Periodically I will add posts here if the sources provide additioanl informaiton on how to think about and deal with Dementia/ Alzheimer's Disease.
SCROLL DOWN FOR TEXT and BIBLIOGRAPHY from DAI WEBINAR 2/22-23/2017. You can also find this information on my website: www.horvich.com
Even though this blog is now dormant (see info below) there are many useful, insightful posts. Scroll back from the end or forward from the beginning. My guess is that you could spend a lot of time here and maybe learn or experience a thing or two about living with and loving someone with Dementia/Alzheimer's or maybe come away with the feeling that "you are not alone" in YOUR work with the same!
• • • • •
THIS WAS THE FINAL POST TO THIS SITE BEFORE IT WENT DORMANT.
Happy New Year 2016. With a new year comes new beginnings and sometimes endings. If I am personally progressing and if I am doing a good job in my grieving Gregory's death; if I have been able to learn my lessons in living and loving someone diagnosed with Dementia/ Alzheimer's; if I am to get on with my life ... I need to bring this Alzheimer's blog to an end since my writing has been dealing less with Dementia/ Alzheimer's and more with life after Dementia/ Alzheimer's.
Of course, I will always continue to work for and support fair treatment on behalf of people with Dementia/ Alzheimer's and may post here from time to time. Also, there are many wonderful posts here through which you may browse.
With this change, I will continue and reinvigorate my "michael a. horvich writes" blog which deals with grieving Gregory's death, life lessons, personal experiences, observations, memoirs, dreams, and humor in essay and poetry, as well as an attempt now and then at sharing a piece of fiction.
Please follow me there by clicking http://mhorvich.blogspot.com or click the link located on the right side of this page.
Finally, COMMENTS are always important to me and you can still comment on the posts on this blog! CLICK "Comments" and sign in or use "Anonymous." Leave your name or initials if you wish so I'll know it's you? Check the "Notify Me" box to see my reply to you.
Friday, October 28, 2011
"Be good to yourself, take time for yourself, believe in yourself, all you really have is yourself!" (Michael A. Horvich 2011)
People would always say, "You need to take care of yourself." Had figure out what that meant in the middle of the continuous crisis that is Alzheimer's. Easy for them to say but you're the one in the middle of the cyclone. But one day you learn. As you will have to do for yourself.
You need to be selfish. Selfish doesn't mean selfish. It means SELFish. If you don't take care of yourself first, you will not have the energy, time, and/or spirit to take care of others. If you are in poor health you will not be able to help others. If you are frustrated and angry, you will not be able to be organized and calm.
I have learned. One day you will too!
Thursday, October 27, 2011
Improv For Alzheimer's: 'A Sense Of Accomplishment'
Same Unconscious Connections Kicking (SUCK) in.
Same Usual Chaos Kept (SUCK.)
We had just had a poor interaction in which I said some things that I shouldn't have said having to do with threatening to send him "to a home" and that were hurtful to him. I apologized quickly. In short order I was calm, he was good and I again apologized saying (which I have said many times after a "fight") that our love for each other is never in question, that I am here for him, and I promised never ever to use the "going to a home" threat again. He thanked me.
"But," I said, "some time we need to talk about how we will know when it is time for you to live somewhere other than in our home."
I asked, "Have you ever thought about this before?"
"Yes," he replied.
"Can we talk about it now? Why haven't you ever talked to me about it." He replied that he didn't want to.
"I understand. It is a painful thing to talk about." I asked again if we could talk now about how we would know when it was time and he agreed that it would be a good thing.
"How will we know when it is time?"
He thought for a while and replied, "Well, it isn't for a long time yet."
We circled through that answer and my trying to get some more thoughts from him about 'when.' Never got there. Finally, he asked me, "Can you help me."
I explained that I had some ideas but had hoped to know what he thought. He was unable to gather any thoughts to share.
So I began, slowly and deliberately so he could follow, "I think that there are very few circumstances under which this decision will have to be made. Probably I (not we) will have to make it. Probably you will not be happy with the decision. But it will be the best, carefully thought out decision that I can make.
"First it would be time if I physically cannot take care of you anymore because I am unable to do so or because I cannot do a good job of taking care of your physical needs. If I had a short term illness I am sure our family and friends and maybe some hired help would be enough to let you stay at home. But any long term illness on my part would probably tell us that you need to be someplace that can take good care of you.
"Second is obvious, if I die before you.
"Third is if you become harmful to yourself or to me. One example is if you become violent. Another would be if you wander and I cannot keep track of you. If your behaviors cannot be protected like when you use a knife or medications inappropriately. Lots of things could be locked up ... but not everything.
He agreed with what I said. Soon after the tears stared, his first with mine following, and we hugged and rocked for a while. But we both readjusted fairly quickly and felt better, both agreeing that the conversation we had was an important one and glad that we had it. I again promised that I would never out of anger or frustration threaten to put him in a home again. He confined, "Never." Now we are getting ready to go out to dinner. Life continues.\
In writing this and proof reading it several days after the fact, I realize that our conversation had a bigger impact on me than it did on him. He is able to continue in his "fog" which is not always a bad place to be. I live with the eventual reality of the of having to make one of the most difficult decisions of my life. And I am sad.
Thursday, October 20, 2011
Monday, October 17, 2011
Thursday, October 13, 2011
Sunday, October 9, 2011
Wednesday, October 5, 2011
This was my response to her response:
Loved (and appreciate) your response. You were able to cast a lighter "air" to it, which was greatly appreciated. In some ways you are right. What you don't witness is that he still wants to be vital, do things for himself, thinks he knows what he is doing, needs a level of independence and self respect. I cannot take that away from him which is what causes the dilemma in the first place.
I seem to remember an observation scale from my education days that went like this: NEVER, SELDOM, ONCE IN A WHILE, SOMETIMES. OFTEN. USUALLY. ALWAYS. And then that can be applied to "Ability to do something." and "Inability to do something." This is what makes Alzheimer's Disease (and any Dementia) so insidious.
Sometimes. Never. Usually. Whatever. Not possible:•) WHIMSICAL
In dealing with the "day-to-day" of dealing with Gregory as he deals with his "good and bad days," I have made a new observation or maybe rediscovered a previous observation or some combination there-of. (This sentence, by the way, is an example of the dense direction my writing sometimes takes which is complex in a way that forces the reader to slow down and really focus on its meaning. Maybe this is what Gregory has to go through with all things now-a-days?)
THE BACKGROUND: Previously I have talked about how sometimes helping Gregory is a question of more or less. My intervening, or suggesting, or helping, or taking over is a question of making the situation more painful or less painful. More insulting or less insulting. More difficult or less difficult. But none-the-less painful, insulting, and/or difficult. Follow that?
Here we are now at the beginning of Fall, 2011. You and I are making subtle changes easily to adjust for the change in weather, not so for Gregory. What he might wear on any day takes finding or asking for the weather forecast, deciding how that might apply to what type of clothing to wear, selecting that clothing, getting into the clothing, and then deciding what type of jacket, if any, to put on before going for his walk. He is not always successful at doing all this himself so sometimes he will ask for help, other times I will offer help, and still other times he returns to the apartment three times until he gets it right. On the rare day, he is totally on target but a day or a week later, the season continues on its way and needs change and Gregory is unable.
I realize that sometimes (notice SOMETIMES is used a lot if only because it is not NEVER and not USUALLY) when I try to help, I actually cause more problems for both of us. I distract him, inadvertently cause more confusion, or he doesn't understand the words I am using, or whatever. (I think WHATEVER might be my new mantra!) I find myself "jumping in" too soon to try to help Gregory avoid frustration but then I cause both of us to become frustrated. It is very difficult for me to watch him struggle through an activity or decision so I "jump in." Is giving him "space" and "time" to work through a situation "more difficult" or "less difficult" for me? I am beginning to think that I will be and we both will be better off by my slowing down before helping. Another approach would be to announce, "I'll be here if you need me, just ask." I could also sit quietly after letting him know, "I'll wait quietly until you need me." If the situation does not allow me to give him time and space, I need to keep my voice even, my temper in check as I say something like, "Here, let me do that. I don't mind."
Now that the days are cooler, Gregory needs to put on something warmer when he gets up for his morning breakfast preparation and sitting at his computer to do the daily e-mails and news. We switched to his heavier work out pants and shirt which we call his "grays." But he has been having problems assembling his outfit the night before so it will be ready in the morning in the warm bathroom. He has not been able to get past putting the "grays" in the bathroom to the need for underpants, undershirt, and sox. Often he does not recognize those words or is unable to say them. I designed a sign with a picture of each item. To me it made sense that this would make it easier for him to remember everything he needed. It didn't. I explained. He struggled. I explained again. I didn't get angry but I know Gregory senses my frustration. That was when the observation came that sometimes my trying to help causes more harm than help. Sure enough last night he got everything he needed together and into the bathroom without my help or the sign's.
THE LESSON LEARNED (for how long?):
Best to wait until he asks for help or if his struggling goes on for too long or if his frustration level gets too high. This is while the activity is at the "SOMETIMES" level. The need for my constant awareness and monitoring of the ongoing interactions and activities our life is the difficult part. At a certain point in time, when the "NEVER" or "USUALLY" level arrives, I will take over and do it for him every night, change expectations and routine. Down the road, I will let him try it by himself again and if he is unsuccessful permanently be in charge of that function.
FINALLY: I will try anyway to do everything I can (for example the sign) that might possibly help and if it doesn't work I will do something else, I will just try not to beat myself up for trying.
Monday, October 3, 2011
10 Clues that Your Cat Has Dementia
- food fortified with antioxidants and vitamins,
- a stimulating environment with toys and playtimes with their favourite human
- medications prescribed by the vet.