Caring for Grandma with Multiple Myeloma: Dietary and Lifestyle Tips

Grandma has multiple myeloma?

Recently, my grandmother was diagnosed with multiple myeloma, and it is now affecting her kidney function.
What dietary and daily living recommendations do you have? My grandmother is in her 70s, and what kind of treatment options are typically considered? I have been raised by my grandmother, and my family initially didn't want me to know about her condition, but I found out when I helped pick up her medication.
I would like to know what I can do to help her.
Thank you.

Kai, 10~19 year old female. Ask Date: 2017/08/08

Dr. Hu Ziren reply Oncology

Hello, if your grandmother's mobility is still relatively normal, it is recommended that she can undergo pharmacological treatment.
In terms of diet, be cautious to avoid foods high in potassium and phosphorus, as well as medications that can harm the kidneys (such as certain pain relievers and unknown origin medications, etc.).

Reply Date: 2017/08/08

More Info

Caring for a loved one with multiple myeloma, especially when it affects kidney function, can be challenging but also rewarding. It’s commendable that you want to support your grandmother during this difficult time. Here are some dietary and lifestyle tips that can help manage her condition and improve her quality of life.

Dietary Recommendations
1. Hydration: Ensuring your grandmother stays well-hydrated is crucial, especially since kidney function can be compromised. Encourage her to drink plenty of fluids, unless her doctor has advised otherwise. Water is the best option, but she can also include clear broths or herbal teas.

2. Balanced Diet: A well-balanced diet rich in fruits, vegetables, whole grains, and lean proteins can help support her overall health. Focus on foods that are low in sodium and saturated fats. Fresh fruits and vegetables are excellent sources of vitamins and minerals that can help boost her immune system.

3. Protein Intake: While protein is essential for maintaining muscle mass, it’s important to choose high-quality sources that are easier on the kidneys. Options include lean meats (like chicken and turkey), fish, eggs, and plant-based proteins such as beans and lentils. However, the amount of protein should be tailored to her kidney function, so consulting with a dietitian is advisable.

4. Limit Processed Foods: Processed foods often contain high levels of sodium and unhealthy fats, which can exacerbate kidney issues. Encourage her to eat whole, unprocessed foods as much as possible.

5. Calcium and Vitamin D: Multiple myeloma can lead to bone health issues, so ensuring adequate calcium and vitamin D intake is important. Dairy products, fortified plant-based milks, leafy greens, and fish are good sources. If she has lactose intolerance, consider lactose-free options or fortified alternatives.

6. Avoid Excessive Phosphorus: Since kidney function is affected, it’s important to limit phosphorus intake, which can be found in foods like processed meats, dairy products, and certain nuts and seeds. A dietitian can help identify foods that are lower in phosphorus.

7. Monitor Potassium Levels: Depending on her kidney function, potassium levels may need to be monitored. Foods high in potassium include bananas, oranges, potatoes, and tomatoes. If her potassium levels are elevated, these foods may need to be limited.

Lifestyle Recommendations
1. Regular Check-ups: Ensure that your grandmother attends all her medical appointments. Regular monitoring of her kidney function and overall health is essential in managing her condition.

2. Gentle Exercise: Encourage her to engage in gentle physical activity, such as walking or stretching, as tolerated. Exercise can help maintain muscle strength and improve mood. Always consult her healthcare provider before starting any new exercise regimen.

3. Emotional Support: Living with a chronic illness can be emotionally taxing. Be there for her, listen to her concerns, and encourage her to express her feelings. Consider involving a counselor or support group if she feels isolated.

4. Medication Management: Help her keep track of her medications, ensuring she takes them as prescribed. Understanding the purpose of each medication can empower her and improve adherence.

5. Home Environment: Make her living space comfortable and safe. Ensure that she has easy access to everything she needs and that her environment is free from hazards that could lead to falls.

6. Educate Yourself: Learn more about multiple myeloma and its effects. Understanding her condition can help you provide better support and advocate for her needs.

Conclusion
Caring for your grandmother with multiple myeloma requires a comprehensive approach that includes dietary adjustments and lifestyle changes. Collaborating with healthcare professionals, including a dietitian and her medical team, will provide tailored advice that considers her specific health needs. Your support and involvement can make a significant difference in her journey, helping her maintain a better quality of life despite the challenges of her condition.

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