03 March Nutrition Circle


It is important that people with MS eat a healthy diet in order to maximize their overall health. However, people with MS can have difficulty with cooking meals for themselves and their families/friends.   



Their meal preparation skills can be impacted by a variety of factors that can include some or all of the following deficit areas:

  • Fatigue
  • Strength
  • Balance
  • Cognition
  • Fine motor skills
  • Sensation

How have these issues impacted your ability to plan and cook meals?  There are a number of ways to increase your ability to participate in these activities when you have some or all of these problems.  Don’t let MS “have you”!  You can cook healthy meals!

For example, if you experience fatigue, use energy conservation techniques when fixing meals.  These techniques include use of the “4 P’s”:

Prioritize- what has to be done today – cook when you have the energy and cook in bulk to freeze food for later when you don’t have as much energy (this helps you from eating junk food when you don’t feel like cooking)

Plan – to avoid making extra trips (use a list, use a delivery service, use pre-cut/frozen foods, etc.) –this can help with obtaining items in the grocery store and while working in the kitchen.  Break down the activity into manageable parts.  Use recipe’s that have less ingredients, use less pots and pans and that incorporate healthy nutrition in them. 

Pace – slow and consistent wins the race! – give yourself extra time so that you can take rest breaks while you are cooking.  Try to relax and enjoy cooking instead of thinking of it as a chore!

Position – too much bending and reaching can increase fatigue - sitting to get food ready can reduce your energy expenditure.  

If you have difficulty with strength or fine motor skills while in the kitchen there are a variety of devices available that you can purchase or make to help during cooking.  Here are some examples:

Area of Difficulty:

                              Possible Tool:

Strength/opening containers

                             Electric/battery operated can opener

Cutting food

                              Rocker knife, Peta Easi grip knife, adapted cutting board

Holding pot in place while cooking

                             Stove top pot holder

Carrying items to your workspace

                              Rolling kitchen cart

 

If you have difficulty with cognition there are a variety of things that you can do to make cooking easier and safer.

Area of Difficulty:

                                                   Possible Compensatory Technique/Tool:

Short term memory

                                                   Kitchen timer

Organization

                                                   Use an app on phone that helps with recipes and generates a shopping list

Attention to task

                                                   Use smaller recipes, use a slow cooker, make a checklist

 

Do you have difficulty with decreased sensation or decreased vision?  Use silicone cooking gloves while you are using the stovetop or oven in order to decrease the likelihood of getting burned.  If you have difficulty with your vision, place bright colored or raised stickers on your stove and or microwave to designate the most frequently used temperatures/times.  You can also purchase appliances that have fewer controls. 

If you have difficulty with tolerance to heat, there are several things that you can do to make the task of cooking easier.  For example, you can place a fan in the kitchen so that the cool air circulates around you, sip on cold water while you are completing meal prep and/or use a cooling device (vest, scarf, and/or bracelet).

How to maximize your kitchen work area (increase kitchen flow):

Find a place where you can sit to prepare food.  If you can lower a counter for easier access by wheelchair users, do so.  Otherwise set up a small table or use one on wheels.  Make sure that your work space is easy to clean.  Use good overhead lighting and task lighting.  Keep your kitchen temperature at a level where you don’t over-heat.  Invest in items that meet your needs.  For example, silicone pan liners to make clean up easier.  Think about placing your kitchen gadgets where you can easily get to them.  De-clutter your work area so that it is easier to slide items on countertops instead of lifting and carrying them.  Keep the items that you most frequently use out where you can easily use them. 

Rehabilitation Services: 

If you are having difficulty in cooking and need help to increase your ability to participate in meal preparation, ask your neurologist or primary care physician for a referral to Rehabilitation Services.  An Occupational Therapist (OT) can assist you with ways to better organize your kitchen, provide further information on energy conservation techniques and information on adaptive equipment that can increase your safe participation in meal preparation activities at home.  A Physical Therapist (PT) can work with you on mobility issues, balance issues and finding the appropriate assistive devices for you to use to increase your safe mobility skills.  A Speech Language Pathologist (SLP) can work with you on your high level cognitive issues (memory, processing and carry through of ideas).

Final Messages:

An important note for support partners: It may be difficult, but try to understand is that the person who is living with MS needs to feel empowered!  Just because you can do something faster doesn’t mean that the person with MS can’t do it.  Let your loved one participate at their highest levels.  It will help with their over-all self-worth!  Healthy eating makes living with MS easier and increases quality of life.

Additional Resources: