  7. Offer one food item at a time. The person may be unable to decide among the foods on their plate. Serve only one or two items at a time. For example, serve the protein dish first, followed by the vegetables, then some rice/porridge.
  8. Keep in mind the person may not remember when or if they ate. If the person continues to ask about eating breakfast, consider serving several breakfasts — juice, followed by toast, followed by cereal.
  9. Eat together. Give the person the opportunity to eat with others. Keeping mealtimes social can encourage the person to eat.

Maintaining Independence is Important in Diet and Dementia

Making mealtimes easier for someone with dementia can be a challenge. During the middle stage of the disease, it’s important to encourage independence as much as possible. Why not just spoonfeed them instead? Because many studies have emphasised the need for interventions which maximise independence and autonomy at mealtimes to improve quality of life, reduce strain on caregivers, and provide dignity and mental wellbeing for people with dementia [4]. 

But don’t worry – we’ve got strategies for feeding patients with dementia that can help promote independence!

1. First, try to make the most of the person’s abilities. Adapting serving dishes and utensils can make a big difference. For example, a bowl may be easier to use than a plate, and a spoon with a large handle can be easier to handle than a fork. You might even consider letting the person use their hands if it’s easier.

2. Finger foods can also be a great option. Bite-sized foods like homemade chicken nuggets, fish cakes, satay tempeh chunks, and orange segments are easy to pick up and eat. You could even make a meal in the form of a sandwich to make it easier for the person to serve themselves.

diet and dementia finger foods

3. If the person needs help eating, try hand-over-hand feeding. Show them how to eat by putting a utensil in their hand, placing your hand around theirs, and lifting both of your hands to their mouth for a bite.

4. Don’t worry about neatness – let the person feed themselves as much as possible. Use non-skid surfaces like a cloth or towel under bowls and plates, and consider using cups and mugs with lids to prevent spilling. Fill glasses halfway and use bendable straws.

Remember, it’s important to encourage independence and make mealtimes as easy and stress-free as possible for both you and your loved one.


In conclusion, feeding patients with dementia can be a complex and challenging task for caregivers due to a variety of physical and cognitive factors that can impact their ability to eat and drink. However, by using the strategies for feeding people with dementia, you can help to promote adequate nutrition and hydration in your loved ones with dementia. By modifying the texture and consistency of food, offering frequent, small meals, providing a comfortable eating environment, involving the patient in meal planning and preparation, encouraging fluid intake, and consulting healthcare professionals, caregivers can help to ensure that their loved ones receive the nutrition and hydration they need to thrive. With these strategies and support, you can improve the quality of life for your loved one with dementia and ensure that they receive the care they need. Check out this article for more information on a brain-healthy diet to reduce cognitive decline. 

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