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The Long and Winding Road…

~ An Alzheimer's Journey and Beyond

The Long and Winding Road…

Category Archives: Expectations

Telling Our Alzheimer’s Story: When Words Aren’t Enough

02 Wednesday Sep 2015

Posted by Ann Napoletan in Advocacy and Awareness, ALZ Assn Central Ohio, Caregivers, Caregivers.com, Expectations, Face of Alzheimer's, Life After Caregiving, Mom, Ruminations, Walk to End ALZ

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alzheimers, alzheimers story, caregivers, dementia

Retirement Hot Air Balloon Ride, Age 62

Today I was interviewed for a newspaper article promoting the upcoming Columbus Walk to End Alzheimer’s. We spent the better part of the hour talking about my experience in dealing with this horrific disease – the way it crept into our lives, the way it took hold of my beautiful, funny, independent mother, and ultimately, the way it rewrote our life story.

This evening, as I sat down to send the reporter a couple of things she asked for, I realized something. It struck me that I was trying desperately to show this stranger exactly who my mom was before Alzheimer’s as well as the precise manner in which this vile monster attacked her.

I was attempting the impossible. No matter how many stories, photographs, or videos I share, I will never succeed in conveying what I want so badly to convey. There aren’t enough words or pictures in the world to describe the havoc this disease wreaks on everyone it touches.

Following the example that Mom set, I try to focus on the positive. Her motto had always been, “If I don’t laugh, I’ll cry.”

I tell caregivers that it’s okay to laugh; in fact, sometimes laughter is the only thing that gets us through the day. I tell them to live in the “now,” and savor the time they have left with their loved one. I try to be upbeat, providing some sense of encouragement and hope because I believe attitude is critical to overall wellbeing. And the reality is that despite all the pain and heartache, there are still joyful moments to be had.

Circle of Life

Circle of Life, Age 76

The other side of the coin, however, is that this disease is loathsome, and it’s unrelenting. Over the course of a typical Alzheimer’s journey, we often witness the unthinkable; things no one should have to live through (as the person living with Alzheimer’s) or witness (as the family caregiver). I can’t imagine another disease as unpredictable and emotionally draining. At times, it’s a living hell.

How can one possibly tell this complex, gut-wrenching story in a manner that renders understanding in even the most inexperienced bystanders? I suppose we just do the best we can and then let it go realizing the story is ours and ours alone. No matter what words or images we choose, we’re reaching for the unreachable. Finding a way to fully articulate this experience remains as elusive as the disease itself.

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Fog: It’s Not Just a Weather Condition

15 Sunday Mar 2015

Posted by Ann Napoletan in Advocacy and Awareness, Caregivers, Early Onset, Expectations, Face of Alzheimer's, Helpful Resources, Mom, Reblog

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alzheimers, dementia, understanding alzheimers, younger onset alzheimers

A brilliant piece by Brian LeBlanc, who is living with young onset Alzheimer’s. When I think back to my mom in terms of what Brian is describing, it all makes sense. The moments of clarity. The fog rolling in and out. Never knowing when it will come or go. Thank you, Brian, for helping us understand, because understanding makes us better caregivers.

A Bit of Brian's Brilliance's avatarA Bit of Brian's Brilliance

I’m frequently asked, “how have you been” or “how are you feeling?” or “how was your day?” My most frequent response is “a little foggy.”

In an effort to help everyone understand what I am trying to say, I consulted www.merriam-webster.com and looked up fog. This is what I found:

nounˈfȯg, fäg

: many small drops of water floating in the air above the ground, the sea, etc.

: a state of mental confusion

The second definition, as you may have guessed, is the one that I refer to.

To give you an example, imagine driving down the road. Fog has set in and visibility is obstructed. You can’t see much, you’re cautious of your surroundings because of the dense fog. All of a sudden, you break through to a clearing. You can see all around you. Your vision is clear and you can proceed as…

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Alzheimer’s & Managing Holiday Expectations

21 Friday Nov 2014

Posted by Ann Napoletan in Caregivers, Eason House, Expectations, Helpful Resources, Holidays, Mom, Quotes, Ruminations, Tips

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alzheimers, caregiving, dementia, grief, holiday stress, holidays with alzheimers

“Expectations were like fine pottery. The harder you held them, the more likely they were to crack.”  ― Brandon Sanderson

Moments of true joy are often fleeting in our hectic, fast-paced 21st century lives. Add Alzheimer’s to the equation and things become more challenging. Even on the best days, caregivers struggle to find balance, contentment, and peace of mind.

As the holidays approach, we feel pressure to create a picture perfect Norman Rockwell backdrop, from the spectacular meals and family gatherings to the gifts, traditions, and festive decor. While some level of planning is obviously necessary during the holiday season, fully embracing reality and recognizing limitations is critical to avoiding disappointment.

Dreaming of Holidays Past

Back in 2010, I decided Thanksgiving would be just like old times if I cooked the traditional meal at Mom’s residential memory care home. That would solve everything; I actually convinced myself that if I tried hard enough, I could create holiday utopia. 

You can imagine how that turned out!

As is almost always the case, Alzheimer’s quickly reminded me who was in charge. This is an excerpt from a piece I wrote later that evening:

I cooked dinner, and all the while, my stomach was churning, my heart was breaking, and my mind was going in a million directions.

Who is this woman? What can I do to help? Get me OUT of here. What if I’m doomed to the same fate?? Why didn’t I bring a bottle of wine? Is this really my mother? This is just a bad dream, right? Will she let me hug her? Should I try to talk to her? Can I convince her to taste this stuffing? Should I back off and give her space? Why can’t ice cream fix everything? 

Quite honestly, I don’t care if I never cook another turkey in my life… celebrating Thanksgiving on a deserted island sounds like a spectacular plan, in fact.

Grand Illusions

I was crushed, but I had broken the cardinal rule of dealing with dementia – I had created a fantasy that would have been impossible to live up to under the most ideal of circumstances. Simply put, I set myself up for major disappointment.

Special occasions provide fertile ground for creating these grand illusions, and that’s why I share this story. Remaining firmly planted in reality doesn’t mean everything has to be gloom and doom. It simply means avoiding overinflated expectations.

Depending on how far along your loved one is in their progression, they may not even realize it’s a holiday. To them, Thanksgiving is just another day. Even just a few extra people in the house can be overwhelming. Routines are put on hold, noise levels increase, and what feels like a festive atmosphere to the average person may translate to full on chaos and commotion for someone living with dementia.

Keeping It Simple

Set aside some quiet time to spend with your loved one on Thanksgiving. Prepare visitors ahead of time, especially if they aren’t accustomed to dealing with dementia and its challenges.

Some other keys tips for making the holiday happy include:

  • Keep noise to a minimum. Speak clearly in a calm, soothing tone.
  • Minimize distractions, and remember that if you are tense, your loved one will pick up on that feeling.
  • Create a quiet area where one or two people at a time can visit.
  • Watch for signs of overstimulation and recognize it may be time for a break.
  • Keep some old photographs handy for reminiscing.
  • Realize that sometimes just sitting and holding their hand or rubbing their back makes for the perfect visit.
  • Don’t argue or correct them. Remember the best visits involve you entering their world, rather then expecting them to come to yours.
  • Know that the emotions stirred by your visit will last long after the memory of your time together has faded.

First and foremost, find joy in the simple things and avoid the temptation to create unrealistic expectations during the holiday season. The holidays will undoubtedly be different than they used to be, but they can still be very beautiful.

Wishing you and yours peace, joy, love, and a bounty of blessings this Thanksgiving….

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