I was recently encouraged to write about the power of words; not the power of words to heal, but the power of words to harm. Harmful words abound in many arenas, but this article only discusses such words in relation to those suffering from a serious medical condition.
Take it from me – and from others who have experienced the same reaction as me – there are certain “pithy little aphorisms” (a phrase from the article Where Words Fail, Washington Healthcare News) that should be avoided at all costs:
things could be worse
time heals all wounds
I know exactly what you’re going through
God won’t give you more than you can handle
Let me stop right there. In the article referenced above, the author, Fred Grewe, goes so far as to say that the above biblical platitude is sadistic in nature. Keep in mind, Mr. Grewe is a Board Certified Chaplain and he’s the one who considers that particular bible verse as such. The person who hears it wants to say, “Are you shi_ting me? You mean not only is my health failing greatly, but I’m also failing at what God chose to give me? Where’s the encouragement in that?” Let’s go on. Number 1 in the above list is true, things could be worse than wasting away in excruciating pain with no one there to comfort me in my last few days of life on this earth, but I’m having a hard time coming up with one at the moment; maybe you could come back to me in two weeks. Oh, wait, I’ll be dead by then. I’ll skip over number 2, it rarely brings comfort to the person who hears it.
Number 3 is a selfish, arrogant, misinformed, bullsh_t statement that couldn’t be true even if that very same person was suffering from the very same illness as the one to which that statement was made. Oftentimes, however, the follow-up statement goes something like this, “My dog had cancer too – it was horrible” or “I had the flu last week, I feel your pain.”
If you can’t say something truly encouraging, such as “You’ve got this” – which, by the way, is an effective, worthwhile three-word supportive comment – don’t say anything. That’s right, shut up. If your location prevents you from physically being with the person who is suffering to offer some sort of tangible help or encouragement – by all means, send them a card, but do so without saying something that will hurt or piss off the person who receives it. And consider this idea: a humorous card might actually be the best panacea for that person’s shi_ty day. I’m not suggesting you make light of a person’s suffering, but chances are they’d appreciate something that doesn’t mimic many of the sad, cookie cutter, greeting cards out there.
I say/preach all of the above not because I’ve done things perfectly in my sixty-one years of life – not by a long shot. But I am saying the above because I don’t want people I love, and the people you love, to be on the receiving end of some powerfully harmful words.
Being prepared, well in advance of needing to be, will serve you well.
All our lives, we set out on new adventures having prepared for them to the best of our abilities:
First day of school;
The start of a new job;
Preparing for a first date;
Wedding preparations;
Organizing a Holiday meal;
Even something as mundane as putting together a grocery shopping list.
Painting courtesy of Mary Riesche Studios
We know how to be at our best, and being at our best means painstakingly and carefully preparing for important events in our life. You didn’t personally have the option of preparing for your birth, but you do have the option, right now, to prepare for your death.
Carpe diem.
What does it mean to end our life on our own terms? This doesn’t have to be a controversial topic. I’m not talking about assisted suicide/right to die matters. What I am talking about, however, is the importance of each of us to spell out in painstakingly and carefully prepared language, all that you want done – or not done – when you are determined to have an irreversible fatal disease.
Death is such a taboo subject.
Why is that? None of us will avoid the inevitable, but many of us avoid laying down our wishes regarding that final time in our lives. The subject matter of the attached article relates to medical insurance companies reimbursing medical professionals for end-of-life counseling provided to their patients. I repeat, this counseling is not controversial. As Ms. Harrop states, “Critics of end-of-life discussions argue the doctors would ‘push’ patients to end their lives prematurely. Why would doctors do that? Where’s the financial incentive in losing a patient?”
The report Dying in America calls on Congress “to end the ‘perverse’ financial incentives that rush fragile patients into invasive medical treatments they’d prefer to avoid.” That being the case, it seems to me that counseling a patient about their dying wishes hurts, more than helps, the physician’s bottom line, so forget the nonsense about doctors encouraging patients to die sooner than later. That’s just hogwash.
“Meanwhile, there’s evidence that for some very ill people, a palliative approach may extend life longer than industrial-strength medicine.” And certainly ones final days without the poison of chemotherapy that has no prospect of curing a cancer, would be far more comfortable than if that therapy had been employed. “In a study of terminal lung cancer patients, the group that chose hospice care actually lived three months longer than those subjected to hard chemotherapy.” Again, that would be a more pleasant exit from this life than suffering the ravages of a chemo treatment that is not curative in nature.
“An end-of-life talk with a doctor spells out the options. Patients can use it as a basis for filling out an advance care directive – a form listing which treatments they would want or not want.” And let’s not forget that such a document only comes into play if the patient can no longer speak/express his or her wishes regarding their care. An advance care directive is a legal document and as such, spells out when it can be put in motion, and when it can not. If ever there’s a time when you can benefit from being a control freak, your final days is it.
This legal document is not just for the older population.
Once you’re considered an adult, you can decide what you want regarding your life. Don’t wait until it’s too late and someone else decides medical matters without your input.
Humbled, grateful, overjoyed! Not just because I was nominated for the Very Inspiring Blogger Award, but also because I’ve inspired someone, hopefully many someones. Talking to a wall is not a very gratifying experience; if my blog is merely an electronic version of that, I will have not reached my objective: to help, encourage, and lighten your load while on this aging journey. Thank you Kay for the nomination!
Kay Bransford of Dealing with Dementia nominated me for this award. If any of you readers have yet to follow Kay’s blog you need to get to it. I will nominate several bloggers for the same award, following the Rules provided below:
Thank the amazing person who nominated you and provide a link to their website;
List the rules and display the award;
Share seven facts about yourself;
Nominate 15 other blogs and comment on their posts to let them know they’ve been nominated. I failed at listing 15, not because the blogs I follow aren’t worthy, but because my blog-following count is a limited one;
Proudly display the award logo on your blog and follow the blogger who nominated you.
Seven facts about myself:
1. I’m not ashamed to say that I’m a Baby Boomer and have been for awhile. Turning sixty was easy, however it got a wee bit more difficult at sixty-one …
2. I was born in Pasadena, California and have lived a great length of time in Los Angeles, California; Honolulu, Hawaii; Anchorage, Alaska, and the greater Seattle area of Washington State – my current and final home.
3. My favorite people – other than my loved ones – are anyone older than me – preferably senior citizens who’ve claimed that title for quite some time. This third fact about me directed most of my worthwhile adult career and volunteer pursuits: senior housing industry manager, Alzheimer’s Association caregiver support group facilitator, and Certified Long-Term Care (LTC) Ombudsman for the State of Washington.
4. I have posted over 480 articles on my blog since starting it in 2011.
5. I am currently writing a novel that focuses on the caregiving challenges faced by those who are the primary caregiver for a loved one. Through real-life stories, the reader will learn more about the disease and its effect on everyone it touches. My hope is that by putting a face on this disease – showing what it looks like in everyday life – more interest will be generated to prevent, treat, and cure Alzheimer’s disease, a disease that is always fatal, and for which all of us are at risk.
6. I have three daughters (one of my own and two of my husband’s) and two sons-in-law (one who married my own daughter and one who married my husband’s youngest.)
7. My family tree: I have two siblings, an older brother and sister. My father died from Alzheimer’s complications in October 2007 at the age of 89; my sister-in-law died of the disease in the summer of 2012 a few months before her 70th birthday9.
And that’s why I do what I do.
Nominees for Very Inspiring Blogger Award:
Mary Riesche Studios, Vacaville, California. This artist has drawn and painted since she could hold a pencil. She has tirelessly pursued her craft through every chapter of her life. She raised four children while her husband was in the military – living numerous places in Europe and the U.S. as a result – and that never stopped her from painting. When her four children were out of the house, she and her husband adopted a teenager from Russia, bringing the number of children to five. She’s a trooper, to say the least. It took her a while to have an empty nest. I hope you’ll visit her site to see a representation of the type of work she produces.
Catching Up to the Disease, by blogger, Don Desonier. The subtitle for this blog is Transitions in Dementia Caregiving. Don’s wife died of early-onset Alzheimer’s at the age of 69 on July 4th, 2012. This blogger knows something about being a dedicated, committed caregiver, and on top of that, he excelled at being the very present advocate for his wife of 25 years.
Dementia Poetry is an in your face journal of a daughter-in-law’s disease journey with her mother-in-law, in the form of extremely well-written poems. The subtitle for her blog is: The Politically Incorrect Alzheimer’s Poetry Blog.
Theresa Hupp’s blog, Story and History, is a moving journal of a family’s life covering past, present, and future. But that’s not all: Theresa is a fabulous, published author. I’d say I’m jealous, but friends, and that’s what I consider Theresa, don’t turn green with envy – at least they shouldn’t. Theresa, you nominated me for the Versatile Blogger Award in February of 2014, but I already received that award a couple years ago so I’m not going to claim it again, but I thank you profusely for nominating me.
Not My Original Plan, a blog written by a woman in her thirties who is the caregiver for her mother who has dementia. This is a very inspirational blog – how fitting for this award! – and I strongly suggest you check it out and follow it ASAP.
Not Quite Old, by blogger and author, Nancy Roman. The subtitle for her blog is Gracefully Aging with Resistance. The way Nancy writes – filled with extraordinary humor, will keep you engaged and wanting more.
Let’s Talk About Family. Lori’s blog family history starts with her mother’s failing health and death, and continues with her father’s life as a widower who eventually moves into an assisted living facility (ALF). Her blog is one that I never miss. You know how you can manage the notifications you receive so that you get a notification e-mail immediately, daily, or once weekly? Her blog is one of those that I receive immediate notifications – I can’t wait any longer! is the way I treat her blog. If you are not yet following Lori’s blog, get to it!
Jill Weatherholt, Pursuing a Passion for Writing, is a site that inspires me because while working full-time, she’s still committed to writing and what she writes is well-worth reading. Thank you, Jill, for being an online inspiration to this aspiring author. Jill started the blog to create a community for other new writers and shares her publication journey – something all wet-behind-the-ears writers need to read and be encouraged by.
10 Legs in the Kitchen is a fabulous cooking blog but a whole lot more. Stacy’s anecdotes add “meat” to every posting and provide humor and insight, not just darn good recipes. I met Stacy at a writer’s workshop in Seattle.
Yellow Mum Blog, by Wendy in the United Kingdom, documents the loss of her mother to cancer, ten weeks after diagnosis. What she writes is a journal, but in many respects, it is a guidebook for the rest of us in our grief.
A Swift Current, Letting our Parents Go, Hallie Swift’s blog is one to which many will relate. Whether your parent’s departure is a gradual one – such as is the case with Hallie’s mother due to dementia – or a sudden departure by way of a fatal accident, letting go is hard to do – oftentimes more painful that we believe we can handle.
Consider the prescriptions in your medicine cabinet/pill-minder box. Is one of those medications something that your doctor renews over and over again for you? How about that something-or-other that seems innocuous enough because you take the lowest possible dose?
Are you like many of us out there who struggle to fall asleep? The anxiety of worrying about whether or not you’re going to fall asleep being a sufficient reason for your doctor to prescribe a benzodiazepine to help you along the way? When did you first tell your doctor about your sleep struggles and how many months or years have passed since he or she prescribed a measly dose of Ativan, Valium, Xanax or Klonopin?
Each time the refill runs out and you call your doctor to renew the prescription, does she do so, even without meeting with you in person to discern whether or not it’s still needed? Your doctor is an enabler.
Your doctor might be putting you at risk of developing Alzheimer’s disease. That itsy bitsy dosage you take nightly for months and years on end? It’s not a harmless prescription if it gives you a fatal disease – which Alzheimer’s is.
Now that you’re aware of the risk, make sure your doctor is aware and don’t let him or her poo poo that risk; instead, ask her to wean you off that medication so that you can have control over this one potential cause of developing a disease that you absolutely do not want to get.
You’re in charge, not your doctor. Don’t assume that her constant renewal of such medication means it’s okay. You’re an informed patient now; it’s time you took steps to remove this Alzheimer’s risk from your life.
Did you ever get so busy that you received an award and didn’t go pick it up, and then you forgot that it was waiting for you? That’s me. Lori, one of my most favorite bloggers, has been writing her blog Let’s Talk About Family since December 2011. This fabulous person nominated me for the Best Moment Award in May of 2013. All I can say is that not “picking up” my award qualifies me for the Worst Moment Award, but I’ll try to make up for it with this post.
Lori’s blog family history starts with her mother’s failing health and death, and continues with her father’s life as a widower who eventually moves into an assisted living facility (ALF). Her blog is one that I never miss. You know how you can manage the notifications you receive so that you get a notification e-mail immediately, daily, or once weekly? Her blog is one of those that I receive immediate notifications – I can’t wait any longer! is the way I treat her blog. Thank you so much for opening up your life to us in the blogging world.
Rules for the Best Moment Award:
Winners post information about the nomination, thanking the person who nominated them, with their acceptance speech that can be written down or video recorded.
Winners have the privilege of awarding the next awardees (see below) The re-post should include a NEW list of people, blogs worthy of the award, and winners notify them the great news. Winners should also post the award badge on their own website.
What makes a good acceptance speech? Thank the people who helped you along the way, be humorous if you can to keep the reader entertained and smiling. Provide inspiration that helps your story to touch the lives of others.
And here’s mine: I’m thrilled to be acknowledged as having something good to say from time to time. I don’t think I’m an excellent writer, but I do have lots to say and I’m quite willing to write up a storm. I’m the youngest of three siblings and the only one of us who has been involved in the lives of senior citizens – and everything that involvement implies – for close to two decades. I’ve always loved people older than me; I guess it gives me comfort knowing that I’m younger than someone else. My official responsibilities over the years involved: working in the senior housing industry both in the corporate environment and in assisted living/memory care facilities, being an Alzheimer’s Association caregiver support group facilitator, and a Certified Long-Term Care (LTC) Ombudsman for the State of Washington (an advocate for vulnerable adults living in LTC facilities.) I’m retired from active work but I am actively still involved in being an advocate for the vulnerable by writing my first novel – a project I hope to complete by end of this year. My novel focuses on the lives of family members who care for a loved one with Alzheimer’s or other dementia.
My nominees for the Best Moment Award are:
Kay Bransford, for Dealing with Dementia. The reason I enjoy Kay’s blog is best described by her blog’s subtitle: A family caregiver’s journey to deliver loving care with grace and humor. We all know there is absolutely nothing humorous about Alzheimer’s or other dementia, but humor can be found in the human interactions between caregiver and family member. If you look for them, you will find them. Kay, I’ll be posting my acceptance of a different award you recently nominated me for very soon. THANK YOU!
Dementia Poetry is an in your face journal of a daughter-in-law’s disease journey with her mother-in-law, in the form of extremely well-written poems. The subtitle for her blog is: The Politically Incorrect Alzheimer’s Poetry Blog.
Theresa Hupp’s blog, Story and History, is a moving journal of a family’s life covering past, present, and future. But that’s not all: Theresa is a fabulous, published author. I’d say I’m jealous, but friends, and that’s what I consider Theresa, don’t turn green with envy – at least they shouldn’t. Theresa, you nominated me for the Versatile Blogger Award in February of 2014, but I already received that award a couple years ago so I’m not going to claim it again, but I thank you profusely for nominating me.
Reflections on Dementia, Caregiving and Life in General is a must-read blog all the way from Singapore. This blogger takes care of her mother who has Alzheimer’s and vascular dementia. Her insights and her view of her world will engage you from the very first posting you read.
But many with dementia are dead inside without any means of engaging with others in meaningful conversation. Heck, they might not even be able to talk to themselves: a practice I engage in quite frequently.
What an isolating state to be in: you’re there, but not there.
My daughter & I outside the Varsity Theatre, Seattle, after viewing the documentary.
Fortunately, those with Alzheimer’s, dementia, or other cognitively restricting illnesses, have a chance to awaken their memories – and therefore their history – but not without the tools to do so. Alive Inside, the 2014 Audience Award winner at the Sundance Film Festival, is a one and a quarter hour documentary film that touts the benefits of personalized music therapy for those who are living dead inside.
Dan Cohen, social worker, Founder and Executive Director of Music & Memory, started this awakening project several years ago. Here is a description of the project, taken from the film’s website: “Music & Memory … promotes the use of digital music players with individualized playlists to improve the quality of life for elders, regardless of their cognitive or physical status … Dan has spent most of his career helping individuals and organizations leverage technology. Music & Memory operates in hundreds of long term care homes across the U.S. and abroad.”
Watch the 2.15 minute trailer on the provided Alive Inside website to witness a few of the individual awakenings spotlighted in the film.
Even if the film is not scheduled to appear in your area, you are still able to help awaken the millions of people in the United States and abroad by your participation in Mr. Cohen’s project. Whether it’s feet on the street or a click of a mouse to donate funds, each of you can become a part of these efforts.
Additionally, if you know someone, or are caring for someone with cognitive decline, put together a personalized database of music for that someone in a digital music storage device, then connect them to it with a set of headphones. You might be able to awaken him or her with that simple effort on your part.
Imagine that you are the primary family caregiver for a loved one with dementia in your home. You have no time to yourself while in the house so how can you possibly find the time to leave your loved one alone to complete some pressing errands?
But you do leave the house and you do leave your loved one alone at home, because you haven’t figured out how to get someone else to do those errands for you, or you don’t know how to secure someone else to watch your loved one while you do the errands. I favor the latter option because a 24/7 caregiver absolutely must get out of the house and feed her soul while crossing items off her To Do list.
I went to Staples office supply store yesterday to pick up three items for my writing quest: a new thumb drive that I can trust to store my magnificent masterpiece of a manuscript; a new mouse pad because my right wrist and hand have worn out the previous one; and a ream of lined filler paper for taking notes and drafting new ideas.
Because it is currently back-to-school shopping time, Staples was crazy-busy yesterday. The checkout line was very long and directly behind me was a young mother with a shopping cart filled with supplies for her two school-aged children. An older woman with two items asked if she could please go ahead of her because she had a sick husband at home; the young mother graciously agreed to let her do so. When it was my turn at the register, I turned to the older woman and asked her to go ahead of me to which she responded, “Oh thank you so much, you see I have a situation at home and I need to get back quickly.”
Have any of you been there – done that?
Do you know someone who has?
The following advice goes to those of you who know someone in a similar predicament as the woman at the Staples store: be the respite that person needs. Don’t wait for them to ask for help – they won’t ask you; you must make the first move. Put yourself in that someone’s shoes and imagine racing through your errands, all the while freaking out wondering what’s going on in the house while you’re away: the person with dementia wandering away from the house or falling down in or around the house, turning on the stove or running the water without turning either off, or letting someone inside the house who should not be inside the house.
Now it’s your turn: imagine the worst-case scenario and apply it to this situation.
Boomers need help dealing with their parents’ ‘stuff’ | Business & Technology | The Seattle Times. The attached article by Sacramento Bee reporter, Claudia Buck, provides sage and practical advice for those who are downsizing a parent’s belongings when said parents move into a senior housing environment, and for those who are dispersing the parental belongings after their death. Please read Ms. Buck’s article; it contains extremely useful information.
The following list gleaned from the article provides a few suggestions worth your consideration:
When you set out to eliminate stuff from a residence, don’t get rid of the memories in the process. Once you’ve dispensed with the goods, you’ll never get them back again. My mother died in her sleep – no one in the family expected it or prepared for it. After the funeral event had passed and my brother and sister had returned to Washington and California, I remained to help my father with a massive downsize of his house. There were obvious sentimental items that were boxed up for later, but for the most part, we stuffed large Hefty bags with items and placed them into two piles: donation-worthy, and garbage. Not a bad idea, actually, but we didn’t pause long enough to properly discern what should have been kept. With both parents now deceased, us three adult kids have far too few tactile sentimental items in our possession.
Creating a shadowbox of the most precious mementos. Having read the attached article, I’ve decided to create a shadowbox of the few items remaining from my parents’ lives so I can reminisce at the sight of them. One thing is for certain: containers full of sentimental nick nacks stacked in a closet do not honor a memory.
If you absolutely know that some of the nicer items will not be enjoyed by your household, give them away or donate them so others can. Look at it this way, your and your parents’ legacies will live on in the lives of others. Not a bad consolation if I do say so myself.
My family in the 70s. I no longer have that red dress but I do have those earrings my mom is wearing.
If at all possible, prior to any parent’s death, document the items that are meaningful to each family member. You’ll be glad you did. Within three months of my mother’s death, my father moved into an independent living senior community taking with him the bare necessities of furniture and kitchen items, as well as the aforementioned sentimental items that he and I had boxed up earlier. As he aged, he wisely decided that the next time each of us kids visited him, we would designate which items we would most like to inherit at his passing. Dad documented our wishes, and when he died all I had to do was retrieve the list from his files and distribute that which us three kids were interested in. Sure, conflicts can arise, but a little give and take go a long way towards preserving the value of each memory.
Speaking of taking steps in advance, what about you? Do you have clothing you haven’t worn in more than a year and probably won’t wear in the years to come? How about household items for which you have duplicates? Is there any chance whatsoever that over the years you’ve acquired items that could be re-purposed, donated, or tossed?
I’d say with 100% confidence that you have belongings that you no longer use or need.
Donating to charity is very commendable because it’s always a good thing to provide for those who don’t have the means.
And just think of all the room you’ll gain in your closets once you’ve successfully downsized your life by adding to the lives of others.
Attached is a very worthwhile read by blogger, Kathie Ritchie. The article includes her suggestions as well as those of caregiver adviser, Marie Marley. (Note: the links provided for Marie Marley appear to be broken, but Kathie includes Ms. Marley’s input within the body of her own blog article, making the content easily readable.)
Painting courtesy of Mary Riesche Studios
Additional articles that will provide information and suggestions to non-caregivers on how they can help their neighbor, co-worker, besieged family member:
The above will give you more than enough material to provide readers with helpful suggestions. If you don’t take the time to read the attached articles – and I sincerely hope you do – I’ll leave you with one suggestion that I hope you do follow:
If a caregiver doesn’t ask for help while on his or her caregiving journey, don’t assume they aren’t in need of your assistance. Offer specific assistance to them; don’t force them to come up with a suggestion on how you can help.
Examples: “I have some individual frozen leftover meals I’d like to bring over for your household, what’s a good time for me to drop them off?” or “I’m headed to the grocery store, what can I pick up for you?” or “It may sound crazy, but I enjoy working in the yard. I’ve completed my Spring yard cleanup, I’d like to come over and help you with yours.”
“My God, this is horrible; someone should really do something!”
That someone is you and me.
from “The Colors and Letters of Jen Elek and Jeremy Bert” (Seattle)
In the attached article from today’s Seattle Times newspaper, Pulitzer Prize winning columnist, Leonard Pitts Jr., poses a question that all of us should readily be able to answer. If you see someone in need of help, do you wait for someone else to do the right thing, or do you step in? Do you need to look to other people, watching the same emergency situation as you, to receive the correct “cue” as to what is required of you? No, each of us should assume that if I don’t help this person, no one else will. That’s what Martin Luther King Jr. encouraged us to do when, during one of his speeches, he relayed the story of the Good Samaritan from the Bible.
Pardon my paraphrase, but his message went something like this:
When I happen upon someone in obvious need of assistance, instead of hesitating and wondering what will happen to me if I render assistance, I should be asking myself, “What will happen to this person if I don’t stop and help?”
Some needs are obvious as detailed in one of the stories in Mr. Pitts’ article: Just outside of a New Jersey McDonald’s restaurant, a female McDonald’s worker was savagely beaten by a co-worker who was upset because the other woman gossiped about her. During the beating, no one stepped in to help. While the crowd exclaimed over what they saw – and even took photos and videos of the beating – the only person who came to this victim’s aide was her two-year old son who did what he could to get the mean woman off of his mommy. Not one person at this McDonald’s eatery called 911. I encourage you to read Mr. Pitts’ account to learn the outcome of this story.
Some needs aren’t as evident: in the heat of a summer’s day, you see an elderly man walking down the street when you leave the house to do some errands, and on your return trip a couple hours later, this same elderly man is sitting on a boulder at the side of the road – a bewildered look upon his face. That’s when you need to trust your gut. You say to yourself, “This isn’t right. This guy must be lost and most certainly could be dehydrated,” and so you pull over the car. I wrote an article last summer on this very subject matter, Trust your gut!, resultant from an experience that reinforced my belief that if something feels wrong, it is wrong.
Whether a need is obvious or not-so-obvious, you’re the someone who needs to step up to meet that need. Life is too precious to be an apathetic bystander.
R.B. Bailey Jr.’s blog comes close to being a one-size fits all website because of its inclusion of multi-facted and varied postings that attract the viewing needs of a broad population.
Check out and follow his blog as I started doing just the other day.
I hope you’ll visit – and even follow – his site. It deserves to be in your Favorites folder.
Alzheimer’s Foundation of America Teens (AFA Teens) brings hope that is sorely lacking from the Alzheimer’s medical community. The younger generation is doing something that many of us older adults are not: bringing more awareness to a disease that most of us have been exposed to, either peripherally or specifically. “AFA Teens, founded by a teenager, seeks to mobilize teenagers nationwide to raise awareness of Alzheimer’s disease, and to engage, educate, and support teens and their families.”
My family in the 70s. My dad died from Alzheimer’s, as did my brother’s wife.
As adults, we are affected because the person with the disease is our spouse, partner, sibling, or older relative. But what about the cousins, nephews and nieces, children, and grandchildren out there? Children and teenagers are also exposed to this disease. The challenges faced by teens who are actively involved with these relatives – living close enough to have frequent interaction with them – are challenges that adults have a hard time grasping.
“How come Pappy doesn’t recognize me any more?” “Why does mom always forget the things that are important to me – like my birthday!” That’s right; some teenagers have mothers or fathers with early-onset disease. What should be one of the most exciting times in their young lives is instead spent as a co-caregiver with their other parent. (I addressed this unfortunate family dynamic in my article, Alzheimer’s Heartache: young family members adjusting to a grandparent or parent with dementia.)
I strongly encourage you to visit the AFA Teens website. I know you will be encouraged by the efforts being made by these young advocates.
The Longest Day. The attached article by Author, Ann Hedreen, can be found linked above, and you can find additional well-written articles on her blog The Restless Nest. Reader alert: Ms. Hedreen’s book, Her Beautiful Brain, will be released September of this year.
What was your longest day like?
Was it long, because it was fun-filled and absolutely fabulous, or was it long because the day was crammed with the most difficult and stressful experiences of your life?
Caregivers: you are heroes to all who understand the job that you’ve taken on as carers for your loved ones. You live the 36-hour day with all of its burdens and insurmountable challenges, while across the United States there’s much discussion – even controversy – over raising the minimum wage. In contrast, there you are earning no wage but working harder than you’ve ever worked before.
Loved ones with Alzheimer’s or other dementia: your disease-controlled days might seem to have no beginning or end; you go about your day trying to fulfill its challenges while perhaps being at the stage in your disease where you are still able to feel the frustrations of not grasping the how-to of tasks that prior to your diagnosis required no complex thought processes on your part.
Those who have yet to be intimately involved in the above-mentioned roles: look around you – you won’t have to look far – and then on this year’s longest day, Saturday, June 21st, do what you can to help the co-worker or neighbor who desperately needs your help but doesn’t know how to ask for it, or is too ashamed to admit that they can’t do it all.
When you offer help, please don’t leave it open-ended. Instead of saying to your neighbor, “Hi yah, Joe. Be sure to call me if you need anything,” be more specific so it’s easier for Joe to accept your offer, “Joe, when I get out my lawnmower this weekend, I’d love to swing by your place and take care of your lawn so you won’t have to.” Or how about, “Yah know, we’re always making more food than we can eat at our house so we just freeze the leftovers for another time. Can I come by later this week and give you a week’s worth of meals so you don’t have to concern yourself with what to fix for dinner?”
And then keep it up because your neighbor or co-worker’s life isn’t going to get any easier. Keep offering tangible ways in which to provide assistance and you’ll go a long way towards making the longest day – which is every day in the life of a caregiver – a bit easier to tackle.
The 1953 Ray Bradbury novel, Fahrenheit 451,depicts a future American society where books are outlawed and those that are found are destroyed by fire via that society’s “firemen.” The premise of the novel has been described as representing the suppression of dissenting ideas from those deemed correct and appropriate: censorship at its worst. This blog entry is not about censorship; it is about the possibility of losing the tactile, hard or soft cover media that has entertained billions of us over the years: the non-electronic book.
I crave books and I am never without a selection from which to choose,
Paper vs Digital
but maybe the vehicle by which I read books – and that so immediately satisfies my hunger for more books – will bring about the demise of the tactile tome.
I’m talking about e-readers.
From June 3, 2010 through June 8, 2014, I have spent just under $3,000 on e-books. If that shocks you, imagine how I feel seeing that number because I have to admit it doesn’t feel like thousands of dollars when I download a new book in less than a minute. I purchased books now and then prior to purchasing my first e-reader four years ago, but most of my reading addiction was satisfied compliments of the local library system.
My completed novel, not yet published.
Caveat: I can justify a certain percentage of my e-book purchases by telling you that quite a bit of the research I perform for my writing career comes from fiction and non-fiction works that focus on aging – most specifically on Alzheimer’s and other dementia. But even I will admit that it’s a very small percentage.
I would gladly give up my e-reader if doing so saves soft and hard cover books.
One of my family members stopped using his e-reader; he lost the passion for reading – or more accurately – he found it difficult to find a book he could dive into. He kept going from book to book and nothing he read captured his attention. He had a light bulb moment, however, when he discerned that the content he was reading was not lacking, it was the electronic apparatus that was at fault. I’m not parting with my e-reader yet, but the anxiety I have been feeling the past couple months haunts me each time I pick up my e-reader and swipe the page from right to left, instead of lifting the top right corner of the page and laying it down on the left.
Sarah Jio’s most recent novel, Goodnight June, hints at what has already occurred and might very well occur completely: an absence of book stores and readers to keep them in business. Another voiced concern in Goodnight June is that the childhood love of reading is waning.
What do you see children doing when they have free time? Do they pick up a book like so many of us did when we were their age or are they cozying up on the couch with an electronic device?
Forced faith is not faith | Opinion | The Seattle Times. The syndicated columnist, Leonard Pitts Jr., has proven yet again how fabulously he writes. His writing can only attain that quality, however, if what he writes comes from a sense of justice, compassion, and truth. Therefore, hands down – his writing is fabulous.
The title for this blog piece comes from Mr. Pitts’ article where he quotes Martin Luther King’s definition of faith as being, “taking the first step, even when you don’t see the whole staircase.” The columnist says that given what the Sudanese Parliament has done by imposing the death penalty on one of its citizens who wouldn’t disavow her faith, “faith has less to do with hope and assurance and the courage to take steps in the dark, than with justifying just this kind of theological bullying.”
This story centers around choosing one religion over another. My writing on this story does not pit Christianity against Islam, (or vice versa) rather, it’s a story showing a conflict between two religions that very well might end horrifically. It’s a dramatic story because the “guilty” party, Meriam Yehya Ibrahim, a mother of two who married a Christian man, will receive 100 lashes and then she will be killed after her youngest child has been weaned – nothing short of outrageous and barbaric.
Can you require/force someone to have faith?
Can you require/force someone to love you?
Mr. Pitts asks:
Can faith ever truly be faith if it is imposed by force of law or threat of violence? Is faith faith if it is not freely chosen? If someone swore at gunpoint that she loved you, would you believe her?
Faith can move mountains; religion can’t. (Painting by artist, Mary Riesche)
The Sudanese Parliament has no concept of what faith is. Again, I’m not talking about Islam in general, I’m talking about the actions of the Sudanese Parliament. Its members are simply trying to force this 27-year old woman to leave her Christian religion and follow their religion, Islam. They are proving that they are a bunch of fearful wimps – so afraid are they of any religion that differs from theirs. But we all know the truth: the strongest person represented in this travesty is Meriam Yehya Ibrahim. She’s not holding on to her religion, she’s holding on to her faith.
Bullies are weaklings in disguise whose only weapon is to assert a strength they will never have.
A May 15, 2014 New York Times article, Alzheimer’s, a Neglected Epidemic by Ginia Bellafante, provides a keen look at a fatal disease that many still assume is one that only other people get. Maybe my coworker a few cubicles away from me or the neighbors down the street will have to deal with some sort of dementia, but not our household – right? You wish. Alzheimer’s is a world-wide epidemic and it’s knocking on your front door.
In 2010, Alzheimer’s was the underlying cause in 500,000 deaths in the United States.
Let’s look at another epidemic with horrific fatality totals. Remember the AIDS crisis? As of the year 2010, in thirty years’ time, AIDS was responsible for 636,000 deaths in the U.S. And yet Alzheimer’s – a very unpopular disease that is erroneously characterized as just an old person’s disease – racked up almost that many deaths in just one year.
Alzheimer’s isn’t just for geezers any more.
That’s the title of one of the chapters in my manuscript – a work of fiction that centers on the lives – patients and their family caregivers – affected by Alzheimer’s or other dementia. A couple of my characters are in their 80s but there are three characters ranging in age from early 40s to mid 60s whose disease journey began when they were no longer considered young – but definitely not considered old.
What will it take to push people out of denial and into activism?
In the New York Times article linked above, AIDS activist, Peter Staley, is quoted as saying, “The hidden blessing of H.I.V was that it hit a community, my community, a community of mostly gay men. We had a base of organizing that came out of Stonewall.” [1969 demonstrations by members of the gay community in response to a police raid at Stonewall Inn, in Greenwich Village.] And then he goes on to say, “Alzheimer’s hits old people. There is no real organized community beyond AARP.”
I’m not happy with Mr. Staley’s characterization of Alzheimer’s as an old person’s disease because it perpetuates a myth that is simply not entirely true. But I fully back his advice to all of us:
How does a large, affected community get the country to care? It means playing a strong inside game: These family members need to organize effectively; they need to find their allies in Congress; they need to show up with sick people in front of key members of health communities.
Right on.
Alzheimer’s struck my dad in his mid-80s and my sister-in-law in her early 60s – both now deceased.
If you have been bitten by a dog you’re in good company. I read the following statistics in the May 16, 2014 issue of the Seattle Times newspaper:
In 2013, 4.5 million Americans were bitten by dogs in the United States;
The above total includes more than 2 million children and almost 5,600 U.S Postal Service employees.
Gee, statistics for 2014 will include me in the number of Americans bitten in the United States. I seem to have greater potential for becoming part of those statistics than making a name for myself as a published author.
Future Margarita rewards for when my manuscript gets picked up.
The title for this article is my shameless attempt to keep my novel-writing in the forefront of everyone’s minds.
I’m pretty excited however – not by the dog bite episode of May 7th – but by the status of my manuscript. I’ve almost finished reading it through – for the zillion’th time – and thus far I’m pleased with the cohesiveness of the storyline. I’m still making edits in grammar and punctuation – semi-colons and hyphens/dashes are really stymieing me – but I’m hoping if I do my very best, a copy editor will do the rest. I am 100% certain that an agent will want to represent a book that throws a personal and touching spotlight on those who are living with Alzheimer’s and dementia. There’s not an agent or publisher out there who hasn’t been affected by this disease – either peripherally or specifically.
Please stay tuned as I will be providing updates in an effort to keep me on my toes, keep me honest, and get this d@*#mn book published.
My next door neighbors, Irma and Larry, epitomize what being neighborly is all about. You can look at a previous post of mine to see what bad neighbors look like.
Today’s post provides a contrast.
In my rural Redmond neighborhood we don’t always see our neighbors face to face: some of the houses are set back from the street, and others are simply enveloped in the natural evergreen landscaping common to the area.
After last week’s neighborhood dog bite I made certain that my immediate neighbors were made aware of the vicious dogs’ location and I gave them a thumbnail sketch of what transpired. This past Friday afternoon my husband and I were just wrapping up a mini-walk and as we approached Irma and Larry’s driveway, Irma greeted us and invited us into their house for a visit. What awaited us was a beautiful bouquet of flowers harvested from their backyard.
Lilacs & Azaleas gracing my finished manuscript
Equally as precious as the flowers was the concern that both of my neighbors expressed for my doggy mishap. These same neighbors came to my aid several years ago after I had undergone major surgery. I assured my husband that he could return to work after staying home with me for several days and he reluctantly agreed to do so. A couple hours into my day I was in excruciating pain. My hubby was over an hour’s drive away, but Irma and Larry were next door. I sent them an SOS and Irma came over to stay with me while her husband drove down to the neighborhood pharmacy for a newly prescribed medicine that would make my day a better one. After Larry delivered the medication, Irma remained at my side until my daughter, Erin, arrived for her scheduled mommy-sitting visit at Noon that day.
The point is, good neighbors drop everything and attend to the needs of someone else. Irma and Larry have done that time and again for this household. It is my hope that I can catch up to their generosity and bless them as much as they have blessed me.
Regardless of the industry you represent your goal must always be to deliver the best customer experience.
I have read and viewed many advertisements in which a company assures a future customer that their goal is to deliver the best customer service to each and every customer they serve. This is a very commendable goal in my eyes – a goal that must be reached by every provider of products and/or services. Whether I am a passenger on a multi-level cruise ship or a seaport’s rickety party boat;
Photo credit: Rob Owen-Wahl
whether I dine at a casual eatery or a popular Michelin 3-star restaurant; whether I am a guest at a Residence Inn or a resident at a senior citizen housing community, you must provide me with the best customer experience you can muster.
A couple months ago, I commented on a LinkedIn article that discussed one particular goal that should be considered by long-term care (LTC) providers, e.g., senior housing, assisted living, and memory care owners and operators. The particular goal stated in that article was to fill the buildings, attain high census, or as some industry leaders describe as putting “heads in the beds.”
My comment to this article centered on my work as a long-term care ombudsman (advocate for residents living in long-term care facilities). I explained that when a new General Manager was hired for any of the facilities to which I was assigned, I made a point of meeting her or him to explain my role as a resident advocate and to get to know a bit about this new person who was now in charge of 50 to 100 or more residents.
I asked one particular newbie what he felt was the greatest challenge as the new General Manager for this particular independent/assisted living community. “Fill up the apartments.” I suggested that a more appropriate goal might be to retain the residents he already has. I explained that retaining residents most likely means that he and his staff are doing the right thing in delivering the best care and customer service experience to each of his residents.
Retaining the residents he already has equates to fewer additional apartments to fill;
Retaining the residents he already has means satisfied residents who say great things about the building thereby attracting additional friends/acquaintances as future residents;
Family members of happy residents in LTC means happy adult children who will also spread the good news to others;
It stands to reason, therefore, that satisfied current residents are the best tool a manager can maintain in his marketing tool chest.
Dining room at my dad’s memory care facility.
I have retired from working in long-term care housing and from my advocacy work as a certified LTC ombudsman. I know first hand the pressure that employees experience each and every month to report the right numbers to the corporate office. The suits want the bottom line, baby, and if you can’t deliver the numbers they want and need, you’re outta there! (Just like all the losing pitchers the Seattle Mariners have gone through in the past ten years or so.)
I’m not saying that the Suits are only concerned about profit, but I will say that perhaps their focus needs to center more on the delivery of exceptional care for those who are entrusting the Suits with the lives of mom, dad, spouse/significant other, or sibling. Those family members want to be able to sleep at night knowing that their loved one is receiving the best care possible, the most nutritious meals known to man, and that their loved one is living in a safe environment staffed by employees who care.
All you have to to is deliver the best customer experience. Do that and the bottom line will take care of itself.
My sister, Mary, has been an artist since she could hold a crayon and a water color brush in her hand. Without giving away her age, I’ll just say that she’s been an artist for quite a few years because she is close in age to myself.
Mary in her garage studio
This article honors the consistency and commitment that my sister has exercised in her quest to maintain and hone her talent. Her husband was in the United States Navy when she married him, a career that deposited the two of them and their ever growing family, all over the United States and the world. She could have put down her sketching pencils, acrylics, and oils and figured that until the kids are grown up and out of the house, she wouldn’t have time for her artistic endeavors. But she didn’t. She managed her family single-handedly – and excellently I might add – while her husband was away at sea, never neglecting her family nor the craft that she loves so much.
Mary has been so diligent on this artistic journey, that I can only recall one time when she could not work on her craft. Mary broke her right wrist falling down in front of a grocery store near her Vacaville, California neighborhood several years ago, and as happens after we cross a certain age threshold, bones break easier and take longer to heal. But my sister was only sidelined for as long as absolutely necessary while she completed her physical therapy regimen and then – almost as good as new – she again took up the tools of her craft to pour her heart, soul, and energy into each piece.
And now that my sister and her husband are retired – and their five children are all grown and the number of grandchildren has recently increased to six – Mary continues to pick up the tools that she discovered as a youngster, and consistently makes efforts to expand her talents.
The artist in April 2014 at one of many craft fairs she attends through the year.
Now this is where you come in. I strongly encourage you to visit Mary Riesche Studiosso that you can get to know a bit more about this artistic family member of mine, and while you’re at it, browse a sampling of her current inventory of pieces that are for sale. She loves what she does so much, and is so committed to what she loves to do, she will even create a custom piece to fit your home, business, or organization’s needs.
Do yourself a favor, browse the Mary Riesche Studios website, and then contact the artist to discern how her talent can benefit your personal or commercial environment.
Sue Monk Kidd, author of numerous books including the New York Times best seller (for two years) The Secret Life of Bees, was a recent guest on Oprah Winfrey’s show, Super Soul Sunday. The description of the show indicated that the author would be talking about her true calling as a writer. That got my attention, because I’m trying my darnedest to be a writer. Correction: I am a writer, I’m just not an author yet.
Perhaps you’re asking, “Do I have to have a calling?”
No, you don’t. I can only speak for myself when I say that I’ve known that I’ve had a calling for most of my adult life. I didn’t know what it was, but I knew I had one. I always seemed to be searching for the right project/job on which to spend my time. As an employee, and as a volunteer, I did my work superbly, always trying to be the best version of myself – and for the most part, I was.
But something was missing. I always felt that I hadn’t latched on to what I was called to do. I can describe how that felt by using Sue Monk Kidd’s experience when she switched from being a nurse to being a full-time writer. For her own reasons, Sue Monk Kidd felt “out of alignment” and she didn’t feel she was “in a place of belonging” as a nurse. She also described the time before she answered her calling as having “homesickness for (her) your home.” Then she made the decision to be a writer and this is how she felt, “there is no place as alive as when you’re on the edge of becoming” what you were meant to be.
Exactly.
Household garage sale to raise funds for the Alzheimer’s Association.
And she added that it takes lots of courage to get there – to activate the calling that you know is yours. Several years ago I found my niche – working with the elderly. For six and a half years, I worked in the senior housing industry. For five years after that, I volunteered as an Alzheimer’s Association caregiver support group facilitator, and another five years as a Certified Long-term Care Ombudsman for the State of Washington. Good stuff, and it felt right, and it was. But I had yet to use that wealth of experience in what I would define as my calling.
Confession: I’m a fairly decent writer.
Now hold on there, Irene, shouldn’t a calling be something at which you excel, some sort of skill that you’ve honed to perfection? In my case, the answer is no. Sue Monk Kidd validates what I mean. She said there are three things you need to be a writer: 1) have something to say; 2) have the ability to say it; and 3) have the courage to say it at all.
Ergo, I am qualified.
I believe in what I’m doing.
I am one and a half years into writing my first novel. It focuses on the lives of a group of adults who have Alzheimer’s disease or other dementia and the loved ones who are their caregivers. Woo hoo! All the work I’ve done in the past ten-plus years can be used in my calling! I excelled at all of those tasks, and some day I will excel at getting my manuscript published.
Some agent and some publisher out there wants to sign what I have to offer, and I believe that my degree of writing ability won’t get in the way of them doing so.
Have no fear all you agents and publishers who might have just read that last sentence. I am doing my best and I’m working hard at my craft. I’m not of the opinion that just because I feel I’ve found my calling I can just haphazardly go about my writing, not working as diligently as I have in the past.
I’m taking this calling seriously because the subject matter is a serious and personal one to me.
My advice to you the reader? Do what you know you’re supposed to be doing, and do it well. Whether you label that as a calling or a job matters less than if you believe in what you’re doing and are committed to it.
A friend from college found me through Facebook the other day and we’ve spent a couple days catching up with each other via e-mail because it has been decades since we’ve communicated with each other. I told Angie about my work with the elder-care community and I also mentioned that I’m a contributing writer for Grandparents Day Magazine (an Australian online publication), I have my own blog, and I’m writing my first novel. “Irene, did you major in English at the University?” “Nope, I majored in French. I write not because I’m an exceptional writer, but because I have something to say.”
As is the case today.
Danny Westneat of the Seattle Times wrote another brilliant column in such a way as to make you say, “Hmmmm.” What I mean is that at least for me, he opened my eyes as to how demanding some of our opinions can be. For example:
Whether you support same-sex marriage or you don’t, you have the right to say how you feel about it.
Six years ago, Mozilla CEO, Brendan Eich contributed financially to Proposition 8 in California – a proposition that opposed gay marriage. It was discovered that he had done so, and the newly installed CEO was immediately ousted. He had, however, been with the company since the 1990s, and as Danny Westneat pointed out, “There was no evidence his views against legalizing gay marriage had any effect on his various jobs at the company, including his treatment of gay co-workers.”
Putting a more local perspective on this same subject, Washington State’s 2012 Referendum 74 that would allow same-sex marriage in our state, had 5,700 names on the anti-gay-marriage monetary contributor list, including those from Amazon, Starbucks, T-Mobile, F5 Networks, Microsoft, and Boeing, to name a few. Many others were opposed to the Referendum and financially contributed against it: medical professionals, public-school teachers, a school superintendent, and a couple college instructors. The measure passed, with the voters split 53.7% to 46.3% of valid votes placed.
Is this where we’re gonna place those who don’t believe the way we do?
Isn’t that grand? Everyone was allowed to vote which ever way they wanted; a fabulous example of the right to believe/speak the way you want through the democratic voting process. But do or say something that might give ones business a bad reputation in the eyes of the majority – or even the minority – then by God, you’ve gotta go.
Where do we draw the line?
Personally, I passionately voted the way I wanted to vote regarding Referendum 74, and although I might disagree with those who voted differently from me, I respected their right to vote which ever way they wanted.
In his article, Danny Westneat talked about the fanaticism that the Boy Scouts exhibited by ousting a gay Boy Scout leader because of who he is, not because of his work performance. But the columnist added that the same fanaticism was displayed when the Mozilla CEO was ousted for what he believes.
If we are now requiring everyone to believe the way we believe; think the way we think; or vote the way we vote, aren’t we exhibiting a radical intolerance that nullifies our right to believe and speak as our conscience leads us?
I hope I never live in a world where someone figuratively puts a gun to my head to force me to think, believe, or vote the way they want me to.
Anyone who knows me, knows that would really piss me off, and it should make you pretty darn angry as well.
What these two disasters and many like them have in common is that billions of us can say that they didn’t happen to us. I live in a suburb of Seattle, approximately 60 miles south of Oso, Washington – the town that was buried by a landslide that killed at least twenty four people as of this writing. This landslide didn’t physically happen to my town of Redmond, Washington, but it did happen to us.
The crash of Malaysia Airlines flight 370 took the lives of 239 people and affected thousands of people who lost one of the 239. This crash appears to have happened over the Indian Ocean, many, many miles away from where you and I live, and most of us can say that we weren’t connected to any of those victims, but we would be wrong, because that crash happened to you and me as well.
I don’t take comfort in the fact that so many of the disasters that occur in the world haven’t personally or physically happened to me. There is no distinct separation between me and those pointedly affected by the tragedy that has inserted itself into their lives; no safety shield between my location, and theirs. They are me, and I am them.
It is far too easy to sit comfortably at home and simply be grateful that such tragedies didn’t directly happen to me. You know that saying, “There but for the grace of God go I.” I think the intent of that statement is well-meaning but it must be said and felt purposefully so that we truly recognize that another misfortune, at another time, could be our own. All of us are vulnerable, and we are all connected. What happens elsewhere, happens to us.
The reason for this article is to express my hope that all of us, wherever and whomever we are, may more readily and clearly identify with all of humanity: the “them” or “they” to whom tragedies befall.
Empathy trumps distance, nationality, or circumstances.
The New York Times article The Science of Older and Wiser by Phyllis Korkki, provides a scientific, yet personal, foray into the location of where wisdom resides.
The article also addresses levels of importance between the speed with which information is retrieved from one’s mind versus a life filled with meaning, contentment and acceptance. Speedy retrieval of information appears to belong to those who are younger than Baby Boomers while those who take longer to tap into a data-filled mind are us Baby Boomers or older for whom information retrieval falls second. Once that information is retrieved, however, it is used to gain insights and perspectives that form the basis for wise behavior and decisions.
Must everything in our lives function at breakneck speed? Consider these synonyms for fast, or quick:
speedy
swift
express
high-speed
immediate
expeditious
brisk
hasty (haste makes waste!)
from “The Colors and Letters of Jen Elek and Jeremy Bert” (Seattle-based artists)
We live in such a fast-paced world that we find ourselves snapping our fingers at how long it takes to make a cup of K-Cup (pod) coffee. We want it now! Now, I tell you! What’s taking so long? We will even pay extra when traveling by plane in order to use TSA’s faster Pre-Check security lane, and we’ll pay an annual subscription to Amazon.com to get free 2-day shipping for the plethora of things we purchase there.
But is faster always better than reflective contemplation?
Consider some definitions of wisdom provided in the above-attached article:
“True wisdom involves recognizing the negative both within and outside ourselves and trying to learn from it.” (Ursula M. Staudinger, The Berlin Wisdom Project);
Wisdom is characterized by a “reduction in self-centeredness.” (Monika Ardelt, associate sociology professor, Univ. of Florida, Gainseville);
If you are wise, “You’re not focusing so much on what you need and deserve, but on what you can contribute.” (Laura L. Carstensen, founding director of the Stanford Center on Longevity, California); and
An important sign of wisdom is generativity, which means “giving back without needing anything in return.” (Dr. Daniel Goleman, author of Focus and Emotional Intelligence, psychologist, science journalist.)
Given the descriptions for the word “fast” and the characterizations for the quality known as “wisdom”, what will your life’s main focus be as you graduate through the various stages of aging? Unless your later years involve being the fastest on the ski slopes, or the quickest person to complete the NY Times crossword puzzle, consider this element of successful aging: “(M)ost psychologists agree that if you define wisdom as maintaining positive well-being and kindness in the face of challenges, it is one of the most important qualities one can possess to age successfully.” (Phyllis Korkki, New York Times)
And yet many drivers that are cognitively impaired are doing just that. Justin Runquist’s Seattle Times article, attached above, addresses the wave of aging drivers that has swept onto our roads. I’ll be the first to admit that dementia isn’t always the impairment associated with aging drivers. Sometimes medication side effects and/or slower response times – even without Alzheimer’s or dementia – can be the cause of accidents that can harm the driver, and anyone in his or her path.
In this article, however, I address the type of DUI that does involve dementia. As I mentioned in my two part series: Driving under the influence of dementia and Part 2 of that article, there are far too many news reports covering the risks of impaired driving – many of which end in disaster.
My dad (circa 1980’s) gave up his car keys shortly before being diagnosed with Alzheimer’s.
How can we possibly take comfort in denying that either ourselves or our loved ones should no longer get behind the wheel? This type of denial is dangerous but it is possible to get around the difficulties associated with this subject without alienating yourself or others.
For those of you who are still driving and who have considered even once that you shouldn’t be doing so – please read all the articles attached within this blog entry and then decide if you still feel comfortable driving a weapon that might kill you, or someone in your path. And for you adult children who have felt the same uncomfortableness surrounding your own parents’ driving skills – take heed and act before it’s too late.
Approaching The Final Destination. The attached article focuses on one caregiving journey that is coming to an end. Chris McClellan’s caregiving journey is coming to a close because his partner, TLO, is approaching his final destination. Recently, another blogger that I follow, who was the caregiver for her husband, Chuck, came to the end of her caregiving journey because Chuck approached, and reached, his final destination.
Each caregiver/blogger that I follow has said the same thing in almost the same words that echo how Chris describes the tenor of the day-to-day life of a caregiver: “I’ve come to realize that what I might think is a routine day, is totally off the charts by normal standards. I’m sure most family caregivers can get in touch with that.”
Whether a loved one needs care because of cancer, as in TLO’s case, or Alzheimer’s, as in Chuck’s case, the lives of both caregiver and patient are forever changed once a diagnosis is pronounced. The 10-15 minute medical consultation in an exam room or a doctor’s private office thrusts the recipients into the as-yet-unknown world of living with a terminal illness.
My father and my sister-in-law, both of whom died from Alzheimer’s.
My brother’s wife, Nancy, was diagnosed with mixed dementia when she was barely 65-years old. In the first article on my brother’s caregiving blog, he also characterizes diagnosis day as the day his life, and that of his wife, changed forever.
Normal becomes a shifting paradigm that can look different from month to month or moment to moment as a loved one’s disease progresses towards its final destination. Both caregiver and patient can’t recall – for one reason or another – what normal used to mean before the disease’s arrival in their lives. I know from personal experience with my father, that the caregiver truly can’t imagine life without caregiving – so all-consuming and life-changing is a fatal disease in ones life.
Normal? What does that mean? And in the midst of caregiving, you become aware that the only escape from this new and ever-changing normal is the death of the one for whom you provide care. What liberation! What freedom lies on the horizon!
No, that is not what the caregiver is thinking. He or she is focused on the here and now, because such focus is required in order to adjust to the shifting sands of normalcy.
But the end does come as it did with my father on October 13, 2007, with my sister-in-law on July 4, 2012, with Chuck in late February 2014, and as will happen with TLO once Chris and TLO’s journey comes to an end.
What we all would give for just one more day of abnormal normalcy with our loved ones.
But all journeys come to an end, and none of us would rob our loved ones of their final escape to a destination towards which their lives had been headed since their own personal diagnosis day.
Freedom from pain; freedom from physical and cognitive restrictions. Let it be.
It’s not often – or ever – that I would tout the beauty and benefits of mice, especially since where I live in a very rural part of my city, mice are a force with which to be reckoned during their annual winter attempts to seek warmth in crawl spaces, attics, and home interiors.
Today, however, I am making a one-time exception because it appears that mice brains have become very valuable in the medical and science worlds’ attempts to map the human brain, and mapping the human brain contributes to the effort of solving brain diseases such as Alzheimer’s. I’ll leave it up to you to read the full article, attached above, because my efforts at summarizing scientific jargon would fall short of doing that science justice.
What I will say, however, is that I am extraordinarily excited that valid attempts are being made to decipher the science of our brains; attempts that generate hope in the lives of those of us who have personally experienced the destruction of a loved one’s brain by Alzheimer’s – a disease that I’ve been known to call “a murderer.” Read my article, Alzheimer’s disease is a murderer to understand the full impact of my feelings on the subject matter.
I know that a lot of behind the scenes research is being done to eradicate a disease that is always fatal, but we aren’t always privy to what that research looks like. I’ve read numerous horrific statistics about the numbers of people who have – and will have – Alzheimer’s in the years to come. Part of those statistics include the detailed monetary impact on society as a whole, as well as the personal and emotional costs to each of us who have dealt with, and who have yet to deal with, the disease’s intrusion into our lives.
I congratulate the Seattle Times and the New York Times, for publishing the above article. And I sincerely thank the Allen Institute for Brain Science for taking on a task whose efforts will benefit every last one of us in this country, and around the world.
You are my hero Paul Allen. Keep up the good work.
If the monster called Alzheimer’s is going to get you, you may as well be prepared.
How I’m Preparing to Get Alzheimer’s, is a 6 minute and 24 second video recorded in June 2012 at TED Global in Edinburgh, Scotland. This brief talk by Alanna Shaikh will do more to wake you up about this disease than anything you’ve heard thus far.
If there is even the slightest chance that one of us will get Alzheimer’s or other dementia – and trust me, there’s more than the slightest chance – then we’d better start shaping what Alzheimer’s will look like for you and me. Here’s an example.
Ms. Shaikh’s father has Alzheimer’s and she talks about the various hobbies and interests held by her father when he was healthier and how those interests carry through during the Alzheimer’s disease process. He was a college professor at a state school and as Alanna put it, “he knows what paperwork looks like.” Now in the depths of his disease, someone can put any type of form in front of him and he will gladly fill it out, arbitrarily writing his name or numbers on the various lines provided, and he’ll check the boxes littered throughout the form. He flourishes in that engagement of his time.
What happens, however, when your favorite hobby pre-disease is reading and editing academic journals, racing cars, or using electric shop tools to make beautiful well-crafted furniture? How will those hobbies or skills survive the disease process? Not very well. So Alanna has come up with three things that she’s doing now to prepare her for the possibility of the Alzheimer’s monster invading her life.
Please watch Alanna’s video. I think you will be impressed by her thought process.
Click on the link above to read about one man’s journey from spousal caregiver to professional coach of those who are caring for loved ones with Alzheimer’s or other dementia.
My hero – my father: 1918 – 2007
During my time of caregiving, (my father died in 2007 from complications relating to Alzheimer’s disease) I oftentimes sought out the advice of anyone I could get my hands on who might a) lighten the emotional load I was carrying; b) lead me in the right direction when looking for next steps in the caregiving process; and c) let me cry a river as I pondered whether I was doing enough for the one for whom I provided care.
Way back when I was enmeshed on my caregiving journey, I was not aware that this type of coaching service was available – perhaps it wasn’t. What speaks volumes to me is that the prevalence of Alzheimer’s and other dementia is such that more and more people seem to be adrift and searching for that beacon of light that might pull them safely to shore.
One thing I know for sure, however, is that if it takes a village to raise a child, it certainly takes at least that when trying to take care of a cognitively challenged parent, spouse, sibling, partner, or friend.
Lately I’ve read various blog posts mentioning that employees of long-term care (LTC) facilities are routinely disregarding the rights of their residents. What’s that you say? You didn’t know that when these older folks walked through the doors of a facility, thus giving up their cherished long-term independence, they actually gained rights that they never had before? Here’s some information that will benefit you and your loved ones. I’ll explain by way of providing a few examples:
Charlie moves his mother into a facility and the head of Health and Wellness strongly suggests that he not visit her for awhile so she can adjust to living in a different environment.
WRONG! If mom wants her son to visit her, Charlie should ignore the “advice” of the H&W employee and visit mom as often, and as long, as he and his mom wishes. Logic: What do you think benefits mom most? The calming presence of her son who has been the only constant in her life, or the absence of any person or thing that would lessen the feeling of abandonment in a strange environment?
June, who is confined to a wheelchair, is forced to go to an activity by facility staff. Apparently June’s family has asked staff members to make sure that June gets out of her room and socializes with other residents. On this particular day June would rather stay in her apartment and watch game shows on television.
Who wins this argument? June should because it’s her life, and neither staff, nor family, can force her to do anything. Logic: Doesn’t someone who’s lived at least 7 or 8 decades have the right to make decisions that are important to her? Yes – and that right is protected by law. Legal implications: June is reliant on others to transport her to and from places, therefore when she’s taken to the activity room against her wishes, the law considers that action as physical restraint because she is “stuck” in the activity room and in her chair, and not able to physically move herself elsewhere on her own steam. Additionally, the facility is guilty of coercion – forcing June to do something she doesn’t want to do.
George joins his buddies in the dining room for lunch and orders a chili dog and a Bud Lite. When the meals for him and his buddies are served, George’s chili dog has been pureed and his beer has been substituted with a glass of iced tea.
Dilemma: The server tells George that his doctor ordered a pureed diet because George almost choked on a roll at a nearby restaurant and he risks aspirating on his food. The server then tells George, and anyone within hearing distance, that his doctor also said George should not drink alcohol because of his diabetes.
Rights infractions: The server talked about a medical condition in front of his buddies by mentioning two medical conditions: George’s choking hazard and his diabetes. That’s a violation of his privacy rights. George is aware of the choking incident – and he is also aware that alcohol may not be such a good idea because of his diabetes – but he is making an informed decision to eat and drink what he wants, knowing all the risks involved. Solution: Oftentimes facilities are worried about liability in these types of situations – very understandable. To resolve such a concern, all that is needed is to conduct a “care conference” in which the health & wellness director, George, and perhaps his doctor by phone, discuss the risks inherent with George’s decisions. They can easily discern that George has weighed the pros and cons and that although he acknowledges that doctor’s orders have been issued, George decides to disregard said orders. Care conference notes should indicate the gist of the discussion; perhaps everyone in attendance signs their name agreeing that what is written in the notes accurately reflects the points covered in the discussion, and then everyone should be happy and no lawyers need to be involved.
I strongly suggest that you contact the long-term care ombudsman in your state should you have any inkling that your loved one’s rights are being neglected. Visit the National Ombudsman Resource Center (NORC) and join with them to advocate for your loved one. Everyone deserves to be treated with dignity, and certainly all of you would agree that all people should have a satisfying quality of life regardless of ones’ age and residential environment.
Final thought: put yourself in your loved one’s position … what would you want done on your behalf?
Submitted by Boomer98053, a retired Certified Long-Term Care Ombudsman.
Humbled, grateful, overjoyed! Not just because I was nominated for the Very Inspiring Blogger Award, but also because I’ve inspired someone, hopefully many someones. Talking to a wall is not a very gratifying experience; if my blog is merely an electronic version of that, I will have not reached my objective: to help, encourage, and lighten your load while on this aging journey. Thank you Kay for the nomination!
Consider the prescriptions in your medicine cabinet/pill-minder box. Is one of those medications something that your doctor renews over and over again for you? How about that something-or-other that seems innocuous enough because you take the lowest possible dose?
Did you ever get so busy that you received an award and didn’t go pick it up, and then you forgot that it was waiting for you? That’s me. Lori, one of my most favorite bloggers, has been writing her blog Let’s Talk About Family since December 2011. This fabulous person nominated me for the Best Moment Award in May of 2013. All I can say is that not “picking up” my award qualifies me for the Worst Moment Award, but I’ll try to make up for it with this post.
What was your longest day like?
When you offer help, please don’t leave it open-ended. Instead of saying to your neighbor, “Hi yah, Joe. Be sure to call me if you need anything,” be more specific so it’s easier for Joe to accept your offer, “Joe, when I get out my lawnmower this weekend, I’d love to swing by your place and take care of your lawn so you won’t have to.” Or how about, “Yah know, we’re always making more food than we can eat at our house so we just freeze the leftovers for another time. Can I come by later this week and give you a week’s worth of meals so you don’t have to concern yourself with what to fix for dinner?”
I have read and viewed many advertisements in which a company assures a future customer that their goal is to deliver the best customer service to each and every customer they serve. This is a very commendable goal in my eyes – a goal that must be reached by every provider of products and/or services. Whether I am a passenger on a multi-level cruise ship or a seaport’s rickety party boat;
My comment to this article centered on my work as a long-term care ombudsman (advocate for residents living in long-term care facilities). I explained that when a new General Manager was hired for any of the facilities to which I was assigned, I made a point of meeting her or him to explain my role as a resident advocate and to get to know a bit about this new person who was now in charge of 50 to 100 or more residents.
It’s not often – or ever – that I would tout the beauty and benefits of mice, especially since where I live in a very rural part of my city, mice are a force with which to be reckoned during their annual winter attempts to seek warmth in crawl spaces, attics, and home interiors.
Dilemma: The server tells George that his doctor ordered a pureed diet because George almost choked on a roll at a nearby restaurant and he risks aspirating on his food. The server then tells George, and anyone within hearing distance, that his doctor also said George should not drink alcohol because of his diabetes.
Living: the ultimate team sport 