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The Long and Winding Road…

~ An Alzheimer's Journey and Beyond

The Long and Winding Road…

Category Archives: Tips

A Beautiful Story of Friendship, Through Thick and Thin….

29 Tuesday Jan 2013

Posted by Ann Napoletan in Blogging, Books, Inspiration, Ruminations, Smiles, Support system, Tips, Uncategorized

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Today, I stumbled upon an absolutely beautiful, heartwarming piece about true friendship. Thank you to Paula Span for telling the story of Sunny and her dear lifelong friends. Most of us can only hope we would be as blessed to be surrounded by such unconditional love and acceptance under these difficult circumstances.

Alzheimer’s is not pretty – and it gets less so as time goes on.  Sadly, friends, and even family members, tend to slowly fade into the ether when things become uncomfortable or awkward. The Supporting Sunny Group demonstrates that this doesn’t have to be the case. As I learned first hand with my own mother, even as the disease progresses to its final stages, there are lovely moments to cherish and memories to make.

Source:  http://newoldage.blogs.nytimes.com/2013/01/28/for-the-love-of-sunny/

January 28, 2013, 1:41 pm

For the Love of Sunny

By PAULA SPAN

The Supporting Sunny Group had planned this luncheon carefully. Because Sunny Harper-Owen, their longtime friend, warmly remembered the years she spent in Paris, the group had decided on a French theme and were bringing quiche, onion soup and chocolate mousse.

More important, they’d developed strategies to avoid confusing the guest of honor. The six women would arrive at the home of the hostess one at a time, so that each could greet Ms. Harper-Owen individually. They’d encourage her to reminisce about attending the Sorbonne and taking cooking classes, because she finds it easier to remember what happened long ago than last month.

“Let’s try to keep the conversation limited to one person talking at a time,” Marian Karpisek had reminded the others in an e-mail before the lunch. “Make sure that Sunny is included in the conversation by looking at her as well as at the rest of us, and giving her time to reply and interact as she wants.”

They all live in San Diego and range in age from 52 to 76. Most met more than 15 years ago, through a monthly spiritual gathering called the Women of Ancient Wisdom. So her friends were in a position to take notice when, two years ago, Ms. Harper-Owen was faltering.

When her turn came to plan the monthly program, “she couldn’t do it at all,” Ms. Karpisek, the group’s elder, told me on the morning of the French lunch. “She couldn’t focus.” Increasingly, “she’d have trouble finding words and completing thoughts.” She began to withdraw from conversations.

“We said, something is really wrong here,” said Ms. Karpisek, who gathered the group to discuss how to help their friend, a talented jewelry maker and dedicated volunteer who was only 64. “We didn’t want to lose her. We wanted to be part of her life.”

Christening themselves the SSG, the women researched Ms. Harper-Owen’s symptoms and sent a trusted emissary to her husband, Wally Owen, to urge him to pursue neurological testing. The eventual diagnosis: early-onset Alzheimer’s disease.

Friendships often fade or collapse at this point. Alzheimer’s is gaining on cancer as the most feared disease. Even when people don’t want to turn away, they don’t know how to preserve relationships with those who can’t easily maintain a conversation or recall a shared past. Family members are expected to step up, but friends can slip away.

The SSG members decided, instead, that each week one of them would spend time with their friend. They’re passing along their experiences here in hopes that others will organize themselves to sustain friendships with people developing dementia.

It took some trial and error to find activities that worked. Visits or excursions can’t require more than a few hours, or Ms. Harper-Owen will tire. “Anything that causes her to feel anxious — crowds, noise, a lot of strangers — that isn’t conducive to her enjoying herself,” Ms. Karpisek said. She once took Ms. Harper-Owen to see “Midnight in Paris” — the French idea, again — but the time-traveling plot proved difficult to follow.

Now, every sixth week, Ms. Karpisek takes her to a nail salon, where they both have manicures and pedicures. With Nere Lartitegui, Ms. Harper-Owen watches — and sings along with — old movie musicals like “South Pacific” or (of course) “Gigi.” Jean Stein drives her to a favorite beach, where they sit on a bench, drink smoothies and watch the pelicans. Ms. Harper-Owen likes visiting the quiet meditation garden in Encinitas.

Afterward, SSG members circulate an e-mail describing the day and their friend’s response, to help guide the others. Ms. Harper-Owen’s husband and their son, Dan, get copies, too.

Dementia progresses, so “what worked in the beginning doesn’t work as well anymore,” Ms. Karpisek said. Despite multiple reminders about each SSG excursion, for instance, one member rang the doorbell recently to find that Ms. Harper-Owen had forgotten and was still in bed.

Some day, members know from their ongoing research, she will have trouble walking to the beach or choosing a nail color. “It will come to the point where she doesn’t know any of us,” Ms. Karpisek said. But the SSG will still visit her, members have vowed.

For now, though, she still looks forward to their outings, to their presence. I know, because after the French lunch — which Ms. Karpisek declared one of the best SSG events ever — I talked with a grateful Wally Owen and then with his wife, now nearly 67 and still quite able to speak for herself.

“It was fabulous,” Ms. Harper-Owen said of the lunch. “To be with my friends, my dear sweet people. To hang out and have great food — onion soup and some lovely pâté — and a little wine. So wonderful.”

She feels very lucky, she told me. “I’m so appreciative of what they’re doing, these amazing, wonderful women coming together.”

Paula Span is the author of “When the Time Comes: Families With Aging Parents Share Their Struggles and Solutions.”

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Being the Squeaky Wheel

24 Thursday Jan 2013

Posted by Ann Napoletan in Blogging, Caregivers.com, Finding a Facility, Guilt and Regrets, Neglect and Abuse, Tips

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As caregivers, we do what we have to do; unfortunately, that often requires us to be the squeaky wheel clamoring for some grease.

I just heard another story this week that drives home the importance of being an advocate for your senior. My friend’s mother, who has dementia and cannot communicate, developed severe symptoms a few days ago prompting the nursing home to transport her to the hospital.

Once there, they began running tests to determine what was going on. The medical team kept coming back to one particular diagnosis, but my friend just didn’t think the pieces added up. She pushed for the doctors to check a few other things, and sure enough, the initial dx was incorrect and would have required an entirely different course of treatment.

Thankfully, my friend’s mother had someone there to advocate for her and to raise questions when things didn’t seem quite right. Docs do their best, but they’re not perfect. You know your loved one better than anyone, so when what you’re hearing doesn’t make sense, speak up. The worst that can happen is that you’re wrong, but at least you will have expressed your concerns.

The same holds true for long-term care. The only way to make sure your loved one is receiving proper care is to remain involved. Ratios in traditional style facilities are ridiculous, and in a business where nobody should be “cutting corners,” it happens all the time.

My latest piece on Caregivers talks more about this topic.

Click here to check it out —> Caregiving 101: Be the Squeaky Wheel.

Remember that everything isn’t always as it seems on the surface, and changes are bound to occur over time. Staying on top of things day in and day out will help to ensure quality care, as well as lessen your chances of having regrets or guilt down the road.

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Thoughts on Long-Term Care Insurance

21 Monday Jan 2013

Posted by Ann Napoletan in Blogging, Care Options, Caregivers.com, Finances, Finding a Facility, Helpful Resources, Long Term Care Insurance, Mom, Tips

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sunsetToday on Caregivers, some thoughts on long-term care insurance: Long-Term Care Insurance: This Caregiver is a Believer.

As I mention in the piece, long-term care insurance was never really on my radar. I’d never had a reason to think about it. And then my mom got sick, eventually needing long-term care. Who knew what an costly proposition this could be. We were in for the shock of a lifetime, and let’s face it, care for a loved one is not something you want to skimp on…

LTC insurance really is something that everyone should consider. You can’t give your family a better gift than peace of mind.

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