When All They Want is a Milkshake

When I was growing up, I had a family member with Parkinson’s disease. One of the things that I remember most is he never wanted to eat. In fact, whenever we asked him what he wanted for dinner, he would respond “a milkshake.”

It never made sense when I was younger, but now that I am an occupational therapist, I understand. When you have Parkinson’s disease, time is of the essence. Everything takes longer, and tremors can make everyday tasks a chore. While it might take me 15 minutes to eat my breakfast cereal, a person with Parkinson’s disease may take up to an hour. In addition, tremors may cause Parkinson’s disease patients to spill much of their breakfast before it even reaches their mouth. This would be frustrating for anybody. No wonder my family member preferred milkshakes.

Today, I am aware of all of the adaptive devices available to help people with Parkinson’s. Curved plates make scooping food easier. Swivel spoons keep food from spilling even during severe tremors. Weighted utensils help reduce tremors, making it easier to get food to the mouth. Sipper cups help people drink without leaking. The list goes on, but one thing remains clear: for some people with Parkinson’s disease, eating is hard work.

Frequently on our neuro rehab unit, we make smoothies. With the supervision of our dietician, we blend some fruit, milk or juices, and supplemental powder into something our patients can sip at their own pace throughout the morning. They get calories and nutrients in a delicious shake form, and we don’t have to force them to spend hours at the table. If breaking out the blender every day seems like a chore, there is also a variety of fortified juices, protein beverages, and puddings available. These are easy to eat and provide extra nutrition for your loved one.

Of course, I am not suggesting that you replace all meals with milkshakes and pudding. However, with the help of a doctor or dietician, supplemental beverages can help your family member enjoy eating again. At the very least, it may free up a little extra time in their day. They can spend it doing something they really enjoy.