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The Long and Winding Road…

~ An Alzheimer's Journey and Beyond

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Tag Archives: holidays with alzheimers

Alzheimer’s, Thanksgiving, and Expectations

21 Wednesday Nov 2018

Posted by Ann Napoletan in Caregivers, Expectations, Holidays, Mom, Ruminations, Tips

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alzheimers, alzheimers holiday tips, caregiving, caregiving at the holidays, dementia, holiday stress, holidays with alzheimers, thanksgiving, thanksgiving with alzheimers

There’s one Thanksgiving that is forever etched in my mind for all the wrong reasons. Although it occurred eight years ago, in many ways, it feels like yesterday. When I think of the November holiday that I once looked so forward to, the first image that comes to mind is from 2010.

As I thought about writing this post and what tips I might offer to help you make the most of your holiday, I found myself overwhelmed. It took several days of contemplation for me to come to the realization that it really all boils down to one simple – yet extremely difficult – concept.

Expectations.

Weeks before that fateful Thanksgiving in 2010, I had unwittingly crafted an idyllic vision of how it would go. This wasn’t deliberate, but my subconscious went to work on how the day would unfold, what the preparation would look like, how the meal would come together, and most importantly, how my mom would be that day – her mood, frame of mind, level of agitation, ability and desire to participate, and all the other things that go along with Alzheimer’s.

Of course, at some point, my subconscious went off the rails – thus the dreaded idyllic vision. I’m sure memories of beautiful holidays complete with cherished traditions, found their way into the mix. Without even realizing it, I had set myself up for disappointment, profound sadness, anger, grief, and a dozen other emotions. Naturally, there was no way this Thanksgiving could be compared to or measured against those blissful memories.

In this particular case, our reality bore no resemblance to idyllic. Mom was having a bad day.  A very bad day.

That evening, I, along with Mom’s two caregivers and my daughter sat down to Thanksgiving dinner. By then, the food was cold, and my stomach was in a million knots. My dear mother was pacing and screaming as she had been all day. She was utterly inconsolable. Severe aphasia had long ago robbed her of the ability to communicate verbally, leaving her unable to express what was bothering her – or anything else, for that matter.

To Mom, that Thursday was just another day. It wasn’t her fault; it wasn’t anyone’s fault. It was this damn disease, all part of the unexpected hand we’d been dealt. Simply put, the picture-perfect holiday I had envisioned dissolved into a pool of tears and when it was over, I swore off all future Thanksgivings.

I could close by listing my top 10 tips for a successful holiday celebration, but instead, I’ll gently remind you to be careful of your expectations. Keep them reasonable. Check yourself along the way and make sure your subconscious isn’t taking over and creating an expectation that the day can’t possibly meet.

Rather than working to create a holiday just like those of years gone by, focus on the current reality. Remember that too many people, a lot of noise and commotion, and sudden changes to routines can really throw your loved one for a loop. Plan accordingly. Spending quality time together and making cherished memories – when it’s all said and done, those things are much more important than setting an impeccable table or serving a perfectly plump juicy bird at 4pm sharp. Flexibility is your friend and goes hand in hand with maintaining reasonable expectations.

It sounds cliché, but the past is in the past, and today is all we have. Try to go with the flow, relax, and create moments of joy wherever you can. Treasure the simple things – an unexpected smile, warm hug, or the expression on his face when he tastes a favorite dish that just might trigger a moment of clarity.

Here’s wishing you a blessed Thanksgiving with the people who mean the most to you. And, don’t forget to be gentle with yourself…

 

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Thanksgiving Blessings

22 Tuesday Nov 2016

Posted by Ann Napoletan in Advocacy and Awareness, Caregivers, Helpful Resources, Holidays, Inspiration, Life After Caregiving, Ruminations

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Tags

alzheimers, caregivers, caregiving at the holidays, dementia, holidays, holidays with alzheimers

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It was late summer into fall of 2012 when my mom began a very steep, swift decline. Autumn has always been my favorite time of year (Mom’s, too), but for the past four years, it hasn’t held the same appeal. Now September and October bring thoughts of her last year with us and what a painful time that was. She died on December 15, 2012.

I’ve often said that I don’t remember life before Alzheimer’s (BA). It’s such an all-consuming journey, and when it’s over, after the shock wears off, you realize you don’t even know yourself anymore. The person you were BA is gone and has been replaced by another version of you. That’s not an entirely bad thing; in many ways, the experience helped me grow into a better person.

For years now, Thanksgiving has felt like just another day, but the one thing it does is remind me to reflect on my many blessings. Losing a friend of 30 years last month was a sobering reminder that tomorrow isn’t promised and today is all we really have. That loss also made me realize how much I have to be grateful for.

One of my greatest blessings is the fact that I’m able to use a heartbreaking experience to help others. I’ve been afforded remarkable opportunities to share our story, offer support to caregivers, and advocate for more funding and improved care. Through this work, I’ve met some of the most caring and compassionate human beings on the planet and have forged friendships with passionate advocates around the globe. All of these things are such gifts.

It would be easy to remain bitter – or to resent that fact that this dreaded disease chose us – but what good would that do? Life is what we make it. My mom would want me to keep moving forward with purpose, and I think she would love that her story is making a difference.

The holidays can be especially challenging for caregivers. Let’s face it, those dreamy images we see in Martha Stewart and Southern Living just don’t reflect reality. This holiday season, remember that blessings can be found every day – often in the simplest things.

Alzheimer’s teaches us to appreciate even the smallest of miracles; an unexpected smile, an “I love you” that comes out of the blue when you thought you might never hear it again, or just the fact that your loved one ate a good dinner or had a restful night.  My wish for you this Thanksgiving is that you’re able to find some quiet time to reflect on your blessings.

Peace, love, and joyful moments,
Ann


Other posts you might enjoy

Last Minute Tips for Thanksgiving 
Reasonable Expectations: Key to a Happy Holiday
Getting Through the Holidays with Alzheimer’s
Giving Thanks
Alzheimer’s and Managing Holiday Expectations
Alzheimer’s Taught Me To Be Grateful

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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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Between 2009 and 2015, Marilyn’s Mighty Memory Makers have raised over $22,000 in the fight to #ENDALZ! To all who have supported us, THANK YOU!!

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