Care Partnering, Challenges & Solutions, Toward better care

7 ways to transform dementia care grief and suffering into joy and healing

Are you a dementia care partner who lives in a world full of grief, loss and suffering? What if you didn’t have to be in that dark, depressing place? What if you could transform your suffering into healing? What if you could release your feelings of grief and loss?

Moreover, what if changing your world was simply a matter of changing your perspective? Would you choose to do it?

When I chose to reframe the way I saw dementia and the people who live with it, I completely changed my experience as a care partner. Others have done the same. Here’s an excerpt from an email I received from FK, a long-time follower of MyAlzheimersStory.com:

Susan,

I really need to thank you so so much for changing my perspective on what was happening to my parents as they both lived with dementia. I have responded to your blog from time to time, mentioned that I was caring for my parents, both of whom had Alzheimer disease, and shared my experience about being with my sister when she died when your mom was approaching that point.

I had moved to [Some Little Town] from [A Big City] in 2011 when my parents began to lose their abilities to live independently, and I eventually became a full-time care partner.  For the first few years after I noticed the first signs of memory loss, I was stuck in that  intense grieving phase and could only see the losses and mourn what felt like my parents disappearing before my eyes.

But after discovering your site/blog and following it, I gradually learned to see that they were still there, still my parents, still loving and able to share many things with me.  My focus changed from mourning each new loss and grieving what lay ahead in the future, to living with them in the moment and trying to share as many moments of joy as possible.  That made a world of difference.  I was able to love them and keep sharing laughter and love until they died (my dad on April 02nd, 2017 after a long, slow decline and many false alarms; my mother very unexpectedly the very next day, April 03rd, 2017.  Thanks to you, I look back on those years as, in many ways, a happy time despite all the difficulties, frustrations, fears and tears.

I lost a legal bid to get control of my mother’s care in February 2014. Shortly thereafter, I launched MyAlzheimersStory.com. I wanted to share my journey and learnings as a care partner, and help others avert some of the challenges and pitfalls I had faced.

As I learned more about Alzheimer disease and other illnesses that cause dementia, I also came to realize we can radically change our experience of dementia and the people who live with it by reframing the way we see it and them. Helping people transform their experience from suffering to healing has become an integral part of my advocacy–one that’s working as FK’s email demonstrates!

Here are seven ways you can reframe and change your dementia care experience:

  1. Focus on what remains rather than what has been lost
  2. Look for potential rather than staying stuck in deficit
  3. See the person, not the disease
  4. Understand that people who live with dementia are still people, not “empty shells”
  5. Understand that people who live with dementia have the same needs we all have
  6. Create opportunities to experience joy and happiness
  7. Find things to laugh at instead of things to cry over

I did it. FK did it. You can do it too.

17 links to the “other side” of dementia

do you see what i see?

3 excerpts from the best article on dementia i have ever read (and a link to the full meal deal)

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Care Partnering, Humour

care partner humour: milkin’ it!

Care partner Catherine Bixenman-salesi knows how to laugh (as well as cry) in the face of the day-to-day ups and downs of living with her mom who lives with dementia. Here’s a short chuckle Catherine posted in a dementia care Facebook group:

Sometimes I don’t know whether to laugh or cry LOL! This happened just now:

Mom: Excuse me, I want milk.

Me: You hate milk, Mom.

Mom: You are lying to me.

Me: Okay, I will bring you some milk.

I go to the kitchen only to find that my kid has left a gallon milk container in the fridge with about a half teaspoon of milk in the bottom of the container. Why? I ask myself. Why does he do this? Arrgghhh. I pour what my kid has graciously left us into a glass, and bring it to my mother. She takes a sip and rolls her eyes. “This tastes like milk,” she says. “I hate milk.”

It’s gonna be one of those days!

Thanks for all you do Catherine, including sharing tips and stories like these:

https://myalzheimersstory.com/2018/06/21/hot-pink-duct-tape-solves-alzheimer-seating-issue/

https://myalzheimersstory.com/2018/03/15/turn-potential-dementia-disasters-into-fun-and-laughter/

https://myalzheimersstory.com/2019/04/17/need-more-sleep-heres-a-care-partner-tip-that-might-help/

https://myalzheimersstory.com/2019/02/26/dementia-care-partner-mom-investigated-for-having-daughter-help-with-care/

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Resources, Tips, tools & skills, Toward better care

need more sleep? here’s a care partner tip that might help…

Catherine Bixenman-salesi, who is a member of the online dementia support group USAgainstAlzheimers, is the primary care partner to her mom who lives with Alzheimer disease. Catherine regularly shares innovative, interesting and easy-to-implement “work arounds” to address the challenges she faces interacting with her mom. See more of Catherine’s tips at the end of this post.

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One thing that exhausts many dementia care partners is lack of sleep.

Long-time care partner Catherine Bixenman-salesi found a way to get more sleep every night, AND keep her mom safe and secure. Here’s what she shared with me and others in a Facebook support group:

I just figured out how to set my mother’s baby monitor alarm clock feature. Now, I can get some sleep and not worry about over sleeping when it’s time to toilet her. In the middle of the night, I can just look at the monitor to see if she is sleeping soundly. Or, if she starts to get anxious, I can talk to her using the monitor without having to get up.

When I talk to her, she sits up and listens to my voice. Sometimes I put the lullaby mode on, and she sleeps soundly. I love this gadget! I should have purchased one years ago. The camera works great. I put the monitor on my nightstand and I can watch mom from my room. I wish I had bought the monitor years ago. I spent so many nights sleeping in her room on the floor or in her bed – not to mention all the times I got up to check on her and then couldn’t go back to sleep!

The brand I have is Willcare, but there are loads of others. I chose this one because it’s simple. You plug the camera in an outlet, and you can point it where you want to see. Then plug in the monitor wherever you are. You must have WiFi (smart phone not required). It’s extremely easy to use. I can see mom on the screen. I leave it on all the time. It makes a sound when she turns or starts to move. I push a button, and i can talk to her and she can talk to me.

I bought the monitor on Amazon about a year ago, and it really has allowed me to get a few hours of uninterrupted sleep each night. I can’t tell you how many times I would get up to make sure my mother was breathing.

I read a lot of reviews, and chose one that I thought would be simple and easy to use. I don’t have a smart phone, but there are ones you could use with your phone. It can also be used unplugged for a few hours. The alarm clock can be set to ring every two, four, or six hours. I encourage all caregivers to buy one. You can find them on line here, just read the reviews, and choose one you like. I hope this tip will help someone else.

I wish I had thought of this when I was living with my mom in her own home — I might have gotten more sleep too!

hot pink duct tape solves alzheimer seating issue

turn potential dementia disasters into fun and laughter

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Care Partnering, Teepa Snow, Tips, tools & skills, Toward better care

surprising teepa care partner tip for when people keep repeating same old stories

Yes, it can be tiresome listening to someone who is living in the early and middle “stages” of dementia tell you the same old stories over and over again.

When you feel worn out by repetition, it can be helpful to remember these three things:

  1. The person living with dementia is likely trying to create a connection with you through story telling. She is reaching out in one of the joyful ways she knows how: by sharing some of herself or her life.
  2. The person living with dementia likey doesn’t remember he has told you that same story before. To him it’s fresh and new.
  3. Storytelling, conversation and connection are great ways to preserve a sense of self and to get brain cells firing, both of which are good for the well-being of us all, including people living with dementia.

In the powerful video below, Teeepa Snow demonstrates in just a few minutes how to keep conversations going with a short and simple phrase that will create engagement instead of cutting people off and potentially creating ill will and disconnection.

Teepa’s counterintuitive tip? Say: “Tell me more…”

Teepa Snow demos 10 ways to calm a crisis with a person living with Alzheimer’s / dementia

10+ Teepa Snow videos on dementia basics

25 dementia communication quick tips in 4 minutes!

 

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Advocacy, Antipsychotic drugs, Humour, Videos

big pharma, big money, big crime

This Stephen Colbert bit is about the opioid crisis. But it could equally be about the polypharmacy crisis in older adults. Or the antipsychotic and psychotropic crisis in long-term care facilities. It’s all one and the same issue. #BIGpharma #bigMONEY

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Drug money. Food for thought.

tragically wrong and hilariously funny: john oliver tells the truth about drugs, docs and big bucks

10 seldom-mentioned “side effects” of using antipsychotics in long-term dementia care, which are also 10 more good reasons we should #BanBPSD

the worldwide case against giving antipsychotics to elderly people living with dementia

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Advocacy, Inspiration, Life & Living, Love

imagine how much suffering could be spared!

My friend Lorrie B. is an amazing writer, editor, translator and primary care partner to her parents, both of whom live with dementia. Lorrie is also an insightful blogger who documents her care partnering experiences here: Unforgettable.live.

Like me, Lorrie is also insatiably curious, and, since becoming her parents primary care partner, has done extensive research related to dementia (as have I!). Despite having read reams and reams of dementia-related stuff, Lorrie and I agree the article referenced in this post is one of the best we’ve come across on living with dementia. Lorrie left this comment:

Wow. I’m with you, Susan, this is one of the best articles about “living with dementia” that I’ve read in the past three years of scouring the media. Such a beautiful and valuable perspective, level-headed and lyrical. I saw both my parents in many of the instances that she mentions – if we had more of this thinking, imagine how much suffering could be spared! Honestly, if people with dementia can teach us to think more with our hearts than our heads, it would benefit everyone to be in their world and feel the power of love beyond the brain. Thank you so much for finding and sharing this.

Lorrie’s with me and I’m with her – we’ll all benefit and suffer way less when we feel the power of love beyond the brain.

You said it Lorrie B.!

#FightTheGoodFight #WeCanCareBetter

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you said it!” is a place to discover informed comments, inspiring thoughts, short stories, good ideas, provocative opinions, quotable quotes and noteworthy snippets from across my worldwide network.

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One of Lorrie B.’s blog posts: Lesson #29: Hope Springs a Kernel

https://myalzheimersstory.com/2018/09/21/3-excerpts-from-the-best-article-on-dementia-i-have-ever-read-and-a-link-to-the-full-meal-deal/

https://myalzheimersstory.com/2017/12/03/four-years-later-is-too-late-for-my-mom-but-its-not-for-others/

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Advocacy, Inspiration, Life & Living, Love

3 excerpts from the best article on dementia i have ever read (and a link to the full meal deal)

Sometimes you come across something that captures everything you want to say so brilliantly that it literally takes your breath away, and makes you weep in gratitude.

Sallie Tisdale’s article Out of time: the un-becoming of self, in the March 2018 issue of Harper’s Magazine, is one of those somethings. It says in five pages what I have tried to articulate in the more than 600 pages on this blog, in workshops, webinars, conversations and comments, with mixed success as best. Yet Tisdale does it beautifully, succinctly and poetically.

Here are three important excerpts from her compelling piece:

“The stark fact is that dementia is incurable, progressive, and fatal, but here is the surprise: in the company of [people who live with dementia], one finds peace and unquestioned love in at least as much measure as in the rest of the world. I watch my clients navigate each day’s puzzling details. I know their efforts may look to many observers like an embarrassment of loss. I see the riches: the brave, vulnerable, completely human work of figuring things out. People with dementia sometimes have a rare entrancement with their surroundings, a simplicity of perception, a sense of wonder. Being with a person who has dementia is not that different from being with a person who doesn’t share your language. It is a little like talking to someone who has lost her tongue and cannot speak, has lost his hands and cannot write. This is not a bad thing; it is just a different thing. It requires a different kind of attention.”

~~~~~~~~~~~~~~~~~~~~~~~~~

“The fact that my own me-ness persists is obvious, and yet a persistence of identity is one of the last things we expect with [people who live with dementia]. They seem different to us; mustn’t they be different to themselves? The spate of recent research considering how a person with dementia actually feels tells us no, not really. People know they have a memory impairment, but they feel themselves to be the same person, even in late stages of the disease: “I’m like a slow-motion version of my old self,” says someone with dementia. The possibility of pleasure, let alone contentment, for this person is barely acknowledged. A team of researchers called our current vision of dementia the tragedy discourse. Another group notes that most researchers have shown “a stark disinterest in happiness,” and their assumption of distress is because that is “the only available lexicon for experience, the only available lens through which dementia is viewed.” Surveys have found that Alzheimer’s disease, the most common form of dementia, and cancer are the diseases that people fear the most. The communal response to dementia seems to invite only existential despair.”

~~~~~~~~~~~~~~~~~~~~~~~~~~

“Yet people with Alzheimer’s consistently rate their quality of life higher than their family members do. In a large international study, people with cognitive impairments were no less happy than healthy people. When family members are upset about a relative’s decline, certain it is a terrible experience, they are not always clear on who is suffering. My friend Kate’s mother had Alzheimer’s. She had always worn careful makeup, and she was uncomfortable leaving the house without it. But her makeup became exaggerated, almost clownish, and she refused Kate’s help. Looking in the mirror, she liked what she saw. Going out to a restaurant became, for Kate, “an exercise in my own discomfort, being willing to let her be as she was.”

The full article is here. I strongly encourage you to read it.

 

https://myalzheimersstory.com/2015/08/13/my-mom-still-counts-just-like-everyone-else-and-she-deserves-better-we-all-do/

https://myalzheimersstory.com/2018/08/10/my-mom-is-a-question-mark-august-9-2016/

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Life & Living, Music, Poetry

music from a tapestry of shared moments in long-term care

This piece of poetic prose called “Music” is from a collection entitled “A Tapestry of Shared Moments In Long-Term Care” by former Registered Nurse Karen Hirst.

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A sea of wheelchairs, walkers, easy chairs, an encasement of human form. Having been herded towards this place, they await their cue to rise and move towards their place at the supper table. Silence reigns within this place of mealtime ritual. Eyes stare out from emotionless faces, a spirit of uniqueness noticeably absent. Instead a sameness of scars from shared diseases they bear within. An aura of premature death hangs heavy.

Music starts. Irish fiddles, sing-a long favorites, dance band melodies of eras past and something changes.

Subtle at first….ears pulled alert, eyes that move between faces searching within the emptiness of this space for the source of a new sound. Very slightly at first, an uncontrollable drawing upwards of lips curling into a smile, a finger tapping out the beat on the arms of a walker, a toe exercising its remembered swirl on the dance floor, a hand and arm finding air beneath them as they take on the job of conducting the orchestra. Within supportive arms, each beat of music finds its expression through feeble legs as partners share their dance moves among the feet of encouraging onlookers.

The silence is broken. One is heard to speak words of praise for the dancers, one speaks directly to their neighbor of how nice it all is, one giggles, one remembers that they used to be a good dancer, played in a band, or sang in a choir. They all clap in united support for the bravery and prowess on the dance floor and unabashedly sing out the verses of remembered tunes.

Something has change within this space. No longer the collective herd but a gathering of individuals united in their love of the beat and tune. No longer spiritless forms but animated motion and activity radiating through the unique expression of their joy. No longer alone but connected through the universal language of music. No longer death but evidence of life finding its way to the surface, spreading out into this space and time.

The life giving force of music. Joy stirred by rhythm. Burdens lightened. Steps lifted higher with every beat. Memories surfacing of loved ones, of times spent together when the language spoken was understood by everyone.

Karen Hirst is a former Registered Nurse, who worked primarily in the field of geriatric nursing. She began her career as a Health Care Aide Instructor and held positions of increasing responsibility over several decades. She spent her final 16 years as a charge nurse at Fairview Manor, Almonte, Ontario. Now retired, Hirst writes on topics that interest her, and is actively involved in her community. This piece is from a collection entitled “A Tapestry of Shared Moments In Long Term Care.”

10 tips to make the most of music in dementia care

alzheimer disease helped my mom play the piano

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Advocacy, Resources, Toward better care

what if everything we’ve been taught about dementia care is a lie?

That’s what Dr. David Sheard asked himself in 1995, along with “What if people with dementia don’t have any behaviours?” and “What if we’re actually killing them?”

Based on the answers to those questions, he founded Dementia Care Matters and developed the Butterfly Household Model of Care, a framework that transforms the care home cultures and environments into ones in which people living with dementia can thrive instead of just die.

This Toronto Star video shows what that transformation looks like, and fills me with hope for the future:

More on the in-depth story entitled “The Fix,” by the Toronto Star’s Moira Walsh here.

https://myalzheimersstory.com/2018/05/24/5-ways-to-make-toast-in-long-term-dementia-care/

https://myalzheimersstory.com/2016/04/23/5-ways-we-rob-people-with-dementia-of-their-dignity/

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Resources, Tips, tools & skills, Toward better care

hot pink duct tape solves alzheimer seating issue

Catherine Bixenman-salesi, who is a member of the online dementia support group USAgainstAlzheimers, is the primary care partner to her mom who lives with Alzheimer disease. Catherine regularly shares innovative, interesting and easy-to-implement “work arounds” to address the challenges she faces interacting with her mom.

I found this one to be particularly creative and practical; here’s a slightly edited version of what Catherine wrote in the support group update:

“I like to pass along tips I have figured out along the way; I hope others will find them helpful/useful.

I was having problems getting my mother to sit in her wheelchair. She just wouldn’t do it. Every time I would try to get her to sit, she’d have a panic attack and start screaming “no, I can’t!” while she grabbed my arms with an iron grip that caused them to be sore to the touch by the end of the day.

One evening I was sitting in the living room, looking at the wheelchair and wondering why she wouldn’t sit in it. Suddenly it occurred to me that her anxiety might be caused by the fact that the whole chair was black. “Maybe she can’t figure out where the seat is because the colour,” I thought to myself. Then I had an “Aha!” moment.

I found my daughter’s hot pink duct tape, tore off a three-inch strip, and stuck it dead center on the wheelchair seat. I thought if I used more, it would be too slippery, and as I wipe the cushion frequently, I also thought germs might adhere between the strips and the seat. Plus, a small square would be easier to remove/ replace.

I also found an old table leg and put some pink tape on the end of it. Now when I ask Mom to sit, I use the table leg as pointer. I tap the stick on the square of pink tape, and say, “Sit here, Mom.” Presto! She sits down pretty as you please. No more anxiety, no more struggle, no more sore arms!”

What a brilliant idea. Much better than saying a person is “resisting care,” or labeling her “combative” and then drugging her into compliance!

Thanks for being such a great dementia detective Catherine, for coming up with creative solutions like this one and for averting arguments by making your mom laugh. You are a care star!

turn potential dementia disasters into fun and laughter

10 ways to get to the bottom of behaviour and problematic situations in dementia care at home and in LTCFs

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