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The Holidays Are Here

The winter holiday season with all its beauty and joy is here. Foods and favorite family recipes make the holidays special, and can often trigger a lost memory or a fond remembrance by the person with dementia. While celebrating with family and friends can bring enjoyment, holiday preparations can also add stress when already caring for a relative with dementia.

This article is intended to help prevent one potential stress during the holidays: food borne illnesses. Transferred to people through food, these illnesses are caused by improper handling, cooking or storage of food.

As adults age, the immune system weakens and therefore, the risk of getting sick from a food borne illness increases. Additionally, if an older adult becomes ill, it is likely to be more serious and to last longer than in a younger person. Obviously, this is something to avoid at anytime of the year, however, due to the potential of more frequent social events, prevention during the holiday season is especially important.

Here are some important food safety tips to keep in mind.

When preparing foods:

Never underestimate the importance of hand washing. Before and after each food-handling task, restroom break, sneeze, cough, smoke, or garbage discard, wash hands with warm, soapy water for at least 30 seconds. Any family member who is not feeling well over the holidays should be excused from food preparation.

It is also important to clean all work surfaces, equipment, and utensils after each task to prevent cross-contamination. The best method to prevent cross-contamination is to have two separate cutting boards, one for ready-to-eat foods and another for raw foods, like meat. If you only have one though, cut ready-to-eat foods like fruit, vegetables and cheese first, wash the cutting board and knife and then cut the raw meat.

Any of the food you are not cooking immediately should be placed in the refrigerator until you are ready. Ready-to-eat foods should be placed on the top shelves while any raw food should be placed lower.

Usually during the holidays, frozen meats, like turkey, are purchased and before you can cook them they need to be thawed. The only acceptable method to thaw such foods is to place them in the refrigerator about 24 hours before you plan on cooking them. Make sure the refrigerator is below 41 degrees Fahrenheit. Preferably all foods should be thawed in the refrigerator but smaller things, if forgotten, can be thawed in a microwave as long as they are cooked immediately after thawing.

When cooking food:

Invest in a food thermometer or disposable t-sticks to take temperature during and after the cooking process.

Cook all foods to their proper temperatures. See table at right.

For the person with dementia, remove bones from meat and shred if needed to prevent choking and ease in chewing. Make sure any meat or eggs provided to your loved one are well cooked. Also, avoid homemade eggnog; instead stick to pasteurized store bought brands.

During holiday group gatherings, food may be stored at room temperature longer than normal and there may be more leftovers to eat than normal. To prevent food illness it is important to keep the following in mind:

  • Keep cheese, dips, fruit, and raw vegetables on ice. Any food that has been sitting at room temperature for more than 2 hours should be discarded. When in doubt, throw it out!
  • Foods intended to be leftovers should be stored within 2 hours and kept in shallow containers in the refrigerator to speed up chilling. Any leftovers should be reheated to 165 degrees Fahrenheit. Leftovers not eaten within 2-7 days should be discarded.

As you make preparations for a safe holiday season, keep in mind the importance of maintaining your relative’s routine as much as possible. In order to do so, you may have to adapt past traditions. Avoiding large crowds, schedule or food changes can help minimize confusion and agitation. During the holidays there is a tendency to eat foods and liquids not typically included in ones diet. This can be okay if monitored with the person with dementia. It is important to provide common foods as well as add those special holiday treats. If the person you are caring for is in a more advanced stage of the disease and has difficulty feeding himself, provide foods that can be eaten with the hands, whenever possible. Allowing for more independence can also relieve someone of the task of feeding the person with dementia, making the event more pleasurable for everyone.


This is the 11th in a series of articles on the nutritional and feeding needs of persons with AD.

Linnea Matulat is a Nutritionist at GLWD, a non-profit agency in NYC that provides meals to men, women and children affected by HIV/AIDS, Cancer, AD and many other serious illnesses who are unable to shop or prepare meals for themselves. The agency’s team of experienced nutritionists also provides nutrition education,information and counseling in individual and group sessions to clients, their caregivers and other service providers. In partnership with GLWD, the NYC Chapter is pleased to offer this service to people with dementia and their families. For more information, please call the Chapter’s 24-hour Helpline at 800-272-3900.

To obtain more individualized nutrition information, the nutrition department of GLWD can be reached at
212-294-8103 or 1-800-747-2023 or by visiting www.glwd.org.

— Linnea Matulat, MS, RD, CDN
Nutritionist
God’s Love We Deliver

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