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My dad has an awful fall last weekend breaking both sides of his jaw the surgical team haven’t given advice on diet. Advice please ? I’m really concerned that he isn’t getting enough nutrients.
There are many sites that give suggestions for a soft diet - after dental work or wisdom tooth removal, bariatric surgery, or for those with dysphagia (swallowing difficulties).
The advice I always give is that although almost anything can be pureed first offer foods that don't seem too weird - oatmeal, creamed soups, mashed potatoes (you can mix in other veggies), lots of dairy and eggs, puddings and custards, ethnic favourites like refried beans or dahl, milkshakes and smoothies. Protein powders are great, and supplements like boost and ensure can add a lot of calories.
Cauliflower and broccoli do well when pureed. Fruit in a cup with juice instead of syrup. I had to have half my jaw replaced last year after a failed root canal. I have a plate and 4 screws there now. Those are things I ate. Yogurt also is easy on the jaw. There are flavored ones with reduced amounts of sugar. As I write this more choices come to mind. Oatmeal would also be good. Maybe you could be more specific as to what you feel is causing issues with his diet. I had difficulty with salads for awhile but now more than 6 months out I can enjoy them again. Anything chewy would not be advisable.
Has he had surgery yet, or will he? This is an important factor, as well as how the jaws are treated. E.g., when I broke mine, I had my jaw surgically repaired, teeth wired together, and restrictions limited to soft foods for 6 weeks. I also had root canals on the damaged teeth, and no brushing allowed for those 6 weeks.
If he has similar treatment, he might also have to be on soft foods, no brushing, gargling instead, and possible restoration if the teeth were affected.
If he's already had surgery, there should be a follow-up visit, and the team has an obligation to provide instructions on post-surgical recovery. I would contact the operating surgeon first thing on Tuesday and raise the issue. If he/she doesn't have instructions, I'd ask why not.
If he can't eat foods, ask what level of dysphagia diet he should follow to get his nutrients. He's not dysphagic, but avoiding hard to chew foods is similar to dysphagia in some ways, and those diets could be models.
One food I would warn again: pureed potato salad. Being a salad lover, I pureed my salads. I couldn't even eat all that mush.
I think it's standard medical treatment for post surgery advice to be provided. The team failed to follow through, it seems.
Doctor Internet says that all the real doctors are busy, so follow this advice:
"You will need to follow a soft diet as you recover from a dislocated or broken jaw." ... A soft diet that includes the following can be easy to chew: canned meat. well-cooked pasta. well-cooked rice. soup. canned fruit.
Or, put needed nutrients in a smoothie with a straw.
Can you imagine a hot dog in a blender for the holiday? 🥤
You need to demand that they help you understand how to feed him.
Call his PCP and the surgeons, send letters and email and be very specific about what they have not provided to ensure his wellbeing and recovery. Keep calling until you get the answers about his care. Make yourself a pain that needs to be addressed and dealt with.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
The advice I always give is that although almost anything can be pureed first offer foods that don't seem too weird - oatmeal, creamed soups, mashed potatoes (you can mix in other veggies), lots of dairy and eggs, puddings and custards, ethnic favourites like refried beans or dahl, milkshakes and smoothies. Protein powders are great, and supplements like boost and ensure can add a lot of calories.
If he has similar treatment, he might also have to be on soft foods, no brushing, gargling instead, and possible restoration if the teeth were affected.
If he's already had surgery, there should be a follow-up visit, and the team has an obligation to provide instructions on post-surgical recovery. I would contact the operating surgeon first thing on Tuesday and raise the issue. If he/she doesn't have instructions, I'd ask why not.
If he can't eat foods, ask what level of dysphagia diet he should follow to get his nutrients. He's not dysphagic, but avoiding hard to chew foods is similar to dysphagia in some ways, and those diets could be models.
One food I would warn again: pureed potato salad. Being a salad lover, I pureed my salads. I couldn't even eat all that mush.
I think it's standard medical treatment for post surgery advice to be provided. The team failed to follow through, it seems.
"You will need to follow a soft diet as you recover from a dislocated or broken jaw."
...
A soft diet that includes the following can be easy to chew:
canned meat.
well-cooked pasta.
well-cooked rice.
soup.
canned fruit.
Or, put needed nutrients in a smoothie with a straw.
Can you imagine a hot dog in a blender for the holiday? 🥤
Call his PCP and the surgeons, send letters and email and be very specific about what they have not provided to ensure his wellbeing and recovery. Keep calling until you get the answers about his care. Make yourself a pain that needs to be addressed and dealt with.