Many Thanks to Bloomberg Technology for this very informative article

FDA Opens New Path for Alzheimer's Treatments

Anna Edney, Michelle Fay Cortez and Robert Langreth

February 15, 2018 9:43 AM Updated on February 15, 2018 1:29 PM

·        Researchers haven’t settled on cause, target of disease

·        Draft guidance comes after Merck failure, years of others

U.S. drug regulators wants to let drugmakers test Alzheimer’s disease treatments on patients years before the disease shows outward signs, and could approve the therapies based on subtle biological signals rather than proof they alleviate symptoms.

The Food and Drug Administration proposal will open new paths for drugmakers after repeated failures from companies including Pfizer Inc., Eli Lilly & Co. and Merck & Co. It also poses a scientific challenge: Researchers don’t fully understand the biological progression of Alzheimer’s disease, leaving the industry without a clear finish line or target.

While the FDA acknowledges the lack of an agreed-upon target, it loosened the standard for drugmakers to move ahead. The proposal cuts a line from a 2013 policy calling for “widespread evidence-based agreement in the research community” about the right biological signal.

The new guidance “is a big deal to companies,” said Maria Carrillo, chief science officer for the Alzheimer’s Association. “It is a clear statement that the FDA understands that the science of Alzheimer’s has evolved.”

Biological Goal Post

In the proposal, the FDA said it could quickly approve a drug for people who haven’t shown outward signs of Alzheimer’s, if the therapy affects a biological marker of the disease -- similar to how lowering blood pressure reduces the risk of a heart attack. Nothing like that currently exists for the disorder, which is the sixth-leading cause of death in the U.S.

Read more: Alzheimer’s is the unbeatable enemy for drugmakers

With a drug on the market under the fast-track process, a company would then have to conduct further trials to confirm that the biological change lead to a meaningful benefit, such as slowing patients’ initial decline in mental function, known as mild cognitive impairment.

“This guideline says they are willing to entertain a cognition-only endpoint and that is big change” from the way most trials have been run in the past, said Carrillo.

There are also implications for health insurers and the government, which will face pressure to pay for new treatments for the millions of Americans who suffer from the disease, said Craig Garthwaite, a professor at Northwestern University’s Kellogg School of Management.

Alzheimer’s disease “is filled with high profile misses by pharmaceutical companies,” he said. “There could be a massive waste of resources” if drugs are approved based on biomarkers that turn out not to predict Alzheimer’s progression, he said.

Neurology Drugs

The draft guidance on Alzheimer’s disease is one of five proposals the FDA released Thursday to spur development of treatments for neurological diseases, including ALS, or amyotrophic lateral sclerosis.

“The brain, in many respects, is the last organ system where many aspects of our understanding of the underlying biology of disease remain uncertain,” FDA Commissioner Scott Gottlieb said in a statement. “Symptoms and progression of neurological diseases can also vary significantly across patients, and even within patients, and across organ systems.”

While the changes could reinvigorate research efforts for Alzheimer’s drugs, they would also ask patients and doctors to take a risk on new products that don’t have the same scientific proof behind them that comes from a trial measuring symptoms like memory and function loss.

Only Failures

There are no approved Alzheimer’s treatments that slow progression of the disease, while almost 200 drugs have failed.

Merck & Co. said this week that its trial of a drug in early stage patients was being halted, and it was considering its next steps for the compound, called verubecestat.

On Wednesday, Biogen Inc. said it was adding more patients to its study of another drug after the trial wasn’t producing a clear enough signal of the therapy’s effectiveness. Investors took it as a sign the trial -- the last remaining late-stage effort by a major drugmaker -- might fail.

Alzheimer’s is thought to build for years in the brain before outward symptoms show themselves, at which point some researchers believe it may be too late. By focusing on patients with the earliest biological stages of the disease, it may be possible to intervene before serious damage is done.

Those people -- with no symptoms, no medical complaints and no detectable abnormalities -- will be categorized as stage 1 patients.

Patients with stage 2 disease have subtle abnormalities, but haven’t begun to lose ability to perform basic functions. Stage 3 patients have signs of disease, including mild functional impairment. It’s not until stage 4 that patients are classified with mild dementia.




Many Thanks to Partners In Parkinson's for this valuable Webinar resource

Care Beyond the Clinic: How to Gain Control of Your Parkinson’s by Optimizing your Personal Health Strategies


DATE: Wednesday, October 4, 2017
TIME: 12-1pm EST
TITLE: Care Beyond the Clinic: How to Gain Control of Your Parkinson’s by Optimizing your Personal Health Strategies

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June is National Dysphagia Awareness Month

Many Thanks to our friends at the NFOSD (National Foundation of Swallowing Disorders) and Tiffany Turner MS, CCC-SLP for this great article on Dysphagia.


Deciphering Dysphagia

Published 9.28.2016 by NFOSDadmin


Byline: Tiffany Turner, MS, CCC-SLP, Owner, Swallowing and Neurological Rehabilitation, Tiffany founded a dysphagia focused outpatient center in 2014 to serve the northeastern Oklahoma region and fill a gap in her community, as she feels adult speech pathology services are often misunderstood and underutilized. She is also an author and publishes resources for other SLPs to use with their patients which have been downloaded by over 2,000 speech-language pathologists worldwide.

Dysphagia, or difficulty swallowing, affects up to 15 million adults in the United States. According to past publications, 1 in 25 people will experience some form of dysphagia in their lifetime, including 22% of those age 50 and older (ASHA, 2008; Bhattacharyya, 2014). People at the greatest risk for swallowing impairments include individuals who have had strokes, those with neurological conditions (such Parkinson’s disease), survivors of head and neck cancer, and the elderly. Despite the significant prevalence of dysphagia, this medical condition is often neglected, and many sufferers are never properly diagnosed or treated.


How Swallowing Works

There are three phases of swallowing. The first phase of swallowing is the oral phase, where food or liquid is manipulated and prepared to be swallowed (by chewing, forming the food into a cohesive unit in the mouth (a.k.a. a bolus). Next, in the pharyngeal phase, after the food or liquid passes through the mouth, it approaches two ‘tubes’ at the back of the throat- the esophagus (a passageway to the stomach) and the trachea (airway). There are several muscles that go to work to ensure the food then goes from the back of the throat down the esophagus rather than into the trachea (which leads to the lungs). When the muscles involved in swallowing are working properly, they close off and protect the airway to prevent food or liquid from entering the lungs. Lastly, the food/liquid then passes from the top to the bottom of the esophagus in the esophageal phase of swallowing. From the bottom of the esophagus, the food/liquid enters into the stomach.

Speech-language pathologists are the specialists who evaluate and treat impairments of the oral and pharyngeal phases of swallowing since the same general anatomy is involved for both swallowing and speech/voice. Esophageal phase dysphagia is often treated by an otolaryngologist or gastroenterologist depending on the specific impairment.


Symptoms and Complications

Dysphagia can be the result of muscle damage, nerve damage, or other causes and can occur at any phase of the swallow, so there are many different presentations of this condition depending on the underlying cause and specific areas affected. Some symptoms of oral or pharyngeal dysphagia could include the following:

  • difficulty moving food from the front to the back of the mouth,

  • difficulty chewing,

  • food getting stuck in the mouth,

  • difficulty swallowing certain foods/drinks,

  • coughing or throat clearing while eating/drinking,

  • feeling like foods/pills are getting stuck, and/or

  • a wet vocal quality (e.g., a gurgling sound) after eating/drinking.


    When the pharyngeal swallowing mechanism isn’t functioning like it should, food or liquid can sometimes enter the trachea instead of the esophagus. This is referred to as aspiration. Everyone experiences occasional aspiration of trace amounts (that feeling when something goes down the wrong way and your body’s reaction is to cough). However, when aspiration is persistent and foreign material is entering the lungs, this can lead to very serious complications, such as aspiration pneumonia or even death.

    Swallowing experts have developed a short, 10-question, self-assessment survey developed to help patients communicate the signs and symptoms of their swallowing problem with their healthcare team called the Eating Assessment Tool (EAT-10). This assessment tool is not a replacement for tools already in use by the medical team, but can be used as a tool to help patients identify a swallowing problem. Problem identification is an early step in the path to a treatment plan and can result in improved outcomes. The following link will open up the survey. The survey can be taken online and printed out or it can be printed out and filled in on paper.


    Treatment Options

    We know there are many things that can go wrong with swallowing and the consequences can be very serious, so what options are available for those living with dysphagia? Below are some of the most effective and widely used treatment techniques that speech-language pathologists can implement to help manage oral and pharyngeal dysphagia.

1.      One common method of treatment involves exercises to strengthen and improve the functioning of the specific muscles that are negatively affecting the swallow.  First, the speech-language pathologist will complete an instrumental assessment to determine the specific impairments; then, exercises will be prescribed to target those specific areas of deficit. Some patients are candidates for neuromuscular electrical stimulation and/or biofeedback training along with traditional exercises to promote more intensive treatment and in some cases more rapid muscle re-education.

  1.   Another common approach involves education of compensatory strategies to decrease the risk of aspiration. For example, for some patients, tucking the chin downward while swallowing can help close off the airway and prevent aspiration.  For other patients with more weakness on one side or the other, a head turn to one side may increase swallowing safety. A speech-language pathologist can teach specific and individualized postures and techniques to increase safety depending on specific impairments noted during instrumental assessment.

  1.   A third option in dysphagia management involves diet texture modification. Certain food or liquid textures can be substituted to decrease aspiration risk. For example, thickened liquids flow more slowly than regular liquids and give the muscles more time to react and protect the airway, reducing the aspiration risk for some people. Some patients may need smoother textured foods if mastication or oral or pharyngeal residue poses safety risks. Diet consistency recommendations are very individualized based on the assessment findings. A last resort may involve a feeding tube and nothing by mouth (either temporarily or in some cases long-term) to prevent food/liquid from entering the airway if all oral intake appears unsafe.

    If you feel that you or a loved one may be suffering from dysphagia, discuss your symptoms with your physician and seek a speech-language pathology consultation. Without treatment, dysphagia can be a debilitating condition, but thankfully quality of life can be improved greatly with proper and timely diagnosis and treatment. Early intervention results in the best treatment outcomes, so seeking treatment at the first sign of an impairment is very important.


    Additional NFOSD Dysphagia Resources

    Head & Neck Cancer

    How Aging Affects the Swallow

    Parkinson’s Disease

    Pediatric Swallowing Disorders

    Stroke & Dysphagia


    Statistical References

    ASHA Communication Facts: Special Populations: Dysphagia- 2008 Edition. American Speech-Language-Hearing Association, 2008.

    Bhattacharyya, N. (2014). The prevalence of dysphagia among adults in the United States. Otolaryngology–Head and Neck Surgery, 151, 765–769.





NFOSD Online swallowing support group

Many Thanks to the National Foundation of Swallowing Disorders for providing this valuable resource!




The National Foundation of Swallowing Disorders
is excited to announce its

Online Swallowing Support Group

Join the Support Group:

It is estimated that 560 million people worldwide suffer from a swallowing disorder. While the National Foundation of Swallowing Disorders has helped to establish several local swallowing support groups, we recognize that this is not enough. 

Therefore, we have created an online, interactive support group using Facebook. This group is open to all those impacted by swallowing disorders including patients, family members, caregivers, and friends as a way to easily share your stories, resources, questions, answers, and support with others.

Clinicians are welcome to join this group, however, because this is an NFOSD-sponsored group, we kindly ask that they do not share medical advice. We understand that each individual is different -- the cause of a swallowing disorder, the signs and symptoms, and the effect of the disorder on the individual can vary greatly. We welcome the expertise, resources, and support that clinicians may be able to offer to others in this group. 

If you have questions about how to join the group, please email us at

The NFOSD Team



Archive for the ‘Veterans Benefits’ Category

Will VA Benefits Pay for Senior Care?

Monday, May 30th, 2016 by SeniorHomes Staff Writers


If you’re a U.S. military veteran who is planning for your own long-term senior care or the care of an aging loved one who is a veteran, you’ve probably considered whether VA benefits could help cover the costs of that care. If this is the case, you’re in good company. According to a 2012 census figures, more than 12.4 million veterans over the age of 65 live in the U.S.. With the average annual senior care costs ranging from $17,680 to $92,378 for care ranging from adult day health care to private nursing homes each year, financial help is essential.

What Are Aid and Attendance Benefits?

The costs of long-term care add up quickly. VA benefits like the Aid and Attendance Benefit can help significantly, even if the veteran’s income is above the limit for a pension. For eligible veterans and their spouses, the Aid and Attendance Benefit can help cover the costs of a variety of types of senior care, including assisted living, in-home care, and nursing home care.

The VA pays Aid and Attendance Benefits to a veteran in addition to monthly pension benefits. These benefits are also paid to survivors of veterans who have been collecting death pensions. Aid and Attendance Benefits may add $700 each month for veterans and $500 per month for survivors. This type of benefit is available for veterans who have served 90 days or more, one of those days being during a time of war.

Who is Eligible for Aid and Attendance Benefits?

These benefits are set aside for individuals who require assistance to perform daily activities, including bathing, feeding, dressing, and getting out of bed. It is also available for patients in nursing homes, those who are blind, and those who are undergoing treatment for a disability. Eligibility depends on whether the veteran is receiving a VA pension or if the veteran’s survivors are receiving a death pension. Either party must provide a primary doctor’s report as evidence of a qualifying condition.

How to Apply for VA Benefits

Applying for veterans’ benefits starts by contacting the regional office for the VA where the veteran previously applied for a pension or the survivor filed for a death pension. The VA will place the veteran into a priority group and make contact when the claim has been filed.

Unfortunately, all too many veterans and their loved ones don’t know that there are benefits available to help pay for the costs of senior care. With these rates rising every year, VA benefits can make a significant difference in the type of care that aging veterans can afford.



Despite failed trials, experts believe we'll have an Alzheimer's drug by 2025

By Meera Senthilingam, CNN

Updated 3:02 PM ET, Fri December 9, 2016

(CNN) The results of recent trials that tested much-anticipated Alzheimer's disease drugs dashed the hopes of patients with the debilitating condition. The most recent disappointment came from the large trial for solanezumab, by Eli Lilly, announced last month.

But experts across the field say hope is not lost. They believe we will have some form of drug against the disease by 2025, albeit most likely a pilot version that will need to be upgraded.

This target, in less than a decade, is the goal set by world leaders at the G8 dementia summit in 2013.

Researchers believe there are enough competitors in the race to get at least a few to the finish line on time.

"There are still a number of late-stage trials in progress," said Heather Snyder, senior director of medical and scientific operations at the Alzheimer's Association. "2025 is a realistic target in terms of where we are with the science. ... We're not off-track at this point in time."

Read More

Twenty-four drug candidates are currently in phase 3 trials on humans -- trials that involve larger numbers of people and a comparator to see a drug's true effect -- and many more potential drugs are in earlier stages of development. Speaking from the Clinical Trials on Alzheimer's Disease conference in San Diego this week, Snyder is hopeful that a few drug options -- not just one -- may surface to one day treat Alzheimer's at various stages of the disease.

The question now is, which trials will they be? Unlike with many other diseases, scientists don't fully understand the underlying causes of Alzheimer's, meaning drugs now in development are targeting different aspects of what is theorized to cause symptoms.

"This is a complex disease," Snyder said. "If you think of HIV or cancer ... we don't treat those diseases with one drug." The end result may have to be a combination therapy.

It's estimated that 46.8 million people were living with dementia worldwide in 2015, of which Alzheimer's disease is considered to be the leading cause. More than 5 million people are living with the condition in the United States.




The Edgewood Centre, Portsmouth, NH


An In-Service and Tasting of Gourmet Pureed was held at The Edgewood Centre in Portsmouth, New Hampshire recently.  All agreed that Gourmet Pureed was an excellent, tasty and nutritious option for their clients going home on a pureed diet. 

In attendance were individuals from Speech Language Pathology, Occupational, Physical and Restorative Therapy, Dietary, Social Work, the Director of Rehabilitation and the President and Owner of The Edgewood Centre.

Located in the historic seaside town of Portsmouth, New Hampshire, The Edgewood Centre is a family owned facility which specializes in providing Short Term Stay, Skilled Nursing, Dementia Care and Long Term care in a warm, welcoming environment.

Thank You for your invitation to conduct our In-Service and your kind words for Gourmet Pureed!


Warm Welcome by the "Angels" at Visiting Angels of Auburn, New Hampshire


Warm Welcome by the "Angels" at Visiting Angels of Auburn, New Hampshire

An In-Service and Taste Testing of Gourmet Pureed meals was held this month at the Visiting Angels, Living Assistance Services in Auburn, NH this month.

From their monthly newsletter:

"Delicious Prepared Pureed Fresh Meals"
"We had a special taste testing at Visiting Angels and we were all amazed by how delicious these meals really are!  What a great solution for those who have any of the challenges of dysphagia but who love great tasting meals!"


Thank You Ami, Debra and your amazing staff of "Angels" for your warm welcome and kind comments!


In-Service and Tasting - Center For Communication


In-Service and Tasting - Center For Communication

Monday, August 3, 2015

Conducted an In-Service and Tasting of Gourmet Pureed for the Executive Director, Fran Bodkin of the Center For Communication in Springvale, Maine and her staff of Speech-Language Pathologists (SLPs).  They were very excited to have a nutritious, tasty, and convenient option to offer to their patients with Swallowing Disorders (Dysphagia).

Their Speech-Language Pathology Services are used by Frisbie Hospital in Rochester, NH, Huggins Hospital in Wolfeboro, NH, the Greenwood Center in Sanford, ME and various other medical specialties throughout southern Maine. 



Easy Pureed Meals by Laura Michael, NFOSD

Easy Pureed Meals

Published 06.25.201506.25.2015 by nfosdadminnfosdadmin


[Editor’s Note: Gourmet Pureed is a supporting partner of the NFOSD.]


If you’ve been told that you have to change the way you eat and now eat only a puréed diet, where do you go for convenient, healthful prepared meals?

If you are like most Americans you purchase the majority of your food in a grocery store but if you are home-bound or recovering from a medical crisis, where do you turn?

Fortunately, there are online suppliers like Gourmet Puréed.

Gourmet Puréed delivers fresh-cooked, nutritious, ready-made refrigerated puréed meals right to your door. Each meal has a main dish, vegetable and fruit or snack.


Sample of menu choices consists of comfort foods like:


  • Pureed Fresh, Buttery Scrambled Eggs, Brown Sugar Seasoned Pork Loin Bacon, Pureed Bread and Aromatic Cinnamon Apples


  • Seasoned Pureed Roast Eye of Round Beef with Savory Beef Gravy, Creamy Mashed Potatoes, Tasty Brown Sugar Glazed Carrots and Vanilla Pudding


  • Tasty Seasoned Pureed Roast Pork Loin with Savory BBQ Sauce, Blend of Cheddar Cheesy Mashed Potatoes, Buttery Green Beans, Applesauce and Vanilla Pudding


  • Succulent Pureed Roasted White Chicken Breast, with Savory Chicken Gravy, Creamy Mashed Potatoes, Buttery Green Beans, Carrots and Chocolate Pudding

  • Pureed Durum Semolina Pasta with Flavorful Marinara Sauce of Diced Tomatoes, and Just the Right Blend of Italian Seasonings, Broccoli, Blueberry Applesauce and Chocolate Pudding


  • Order online (or by phone) and Gourmet Puréed ships by FedEx® directly to your home. Meals have a 14 day refrigerator shelf life and are easily reheated in the microwave in under 2 minutes.


At between 600 and 700 calories per meal, they are ideal for helping to rebuild your strength. Portions are generous and may leave enough for a snack, or leftovers. With four breakfast menus and eight lunch/dinner choices, you can enjoy a variety of different foods. If you like home-cooking, Gourmet Puréed meals will appeal to you.

Each complete puréed meal is $7.49 plus shipping. Shipping is $14.95 for up to 21 meals.


Wonder if they are good? Here is just one of many recommendations:


Gourmet Puréed provides my patients with a nutritionally sound meal that is both appetizing and flavorful. Patients are able to enjoy meals with entrees they find appealing instead of the often “single-ingredient” puree options traditionally offered. The meals taste great and the texture is ideal. Meats have often been an issue both in the preparation and appeal. Gourmet Puréed meat selections have both wonderful flavor as well as texture.

The convenience is one of the greatest appeals of Gourmet Puréed. Having fresh meals that do not require preparation (only heating), allows my patients to enjoy meals without time consuming and tedious preparation. Gourmet Puréed has allowed my patients to enjoy mealtime again, despite their swallowing difficulty. As a clinician, it gives me peace of mind knowing my patients are complying with their puree diet recommendation.


Katrina M. Jensen M.A., CCC-SLP

Director, Medical Speech Pathology

Aerodigestive Disorders

Laryngeal/Alaryngeal Rehabilitation

Fort Worth, TX


To order, visit Gourmet Puréed at: or call 866-971-6667

Don’t forget to use the Promo Code: Pureed to receive a free meal with every order!




Pureed Foods in the Management of Patients with Dysphagia

Dysphagia, or difficulty swallowing, is a disorder that can affect people 

with a variety of underlying diagnoses/conditions and can occur at any 

age. Dysphagia can be a temporary or permanent disorder, depending 

on the nature of the problem and should always be properly evaluated 

and diagnosed by a skilled speech-language pathologist who is 

knowledgeable in the field of swallowing and swallowing disorders.


When a swallowing disorder occurs, eating and drinking safely and 

efficiently is a primary concern. When food items are not swallowed 

properly, there is a risk for the ingested material falling into the trachea 

(“windpipe”) as well as the lungs, which can lead to serious problems 

including choking, infection and even death. Puree foods can be very 

helpful in managing dysphagia by allowing some patients to continue to 

eat safely by mouth, even when swallowing function may not be 

effective enough for more regular texture foods.


Puree foods offer several benefits in the management of dysphagia. 

They can be helpful for patients who have difficulty chewing and/or 

manipulating food in their mouth. Puree foods can be swallowed 

without requiring any chewing. Puree foods also are “cohesive” and 

hold together well, making it easier for the patient to move the puree 

food from the mouth to the throat. 


If a patient has a weak swallow, food material may not always be 

effectively cleared through the throat during a single swallow as what 

normally should happen. Puree foods do not require as much “work” to 

be swallowed. Whereas more regular texture foods may require more 

force to swallow, puree foods may be easier to clear through the throat. 

Additionally, in patients who must swallow several times to clear food 

material through the throat, puree foods also do not have “pieces” or 

“bits” that can fall into the airway between swallows.


Although puree foods may be an excellent option for some patients with 

dysphagia, any suspected swallowing difficulty should always be 

properly evaluated to ensure the safest method of nutritional intake.



As a Speech Pathologist working with primarily with head and neck 

cancer patients, I have a very large number of patients struggling with 

swallowing disorders following their treatment. In many cases, surgery, 

radiation or a combination of these treatments can have a devastating 

effect on structures critical to swallowing function. Puree diets have 

allowed many patients to continue eating by mouth when they 

otherwise would have significant difficulty eating regular texture foods 

safely and effectively.


Despite this, puree foods can be difficult to prepare, often are not 

appetizing in appearance and can be very time consuming. Additionally, 

debilitated patients may have a great deal of difficulty preparing regular 

meals for themselves. For these reasons, patients limited to puree diets 

often choose to not eat as much by mouth or as frequently as they could. 

Others do not adhere to the puree diet, placing themselves at risk for 

choking and other serious complications. 


Working in this field for nearly 20 years, I have sampled many puree 

products designed to allow for improved convenience (and compliance) 

for patients adhering to a puree diet. These items would be canned, 

powdered, jarred and altogether lacking the nutritional benefits of fresh 

foods. Consistent texture, especially with meat products, has also been a 

long-standing issue for patients on a puree diet. 


Gourmet Puréed provides my patients with a nutritionally sound 

meal that is both appetizing and flavorful. Patients are able to enjoy 

meals with entrees they find appealing instead of the often “single-

ingredient” puree options traditionally offered. The meals taste great 

and the texture is ideal. Meats have often been an issue both in the 

preparation and appeal. Gourmet Puréed meat selections have both 

wonderful flavor as well as texture.


The convenience of Gourmet Puréed is one of the greatest appeals. 

Having fresh meals that do not require preparation (only heating), 

allows my patients to enjoy meals without time consuming and tedious 

preparation. Gourmet Puréed has allowed my patients to enjoy 

mealtime again, despite their swallowing difficulty. As a clinician, it 

gives me peace of mind knowing my patients are complying with their 

puree diet recommendation. 


Katrina M. Jensen M.A., CCC-SLP

Director, Medical Speech Pathology

Aerodigestive Disorders

Laryngeal/Alaryngeal Rehabilitation

Fort Worth, TX



Nourishing Independence with Mom’s Meals

Posted: August 13, 2014 | Author: Laura Michael | Filed under: Care-giving, Caregiving, major life events, new products, Nutrition, Online support, pre-made meals, pre-made purees, Purees, Real Food, Reviews, Uncategorized | Tags: advice, assistance, care-giving, Dysphagia, eating, Eating with Dysphagia, food, nutrition, Pureed Foods, Purees, Stroke, support | Leave a comment 

Recently, I worked with a client who had just returned home after six weeks in hospital and rehab. “Irene” had been a vital, active 78 year-old woman before her stroke. More than anything, Irene and her husband “Bob” want to get their lives back to normal.

Since Irene has arrived home, Bob has been working overtime managing all of the activities that come with recovery from stroke including: scheduling doctor’s appointments then going to the appointments, ordering and receiving a hospital bed and wheel chair, juggling therapy visits, picking-up prescriptions, making the house wheel chair friendly and opening all the mail that accumulates while you are occupied away from home, just to name a few.

Bob asked me to help him learn how to cook for and feed Irene. Before the stroke, cooking was Irene’s job in the family but Bob will do anything it takes to care for his wife, including learning how to cook at 78 years-old! Being a bit overwhelmed, Bob has no time to cook for himself, let alone cook and then puree meals for Irene. I’m glad that there are foods like Mom’s Meals – Purees to recommend to him.

Mom’s Meals is an online supplier fresh-cooked, ready-made refrigerated pureed meals. Each meal has a main dish, vegetable and dessert. Their menu consists of comfort foods like:

  • Scrambled Eggs with Brown Sugar Pork Loin Bacon, Bread and Applesauce
  • Roast Beef with Gravy, Mashed Potatoes, Brown Sugar Glazed Carrots, Vanilla Pudding and Applesauce
  • Pork with BBQ Sauce, Cheese Mashed Potatoes, Green Beans, Fruit and Chocolate Pudding
  • Roasted White-meat Chicken with Gravy, Mashed Potatoes, Green Beans and Carrots, Fruit and Vanilla Pudding
  • Pasta with Marinara Sauce and Broccoli, Blueberry Applesauce and Pudding

You order online (or by phone) and Mom’s Meals ships directly to your home. The meals have a 14 day shelf life and are easily reheated in the microwave.

I sampled four meals and I found them delicious and hearty. At between 600 and 700 calories per meal, they are ideal for helping to rebuild your strength. With four breakfast menus and eight lunch/dinner choices, you have some ability to eat a variety of foods. If you like home-cooking, Mom’s Meals purees will appeal to you, as they did to Irene and Bob.

Each full puree meal is $7.49 plus shipping. Shipping is $14.95 regardless of the size of your order.

And if you are too busy to cook, like Bob, check-out their regular meals, as well!

If you need advice, please contact me: or 480-266-5622.