Brother has multiple systems atrophy. Has been in care center for one year. Does not want tube feeding. Dietician running out of ideas of good tasting foods/liquids that he will even drink. He is barely able to swallow and of course it is getting worse. Thinking of getting Hospice involved. He can t talk and is severely depressed and only watches tv. He is 61 and never married. Always been sort of a loner. Live in small town so the care center has a doctor that comes in from nearby small town but isn t too knowledgeable about MSA. Any ideas on how to help him in the last phase of his life? Thank you. Sorry to bother you. I thought this was free.
MSA is a euro degenerative disorder without any definite cure till date. Depression is common in such patients. So consult a psychiatrist and start antidepressants. Try semisolid food and feed him in supine position. Feeding can be given by rules tube if he can't swallow at all. Hope my advice will help you.  Take care.  Don't forget to rate me.