Care Partnering, Hope, Inspiration, Joy, Love

5 powerful dementia care lessons i learned being my mom’s care partner

Being my mother’s primary care partner in various ways for ten years was one of the hardest things I’ve ever done. It was ultimately also one of the most rewarding in that it provided me with countless learning opportunities. I’ve blogged before about the joys, the difficult emotions and the lessons I and other dementia care partners have learned; here are five more:

1 ) People are people, not furniture

A changing brain does not suddenly make someone less than human, less what they were before their brain started to change, or less deserving than anyone else. People are people, no matter the condition of their brain, or their body. They have rights, needs and wants, just like the rest of us do. Recognizing and fulfilling those rights, needs and wants are societal and communal responsibilities.

2 ) Stigma destroys the stigmatized

Stigma can be more destructive and devastating to a person’s well being than a terminal illness. Stigma causes many people who live with dementia and the people who care for them to become isolated, sometimes even shunned by family and friends. This isolation is often more damaging to people who live with dementia and their care partners than the condition itself. Changing the way we see dementia and the people who live with it is one of the most powerful ways we can positively impact the well being of those who live with the condition.

3 ) Life is challenging

The challenges we face in life provide opportunities for us to learn, grow and become better people. The challenges of living with dementia and/or being the care partner to someone who lives with dementia are like other life challenges in the sense that they also provide opportunities for us to learn, grow and become the best we can be. It’s up to us to find the opportunities in the challenges we face.

4 ) We are not dead until we die

This seems obvious. Nevertheless, others treat many people who live with dementia as if they are already gone. I believe that treating someone as if they are not here when they still are increases the chances that they will decline at a faster rate. People need attention (via words, deeds and touch) to know they are loved and appreciated. Treating people with love, compassion, understanding and tender care will improve their well-being and boost their ability to thrive, even as they near the end of life.

5 ) Not needing to be recognized increases the chances you will be

When friends and family let go of the need to be recognized by a loved one who lives with dementia, I believe the chances that the person living with dementia will recognize them increases. My theory is unproven and based on my own experience, but I feel strongly that it’s true. When we let go of the need to be recognized, we become more relaxed, more loving, and more open to possibility, all of which impacts those around in a positive way and creates an environment in which positive interactions are more likely to occur.

What lessons have you learned?

top 15 things dementia care partners say they’ve learned

5 Uplifting Emotions Felt by Alzheimers Dementia Care Partners

5 Raw Emotions Alzheimers Dementia Caregivers Feel Every Day

17 links to the “other side” of dementia

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Hope, Joy, Love

exploring autism spectrum disorder and asperger’s syndrome

No, it’s not a typo. The headline does indeed read Asperger Syndrome and not Alzheimer Disease. And no, the focus of this blog is not changing — this post is a bit of an anomaly.

Lilly*, one of the first and most loyal followers of MyAlzheimersStory.com is an “Aspie.” When I recently befriended someone who, like Lilly, was diagnosed with autism spectrum disorder (ASD or Asperger’s syndrome) later in life (i.e. in his forties), I wanted to know more about the condition so I could be as supportive of my new friend as possible. Understanding is key to communication, and, as we had been collaborating on a project, I felt the more I knew about being an Aspie, the better I would be able to engage him, and the more successful our work together would be. Sadly, the project will now never see the light of day.

Remarkably, as I dug into the information, I recognized the signs of high-functioning ASD in myself, and realized I might easily be considered on the edge of the high functioning end of the spectrum.

When I shared this with Lilly on Messenger, she quickly replied:

“I too believe you could be, you have many high-functioning characteristics, and you troubleshoot with different skill set than “non neurodiverse”, from my observation over the past few years.”

I began my research by revisiting Temple Grandin‘s TED201O talk The World Needs All Kind of Minds, which I had found fascinating when it was first released, and which delivered additional insights on second viewing. Grandin lives with autism, has a doctorate, and is one of the top scientists in the humane livestock handling industry; a highly rated 2010 movie about her life, starring Clare Danes, won a Golden Globe award. She is also the co-author of this groundbreaking book: The Autistic Brain: Thinking Across the Spectrum.

Here is her 2010 TED talk:

This short CNN piece combines live interview with clips from the movie:

I found one of the best “basics” articles on the Autism Speaks Canada website. The article points out that “Asperger syndrome often remains undiagnosed until a child or adult begins to have serious difficulties in school, the workplace or their personal lives. Diagnosis tends to center primarily on difficulties with social interactions.” Other information I found suggests marital issues are frequently among the diagnosis drivers. This excellent Psychology Today article outlines a number of specific, practical strategies that may help get and/or keep a marriage with an Aspie on track. This one in particular struck me:

“Understanding that [Asperger Syndrome] is a biologically-based, neurological difference vs. a psychological mental disorder is key. Learning about [Asperger Syndrome] is important to sort through what challenges are [Asperger Syndrome] based and what are just regular marriage issues. Books, movies, articles, and seminars can help the both partners better understand [Asperger]. Due to its complex nature, learning about [Asperger Syndrome] is lifelong.”

I also found this wonderful video:

There’s a great article on Asperger and creativity here, and another interesting TED talk called Asperger’s: Not Being Afraid Anymore here, and one on meds here. More on girls with autism spectrum disorder here.

People with Alzheimer Disease are often stigmatized and seen as “less than” or deficient in some way. I wrote a poem to help change that mindset. Aspies are similarly stigmatized, and often told there’s something “wrong” with them. There’s nothing wrong with people who are different. They are simply different. So I also wrote a poem about what it might be like for an Aspie to be labeled and stigmatized, from an Aspie perspective. Not surprisingly, I seem to have a pretty good grip on that.

Doing this research was helpful and enlightening for me. I hope it is for you too.

*Not her real name.

http://amazingsusan.com/2018/12/23/see-the-me-thats-me/

https://myalzheimersstory.com/2016/07/24/let-me-shine-a-dementia-rhyme-to-open-minds/

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Care Partnering, Hope, Inspiration, Joy, Love

courageous vangaros united by love in life and death

Pops and Vince Vangaro

Albert Anthony “Pops” Zangaro

April 1st, 1942 – April 10th, 2018

For fourteen years, Vince Zangaro cared for his “Pops” who lived with Alzheimer’s disease. During that time, Vince developed a deep and abiding love, compassion and a gentleness of spirit that endeared him to care partners around the world. He shared some of his feelings on Facebook the day he and his family said farewell to Pops.

Besides being the primary care partner to his father, Zangaro is a musician and the main driver behind the Alzheimer’s Music Fest. His posts and videos documenting the loving care he and his wife Amy give Pops inspired and will no doubt continue to inspire thousands.

As Zangaro and his family approached their final days together, Vince took the time to recognize Chappie Bird, his father’s feathered friend. Here’s that Facebook post as well:

See a video of the Zangaro family caring together here.

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Care Partnering, Hope, Inspiration, Joy, Love

son thanks pops’ caregiver bird at alzheimer’s end

Vince Zangaro is an extraordinary person. He’s cared for his “Pops” who lives with Alzheimer’s disease for fourteen years. During that time, he has developed deep and abiding love, compassion and a gentleness of spirit that have endeared him to care partners around the world.

Besides being the primary care partner to his father, Zangaro is a musician and the main driver behind the Alzheimer’s Music Fest. His posts and videos documenting the loving care he and his wife Amy give Pops inspire thousands.

Now, Zangaro and his family are approaching their final days together, and true to form, Vince takes time to recognize Chappie Bird, his father’s feathered friend. Here’s the Facebook post:

See a video of the Zangaro family caring together here.

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Care Partnering, Hope, Inspiration, Joy, Love

47 things family dementia care partners say they’ve learned

 

Most family members who are dementia care partners will tell you that the role into which they have been unwillingly drafted is one of the toughest, if not THE toughest thing they’ve ever done. And yet, many will also tell you that plenty of learning goes on as well.

Here’s what they said when I asked family members who are also dementia care partners to fill in the blank in this sentence: “I’ve learned ____________.”

  1. I’m only human
  2. shit happens
  3. I am the only one I can depend on
  4. housework isn’t a priority
  5. a little lying can be a good thing
  6. you can’t control anyone else but you
  7. not to waste a moment of my life on negative feelings like bitterness, jealousy, or anger
  8. I am stronger than I ever thought I could be and weaker than I ever wished to be
  9. joy and healing are possible even the in the midst of tragedy and despair
  10. people who tell you to be a vocal advocate often get frustrated when you become one
  11. life is fleeting and love is enduring
  12. I have control over how I react and respond
  13. some day is today
  14. who I am doesn’t depend on what I do
  15. dementia does not rob a person of who she is
  16. caring is not what you say, it’s what you do
  17. all things pass
  18. people with dementia behave like the rest of us
  19. love prevails
  20. I’m great at counting to 10
  21. you never know what’s going on in someone else’s mind
  22. that people are much more than the disease they may have
  23. if I can make my loved one smile, my day isn’t so bad
  24. that everything is relative
  25. who my friends are
  26. how amazing my friends are
  27. how little I need
  28. how to redirect
  29. to live in the moment
  30. to love unconditionally
  31. to breathe and wait
  32. to let love in
  33. to look at life differently
  34. to listen with my heart
  35. to live with the glass half full
  36. to not sweat the small stuff
  37. to slow down
  38. to expect the unexpected
  39. to pick my battles
  40. to enjoy our time together
  41. to see humour in small things
  42. to make conversation about anything
  43. to see the beauty in small ways
  44. to never take things or people for granted
  45. to invest in those who are really here for me
  46. to be non-judgemental
  47. to say i love you more often

There are 15 more learnings here.

Being a family dementia care partner is a roller coaster of tragically raw and sometimes uplifting emotions. It can also be a tremendous learning experience if we choose to let it teach us. What have you learned so far?

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Challenges & Solutions, Toward better care, Videos

TED aphasia video great for dementia care partners

understanding-aphasia-treated

As Mom’s dementia evolved her language skills changed, and while others seemed not to understand what she was trying to communicate when she spoke, I often found it relatively easy to read between the lines and “get” her meaning. At the time, I didn’t know why or how I was able to decipher what often sounded like gibberish, but I instinctively knew she knew what she was trying to say; she was simply unable to locate the words.

Recognizing the symptoms of aphasia, even though I didn’t initially know the technical term for the condition, allowed me to communicate with Mom using words and language for much longer than I otherwise would have. It also helped me to remain patient and to listen more carefully and more fully, which in turn fostered a deeper connection between us. It produced amazing conversations about love, how music helps longevity and more.

Being able to discern the underlying meaning behind the jumbled words that may result from aphasia is an important component of seeing dementia and the people who live with it in a different light, and thus reducing the practice of inappropriately sedating them with antipsychotic medication.

This excellent TEDed video on aphasia is a great reference full of useful information about aphasia and how it manifests. A “must watch” for dementia care partners.

 

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Care Partnering, Hope, Inspiration, Joy, Love

don’t waste your time hating alzheimer’s disease

dont-waste-your-time-hating-alzheimers-disease-2

“Someone asked me the other day if I hated Alzheimer’s disease,” wrote Vince Zangaro on his Facebook page.

Besides being the primary care partner to his father, whom he calls Pops, Zangaro is a musician who is the main driver behind the Alzheimer’s Music Fest. His posts and videos documenting the loving care he and his wife Amy give Pops inspire thousands.

“I told them that for the first several years it was a battle,” Vangaro wrote on. “I realized that if I continued to hate Alzheimer’s that I would reflect that anger onto my father. I decided to build a relationship with the disease so I could continue to have one with my dad.

“It’s not like we do not get angry but anger only gets you so far. Pops and I have had a relationship with this disease going on thirteen years. To accept and not hate has made our family much more at peace. This is just where we are at in life.

“Each of us has to do what we have to to find a sense of clarity through this journey. So do I hate Alzheimer’s? No. It is a part of my father and I love him with all my heart. We accept this and don’t spend our time hating, we rather spend our time loving the moments we have.”

I went through the same kind of transformation that Vince Zangaro describes here. Although he was in his early thirties and I was in my late fifties when it happened, I discovered the same truths that Vince, Amy and Pops did. There’s no point hating Alzheimer’s disease or other dementias. It’s so much more sensible, productive and enriching to spend your time and energy loving the people who live with it, and helping them engage life for as long as they possibly can. The rewards for everyone are priceless and immeasurable.

Here’s the Zangaro family in action:

 

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Care Partnering, Hope, Inspiration, Joy, Love

leslie jones 5 top care lessons & 5 more of my own

lessons learned concept on black blackboard with coffee cupt and paper plane

“I’m so sorry for your loss, our loss. I have followed you and your mom’s story for a long time. My mom just died in December 2015. She lived with me, and I took care of her for the past ten years,” wrote Leslie Jones on the MyAlzheimersStory.com Facebook post after I posted something about Mom’s death.

Ten years is a long time to be a care partner to someone who lives with dementia. I saluted and thanked Jones for all she had done for her mother and I asked her if she would like to share her top five “lessons learned.”

“There were so many,” she wrote, and then she listed these top five:

  1. Patience is paramount
  2. Tomorrow will be better
  3. Laugh every day
  4. She gets frustrated too
  5. Nails don’t trim themselves

Here are five of my own (besides these):

  1. There’s no point hating a disease
  2. “Broken” minds do not define who people are
  3. Holding hands is heaven
  4. Music is better than medication
  5. Somewhere over the rainbow is here and now

What are yours? Feel free to share in the comments below.

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Care Partnering, Hope, Joy, Life & Living, Love

5 good things alzheimer’s brought me more of

150615 Mom and me

Fellow blogger Rena McDaniel ran a post entitled I’VE BEEN ROBBED! on her blog The Diary of an Alzheimer’s Caregiver in which she described the devastation Alzheimer’s disease has wrought in her life.

I know where she’s coming from; so do millions of others. I strongly believe we need to change that. We need to change the way we think, write and deal with the disease and the people who have it. After I read her piece, I challenged Rena to write a follow-up about the ways in which being a dementia caregiver has been a blessing in her life. She responded with this list of blessings which include:

“I am blessed… that everyday I don’t have to worry that she is being neglected, abused or uncared for. That I am able with the help of my wonderful husband to provide…a safe, comfortable… environment for her to relax in with no worries.”

Me too Rena! I also wrote about some of the blessings I received as a care partner to my Mom who died on August 17, 2016:

1) Time

Had Mom not developed dementia, I likely would have stayed overseas for several more years. On my return to Canada, I would probably would have chosen to live in another part of the country, further away from her, somewhere far to the east or west. Because of her illness, I spent about three months a year with her from 2005 to 2011. I lived with her 24/7 in her own home for a year (2011/12) and saw her virtually every day after she moved into a nursing home in November 2012.

Dementia gave us the priceless gift of time. I’m grateful to destiny for this thing that was meant to be.

 

2) Depth

Many people experience dementia as the gradual and painful loss of someone they love. In fact, Alzheimer’s disease is often described as “the long goodbye.”

For me, it was a long hello. It afforded me the chance to more fully understand who my mother was as a person. I saw it as a peeling a way of layers to reveal the essence of someone I’d known my entire life and who I grew to know in a different way. Our decade together from 2006 to 2016 gave me the opportunity to know her better than I ever would have otherwise.

Diving deep into our relationship has been scary, rewarding and unexpected.

 

3) Healing

In the process of being her care partner and understanding her better, I was also been able to explore aspects of our relationship that were hurtful and harmful to me. I found ways to let go of those parts and to grow others that better served my higher self and I hope hers as well. I feel extraordinarily fortunate to have cleared negative feelings from my side of our relationship before Mom left this world.

We had some amazing conversations and incredible experiences together. Many of them profoundly touched my heart.

 

4) Practice

Living “in the now” gets a lot of lip service. Living with someone who lived with dementia forced me to practice the principles of being aware in ways I had never done before. Dementia has no past, present or future. It is this second, this minute, this moment in time. There are no yesterdays or tomorrows; there is only today. Now is it. No more, no less. The practice of being more present in pain as well as joy is a great gift. It creates a deeper connection with self and the universe.

 

5) Opportunity

The experience and the process I went through with Mom taught me a multitude of new things about dementia, music, compassion, conflict, communication and more. Had I known in 2006 what I do now, I would have done things differently. On the other hand, I now have a huge opportunity to help others do better than I did.

I can take what I’ve learned and use it to reduce others’ suffering. I can contribute to the pioneering movement to change the way we engage people who live with dementia. All of these things are great gifts, and I have still more to share — stay tuned.

In the meantime, take a look a Rena’s post to see how she’s been blessed in different ways than I have been.

 

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