by Janet Meydam

Created on: July 25, 2008

Adaptive Eating Utensils for Rheumatoid Arthritis: People with advanced rheumatoid arthritis often experience deformities in their upper body joints that make it difficult for them to complete basic daily living tasks. Eating is one of these basic tasks that can be impaired by upper body arthritic deformities. If you are one of these people, meals may already be a frustrating time of day for you. Here are some helpful tips to increase your independence during mealtimes.

First, move your arms and hands and assess what motions you are able to use. Maybe you can't curl your fingers around a spoon handle anymore, but maybe you can pinch it between your thumb and the side of your hand. Can you move your shoulder? Can you bend your elbow? Can you turn your forearm to make your palm face the ceiling? Move each joint and look at what kind of movement you have or don't have. This will help you determine how you should adapt your place setting during meals.

Next, eat a meal and pay attention to what the main problems are as you eat. Decide if the problem that is really bothering you is a simple one to fix. Maybe the whole issue is that your food slides off your plate and you are unable to stop it. Maybe you can't cut meat. Maybe you can get the food on your spoon or fork, but you can't turn your wrist enough to bring it to your mouth without spilling it. These are just samples of problems that might occur. You might have these or others, or combinations. Try to determine what is causing the problem and how easy that problem is to fix. Having another person help you with this might be a good idea, as another set of eyes may see an issue with a plate, glass, or utensil that you don't notice.

After assessing the situation, you are ready to decide what adaptations you might need during meals. Some adaptations are simple and some are specialized. Here are some examples of simple problems and adaptations to correct them:

Problem: Your plate slides on the table and you can't stop it.
Solution: Place a wet washcloth under it or purchase nonskid shelf liner at your local discount store and place a piece of this under your plate.

Problem: You are unable to tip your glass or cup to drink.
Solution: Use a short straw to drink liquids.

Problem: You are able to hang on to your silverware, but it just does not feel secure or you drop it sometimes.
Solution: Purchase plastic handled picnic ware or similar silverware that has slightly larger handles. These utensils are easier to hang on to

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