Oct 192012

Choice is a luxury and usually a gift.  As a caregiver to a loved one, the absence of choice is a difficult concept to grasp when you are accustomed to the illusion of choice and control in your life. It is earth- shaking to have circumstance thrust upon you, pushing you towards decisions that may go against your grain. – Tania Richard

My mother was diagnosed with dementia in the summer of 2011.  At the time, my youngest kids were three and one. My blended family includes my husband, four kids and a large sheepdog living in a three bedroom townhouse. There was no room for my Mother to live with us comfortably, and no funds to pay for a 24-hour caregiver, which she needed because she could not be left alone.

My parents didn’t plan for their retirement. Their choice determined that I had few options when it came to choosing where my mother would live. The nursing home with a dementia unit I chose would have to be one covered by Medicaid.

She would be fed, clothed and housed with no adornment or extra amenities. My Mother, a private woman, would share a room with two other people.

I could choose to wreck myself over the fact that my Mother was living there, or I could choose to accept it and focus on the fact that she was safe and physically sound.

I had to remind myself that my Mother had not been living a quality life for the past year as her home fell into disrepair and her hygiene declined. The nursing home would be an improvement. I would have to tell myself that every time I visited her.

She was happy in her new environment and made new friends. My Mother before her diagnosis would never have been happy in the nursing home. My Mother with dementia was quite content.

Finally, I felt as if I could make a choice that would empower me and the Serenity Prayer was a guiding force:

            God, grant me the serenity to accept the things I cannot change,
           Courage to change the things I can,
And wisdom to know the difference.

 These are wise words for caregivers to live by as they navigate the world for the person in their charge.

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About the Blog Author Tania Richard
In addition to being a wife, mother, writer, actress and teacher, Tania Richard was a caregiver for her mother, who was diagnosed with dementia in 2011 and passed away the following year. In the short time Tania was her mother’s caregiver, she learned a great deal about the challenges caregivers face.

  73 Responses to “Choosing to Accept the Changes Dementia Brings”

  1. Being a primary caregiver to my mom forced me to change many of my expectations about life, healing, and family. Dementia taught me to be a more patient and accepting person; financial realities of care taught me to look hard at public policy and question how our society will weather the dementia epidemic. I think we’re a lot like New Orleans, just before Katrina.

    • AMEN to all that, Colleen! I had lived away from my mom for 30 years and went home last year to live with her and provide 24/7 care, while in graduate school (on-line). I too learned to take life slower, to appreciate the small things, we healed lots of wounds and became friends, I miss our morning talks and reading a chapter from a book to her.

      My parents had no plan for the future, all we had ever heard was they never wanted to go to a nursing home. My father passed away two years ago and mom was dangerous on her own. When I had to go back home, we had to move her into assisted living. She is happy there, she doesn't remember that she doesn't like to meet new people or play games, like Wii bowling! It is a beautiful facility, but within the year her money will run out. Like Tania's mother, she will have to move into a nursing home that accepts Medicaid and share a room.

      Why can only those of us who have a loved one with ALZ see the perfect storm that is brewing?! The general public has no clue about the out-of-pocket costs for the ALZ medications, the lack of memory care units, the devastation of human life that is happening at epic proportions around them. How can Medicare/Medicaid exist when it is hemorrhaging money on just this illness alone. Then, the NIH is not channeling the research money that is needed to conquer this beast! Some high profile politician is going to have to be personally impacted by this disease before there is a political champion to draw attention to this epidemic and get the legislature to respond appropriately to the ALZ bills that come before them. Your analogy to Katrina is so true and we are so unprepared!

    • I think you are so right…no one knows the magnitde this will take, when the babyboomers start their decent. My fear is that doctors, nurses and other heathcare workers are clueless. They have to ramp thier information up to understand the patient and caregiver… or we are all in peril…Taking care of my 83 year old Daddy…my first crush, thank – you for loving me.

  2. Tania, I truly understand what you've been through. I went through the same emotions when I have to put my Dad into a nursing home 3 months ago. I reminded myself repeatedly that he is in good hands, and that he has all the attention that I could not give him. Since his diagnosis with Alzheimer's Disease more than 2 years ago, I have learned to be more patient and learning more about the disease and what other caregivers are going through is so helpful.

    • My dear mother died in 1991. She was diagnosed in 1980. She lived alone, she lived with us, we took her BACK home to Missouri from Michigan (felt too guilty), when she walked into her home she said it wasn't her house. What a journey!
      My Dad passed right before she showed signs. I believe his death precipitated her Alzheimers. I currently lead a support group for caregivers. While not for everyone, I am convinced we have helped several cope. My co-leader and I have done this for about 8 years. We have heard it all . . . it is so important to educate yourself about the disease, keep remembering that they are not doing this on purpose, they are doing the best they can, and you all know how much patience is necessary. Knowing "how long" would be helpful, but we just don't know that. When the "end" comes, and it WILL COME . . . I wish that all loved ones remaining can feel in their hearts and minds that they did their best in dealing with this horrific disease. God bless all!

  3. My mother was diagnosed this year. They think she is at stage 4. My parents are still living in their home, but for awhile now it has been too much for my dad who has his own health problems. My mother doesn't see that it's too much for him. My dad is thinking of putting her in a nursing home, but she doesn't know. She will fight us on this I know. I know this is probably the right thing to do, but why does it feel like we are taking more of my mom's independence away from her? She hasn't been able to drive for over 12 years and my dad is her primary caregiver. Thank you for your words. That is probably what I needed to hear.

    • Nancy,
      My Mom had Alzheimer's too and my Dad was her primary caregiver. It got so bad we had to put her in a nursing home too and it was so hard on my Dad at first. They were married for 55 years and were never apart until we put her in. The burden that care giving puts on the caregiver both mentally and physically is crazy. My father, who was in great shape died in my Mom's bed while visiting her on "date night" she then died less than 6 months after him. The sooner you can relieve your Father of some of the stress the better. God Bless you and your family, Mary Martony

  4. Thank you for this post! We are facing making choices about my mother's next place to live right now as she continues to decline. Your words are a comfort & a reminder to look for the positive.

    • My husband was diagnosed with vascular dementia about 3 months ago. Every thing has happened so quickly. 6 months ago he was seemingly normal. He doesn't know my name, our kids name, or our grand kids names. He has lost most of his speech and comprehension. This is this hardest think I have ever encountered. Getting enough sleep for either of us is a big issue. We are on our 3 different sleep medication. If youknow any thing that can help with sleeping at night, please pass on the information. He has to have his head propped up and he tries sleeping on the couch. I guess I will know when I can't handle it any longer.

  5. My sister and I are taking care of my mother who was diagnosed with early onset Alzheimer’s Disease at the age of 53 in late 2005. Medicare and Medicaid help some, but the other things you don’t think of that aren’t covered by either can cost quite a bit. It has been an adventure raking care of her. We never know what’s going to happen from day to day. During the day while I am at work, she goes to adult daycare, a Godsend. Because I work shiftwork, she spends her nights with my sister. I know that there will come a time when she will have to be placed in a nursing home, but I don’t think its time yet. Then again, I don’t think I’m ready yet. Being a caregiver is a strenuous and sometimes its painful to watch her lose herself as this disease progresses. May God bless all of you who have been and are currently caregivers to loved ones!

  6. I understand completely, choice being a luxury. My Mother had this horrid disease, passing away this May. We have cared for both parents for the past four years. It is a burden nom matter how much you love love them. Everyone looses. We were able to keep Mother at home until her death and continue to care for our Dad in his home. I would not wish this on anyone.

  7. You are incredibly brave to realize what is important. My mother has been an ALZ victim for over 10 years. She also moved into a memory cre facility in 2011. It was the best decision for everyone. She is always happy, engaged and safe. We are all less worried and able to focus on the great times we enjoy her company. I have had to make hard choices regarding my mother during this journey, but I know that she would always be proud that I was brave enough to put my children’s lives first.

  8. I am living with the reality of Alzheimer's, as my dear mother has it. Just a few months ago
    she was walking, and now she is in a wheel chair,…is almost non-responsive and does not
    know me anymore. It is such a shame they are robbed of their golden years, and it is not
    called the long goodbye for nothing. My heart goes out to you and others, and yes " God grant us the serenity
    to accept the things we cannot change, the courage to change the things we can, and the wisdom to
    know the difference " Please don't let this disease be so hard on you, as your loved one that has it
    would not want you to. Please try to stay strong, and try to remember the good times you and your loved one once

  9. I am living with the reality of Alzheimer's, as my dear mother has it. Just a few months ago

  10. My experience is very similar to Tania's. My mother is happy in her environment and I have peace of mind knowing she is safe and has 24 hour care. It was agonizing and placing her somewhere was not something I wanted to do. But it turned out to be the best decision for my mother that I could ever make.

  11. My prayers, thaughts, and hope goes out to all the people who continue to care for our loved ones. I personally have not accepted the fact that my Mother is in an assited living facility. All I can say is that my Mom is taken care of, happy, and around new friends that she met. Her smile keeps me going. I pray everyday that God can help me accept and to focus on whatever positives there is. Love you Mom! 🙂

  12. Thanks for the blog, Tania and for others' comments as well. I had to place my husband in a memory care facility a year and a half ago because my health was suffering greatly trying to work full time as our only source of income and not sleeping at night while he prowled around cooking and drinking. I also have to tell myself every visit that although he is not happy being there and refuses to take part in any activities, at least my health is better and I am able to continue working to pay for taking care of him. One of the hardest aspects has been all the criticism directed my way from people who have not lived it and do not understand, including his own adult children. I have learned I will never put any guilt on my children and have told them repeatedly, they can put me wherever they need to, that it won't really matter to me in spite of what I may say then.

    • As a caregiver for my husband, I had a fall andbroke my femur two places, after surgery I was given. The new I would not be able to walk for at least 3 months. This accident put my family and husband in such turmoil that I was ready to put my husband in a facility till I got better. We were lucky, an evaluation showed he was not ready, een tho he can not be left alone. One factor in this situation was he was going to daycare and thank God this was available because it kept him a little stable and a place to be with his own kind until I came home.(I was in rehab for one month.)

    • I totally understand your situation as i am going thru the same type of situation. I am 9 yrs younger than my husband and i work and come home and he has been drinking. I hate the disease. Thanx for letting me share

  13. I moved in with mom 4 years ago because she can no longer live alone. I also work full-time. I didn't know if I would be there for weeks or months and just look – I am still there. Life is very difficult. I keep thinking she will progress to the point one day where she won't realize we put her in a nursing home, but I don't know. Til them, we just take it day by day at home. I call her frequently and run home on lunch hours. Don't want to complain, but there is no more "ME" time. I try to tell myself to enjoy whatever time I have left with her, but it is hard.

    • Dee, I can relate to your situation. I also work full time and am staying with my mom for as many years. It suddenly dawned on me awhile ago that when you start being a care giver you stop living your life and start living theirs, there is no 'me' anymore. I find myself shuffling like my mom does, I haven't gone out at night for over 8 months and more concerned about her nutrition than my own health, and dealing with total incontinence has been an eye opener. Even though I wouldn't stop doing it as I feel the guilt would overwhelm me more than the care giving does. What is different with my situation is I have someone who comes to the house a few times a day to check on her and this has allowed me to actually be focused on work at work! It is a day to day thing, I know the time will come when she can no longer stay home. This is my first time at this website and I plan on coming back for this type of support, we care givers have to come together so we feel less alone.

  14. I am in a similar situation but my mother has been in a nursing home alzheimer's unit for a year and still asks me to take her home every time I visit her. She does not like it at all and stays to herself. She is happy to see me when I arrive but within 10 minutes it turns unpleasant because she starts telling me how she wants to go home. There is no reasoning with her because in her mind she thinks she can take care of herself. She is unable to keep her home clean and her personal hygiene was not good. She is 87 and has fallen twice resulting in a broken hip and a broken neck and 2 surgeries. I'm her only daughter and I live 3 hours away. I don't want to move her closer to me because her brothers and sisters live close to her and can visit her often. I've gotten to the point that I don't want to visit too often because I feel like I make her unhappy and I wonder if it would be better if she forgot who I was. The guilt is so hard to bear.

    • My husband got so he was saying he wanted to go home — even though he was at home here! He also talked to me about something I would say – as though I were someone else! Yes, he had certain opinions about things that were not so — it was part of the disease. He lost language, so communication became quite difficult. At one point, he didn't know how to use the toilet. I would sit on the tub edge across from the toilet, and point to the toilet and say "You sit there!" — to do whatever he had to do.

    • Shirleen, I am at the cross roads of finding a place for my mother. She has made me promise her to never put her 'away' in a home. She has lived with me for two years. At 89 she has broken her hip and arm and most recently her back. All with falling. I'm home tonight reading posts of others like me who are so torn with guilt. Mom is in the hospital now and will come home again after learning she will now be on oxygen due to 25% lung capacity. She cannot accept she is older, cannot take care of herself and doesn't realize how severe her dementia is. I have two sisters, both who will not help. I feel so much resentment, guilt, love, anxiety, frustration, sorrow. I am so conflicted. I love her but don't know how much more I can handle.

  15. The care of my mother with dementia has been the biggest challenge I have had to endure. I have lived 5 hours away from
    my mother for 30 years. I knew that some day I would have to put everything on hold and take care of her. My dad died at 61 and left my mother with a few investments but not near enough to pay the rising cost of long term health care. It is so sad to
    see these seniors that have worked so hard there whole life to end up depending on one of their children to take care of them.

    I moved my mother closer to me…8 minutes away instead of 5 hours. It was a big adjustment for her…having to leave her friends. She was in assisted living for 6 months but that took out all her savings. I loved having her here closer to me. We spend a lot of time together, laughing, baking and shopping. I have learned a great deal of patients taking care of her.
    After her stroke in June, I have taken care of her 24/7. I never thought that this care giving would be so hard…especially when she doesn't know what is going on around her. my situation is much like Dana's, doing fine one day and bed
    bound the next.

    I thank God for giving me the strength to take care of my mother. And, many thanks to all the post…It is a relief to know that
    I can find inspiration in all the comments.
    Blessings to All!

    • One thing our support group warned about —- caregiving takes a toll on the caregiver's health. Good to be aware of that to try to take measures to alleviate some stresses.

  16. Thank you for your words of wisdom, Tania. My mother too has Alz. and is entering the final stage. Such a devastating disease for all involved!
    Deneise, in response to your post, there was a high profile politician w/Alzheimer's…Ronald Regan suffered from it for years and years. Tho my guess is that he wasn't on medicare! Maria Shriver's dad had Alz. and she wrote a lovely book to help children understand Alz. She's also a strong advocate. I like to see that the Alz. Assn. is using 'famous people' more and more as spokespeople for this disease.
    My family and I just attended the Walk to End Alzheimer's in D.C. this past weekend. That is one way in which I feel that I can help in some small way, find a cure for Alz. That is my hope and dream so that me, my siblings or my children, won't have to suffer this wretched disease. More folks need to do the Walk, raise funds, contact their local politicians and demand that more dollars be allocated to Alz. research.
    You are right; until one has been directly affected by Alz. one cannot even fathom how devastating it is, and how important it is to find a cure soon.

  17. I was in research for dementia and diagnosed my sweet, loving husband and father of 5 with dementia when he was 50. He is still "alive" 20 years later- but in a nursing home for the past 8 years without knowledge of anyone or anything. His care has taken all my savings, takes his social security and pension and has left me with the loss of my home- I'm now in a rental. I'm 68. For those of you who see the decline quickly- count your blessings. 20 years of care is a lifetime!
    My children either live too far or "can't bear to see their father this way" so they are not involved. That is an additional pain!
    This disease is a disease of the loved ones more than the victim.

  18. My Mom, 94 has had vascular dementia for a number of years but we coped until in March when she fell getting back in bed and broke her hip. After surgery, her dementia skyrocketed to the point that she forgot how to swallow. After surgery she went to rehab but did not do well. I moved her into a Memory Center across from where we lived, it was small, only 17 resident and PT on site. Unfortunately, there was only 2 staff members for 17 needy seniors. My Mom was getting minimal care and I had to bring in my own aids. After 5 months, I choose to bring her back to her own home with aids from 7:00a.m. to 10:00p.m. and I sleep in the extra bedroom. The upside has been that she is more engaging and eating much better. She is wheel chair bound but we get her on & off the toilet and in & out of bed. Not easy, a toll on our backs but good to see her smile. On the other side, she still has anxiety issues and kicks, hits & bites. This does not make for good relations but bless my caregivers they love her too. This has been the hardest journey yet and I pray that my Mom can stay at home til the end. .

  19. Thank you for your story. It provided new insights for me regarding when I made the choice to have my mother live in a nursing home. It was just a difficult and heart-wrenching decision. I could no longer keep her safe in my home. She was safe in the nursing home and although I was filled with guilt in the beginning, overtime I began to realize that I did the best I could, at the time, with the tools I had (at that time).

  20. Tania
    Thanks for your words and a reminder ofthe serenity prayer. I put my wife of 52 years in a nursingnhome 7 months ago and I am still anguishing over her being there. Yet like your mom she at most times is content and happy there. She had suffered from a severe stroke 20 yrs ago. And when dementia started a year ago it just got too much caring for her at home.
    Tom S

  21. Your words are so true and I now can see why it is so hard to get ANY help for me and my husband. He has early ALZ and on Aricept. He is obese and cant walk or move with out a lift ( that I cannot use alone) Only those of us who are caregivers for our loved one can feel the pain and heartache we have to endure with this illness.It is so sad to see such a pridefull man lose himself as this disease progresses. Seems like his friends are afraid of him or think it is contagious , so they dont visit him anymore. I even think his doctor is only keeping him on drugs to keep him comfortable until the end. The words about Medicare/Medical answers for me, why I cant get help, " they are hemorrhaging money on this illness alone" . If you dont have any money your ok, but if you have some money, insurance thats a different story. Yes the out of pocket expenses for his medications and supplies is overwhelming. I thank God for a special gift each month from a special person in our life. I truly thank each of these comments for your input and I pray all will be well for you and yours This IS the biggest challenge we will ever have to endure. God is with us and he is ever present help in time of trouble Amen

  22. I have read each of your posts and I can only tell you all that even after the flame goes out and you are no longer a caregiver nothing fills that empty hole in your heart. I was a care giver to both of my parents with Alzheimers. Both had to be placed in care facilities. There are questions with no answers and memories with no endings. I pray for each and everyone of you no matter the involvement. This ilness robs us all and then leaves us questioning. I would walk the walk again and yet I wish I could have refused. It is very complex.

  23. A lot of people talk about how no one understands because they haven't been there, but I HAVE been (and still am) there. My mom AND her husband were diagnosed in 2010, and I moved them both in with my husband and me. I made as many modifications and I could at home. Sometimes a main floor study or a master on main has to be turned into your loved one's bedroom. You just DO it. We all had adjustments and concessions to make. If you work, there are agencies that will assist with providing respite care for you. Recruit friends to fill in for you. Allow your church to help you. There are professional caregivers clamoring for jobs. I've done all of the aforementioned. Mom's husband passed away last year, but before he died, he'd had to spend 90 days in a rehab facility/nursing home. I vowed that my mom would never have to stay in a place like that. I don't care how nice they seem to be when you walk in the front door, spend about 12 hours in one and pay close attention. They are understaffed, and many of the lower echelon staff are there because it's a job, not because they are committed to keeping the residents comfortable and healthy.

    • Dementia is a subject which we’d all rthear not explore, yet we all have to at some point, as you say. I have been a visitor in good and bad homes and also seen the care available at the patient’s own home. The disease is a dreadful curse I wouldn’t wish on anyone.May I wish you a happy and peaceful Christmas, dear Freda.

  24. But you do what you have to do. My mom raised me and cared for me, and I am committed to doing the same for her. And once she's gone, I know that I will have no regrets about the life that I was able to give her in her final years.

  25. My Mother also has Alz. My family has been taking care of her at home for the past 4 years. It is quite devastating to see your Mother not even know your name anymore. We collaboratively (Mom included) have decided that Mom would have a much better life around people her own age. To be able to see and interact with more people on a daily basis. So it is to be, in a few short weeks, that she will begin living in a nursing home. I learned to live by the Serenity Prayer many years ago. It hangs in my living room and I read it every day.You see, I have also been a caregiver for the past 35 years of my life to my totally disabled daughter.

  26. I was blessed with the fact that my Mother had money she had saved and we were able to place her in a nice assisted living faclility close to my work. I had tried to get mother to think about what she wanted to do when she could not live alone. She would not face this. She was found wondering around in a parking lot and I had no choice but do something. After a hospital stay my brother and I had to make the decsion to place her in a safe place. I could have quit work as a nurse and stay at home with her. I realized that would have been miserable for both of us. She would argue with me because she did not realize her deficent. Now I can visit her and we can have a plesent time together. The place she lives has activities that she can handle, she is safe and cared for.As you said we have to focus on the good part. We have to realize that the alternative would be worse.

  27. I sympathize wtih the writer of this article. Indeed, when I calculated the expense potential of having help caring for my husband with his dementia, I knew that we could not afford it. It actually would cost More than having him in a nursing home! Home health aides did not want to care for him even part time — and that was a potential lesser cost than nursing care —- they said that he would require more care than they would be authorized to provide. It was a blessing that my husband passed 30 days after being placed in care, first in the hospital, second in a nursing home. With all the hazards for someone with dementia living in a house that really isn't generally designed for people with any difficulties such as coordination or handling the activities of daily living, life in a facility designed to handle care requirements is essential — and especially a place that accepts Medicaid!

  28. Thanks to all of you which has been so helpful to me. My mom has been diagnosed with early stage of dementia. Since my father's death her health has been declining. I am a long distance care giver and it has not been easy. She lives 5 hours away. I know that I have to make a decision very soon either to move her here with me and my husband, daughter and her two children. When I am there with her for an extended period 4-6 wks my nerves are shot and it takes me a while to recover. To place her in a facility would be difficult because that is just something we don't do. It is just me and my brother and I am the oldest and retired. Family members put you on a guilt trip but challenges with my health will cause me no other choice but finance is also a problem. I truly understand what caregivers go through.

  29. My very brilliant and darling Mother (83) had a surgery over 1 year ago. Following the surgery I noticed, at first, very subtle changes in her personality but the speed of her mental decline is shattering. I've just taken a leave of absence from my Job to care for my Mother as my Father 87 is not coping. I feel so totally lost and panicked right now. Every time I get into my car I cry as I'm trying to keep a positive front up around them. Can anyone help me with how to have an honest and consoling conversation with Mum that won't add to her awful anxiety because she has said to me privately that she knows. This is the first time I have ever been so lost for words with this amazing woman who has always enabled and encouraged every aspect of my life, career and family. I can't bare to think of her being afraid and must try to help her.

    • It is very important that you take care of yourself if you are to there for your mom. Give her lots of hugs and handholding Listen to her concerns and let her know you will be there for her. For yourself get help and try to do something nice that makes you happy everyday. God blees you

      • Thank you so much for your reply Julie. As a result of that first visit to this wonderful website a few days ago, I've spoken with my Mother's Doctors again and now feel a little more empowered about the conversation we are trying to have. This website is very important because it offers an engagement with people in similar circumstances with more experience and empathy on the day to day journey this conditions brings to both the person with the condition and the family. It's very consoling not to feel so alone on bad days. Go well and many blessings to you too. Mary

    • My Mother and I had that conversation in July of 2010 she knew what was happening and didn't want to continue her life like her mother. We talked about it several times with the same outcome. The weight of what the disease was going to do to our family was more than she could bear.She now lives in an assisted care facility and sometimes asks me to help her sleep forever. The helplessness never has left me but I do what I can to help her accept her disease. I hope I am able to handle it as well when it happens to me.

      • Thank you for your reply Lois. I'm very grateful that you took the time. I think you describe in one word within your reply the way I have been feeling for my Mother. Helplessness. I'm so very glad I found this website. The helplessness doesn't subside, but through this website I've found that the empathy and experience sharing so very helpful and empowering in terms of the day to day journey. Go well and many blessings to you. Mary

    • Mary, I posted just before you did, but I didn't mention that my mom's onset was also after surgery. Yes, it comes as a terrible blow when it happens that quickly. Fortunately, I had been advised by a neurologist that this was often the outcome when elderly people go under general anesthesia. The best thing that you can do is attend some dementia/alzheimer's workshops, and learn as much as you can about the disease. I have been taught some very helpful coping mechanisms that have assisted me in dealing w/ my mom's situation. I now use round-the-clock caregivers here at home so that I can continue to take care of MYself but still keep my mom in her preferred environment.

      • Thank you for your reply Donna, much appreciated. Why do Surgeons run this risk with anesthesia and the elderly? My Mother's surgery could have been undertaken with an epidural. I'm very annoyed that this risk wasn't highlighted to both my Mother before her surgery. I will take your advise about the workshops. AGAIN, Thank you for taking the time to reply . Mary

    • Dear Mary,being a primary caregiver to a Altzheimer's patient,my mother,I don't know how much Faith in the God plays in your life but having had several conversations with mother about life and the ending of this one here on Earth,over time, I have watched as she becomes more content with this disease and it's final outcome.Mother is a Christian knowing she is sick with no hope of recovery as the woman she once was but she has accepted the fact that we all have our time on this earth with our physical death inevitable she has become content with each day.I don't know what lies ahead for her or myself but I find both our Christian beleifs to be very comforting,I am still learning each and every day but Patience,love,caring are the primary indegredients to making the most of every day.My Prayers are with us all as we the caregivers care for out beloved parents the best we can.God Bless You

      • David, thank you for your reply. Yes, my Mother is a committed Christian and practicing Catholic. She derives great comfort from her faith. I'm very considerate of this as I have a very different view on Religion myself but we have never had any problem with our different approaches to Religion. Mom has always encouraged us as a family to follow our own paths but to respect the beliefs of other religions and even those who have no beliefs at all. She is quite a woman David and I know, like your Mother, she is so much stronger and comforted for having her faith. Watching this now gives me comfort too. Blessings to you and your family. Go well and again, thank you for your generous reply and your prayers. Mary

  30. Seems most comments are about mothers. My husband was diagnosed with alzheimer at 65. He was in a daycare for alzheimer patients for a year and a half. However, a month ago I was told they could no longer let him go because he got so bad. I have him home and can't begin to tell you all the problems I am faced with: losing everything, breaking things, eating anything he can put his hands on, not knowing anyone including family, etc, etc, etc. I will start using sitters one day a week for now to see how that works, but don't know what the future holds. I take one ay at a time and pray the Lord will be with me and guide me. God bless all who are going through difficult times in dealing with this horrible illness.

  31. Thank you! My mother will be moving into a nursing home soon – just waiting for the next available bed – and I am feeling consumed by guilt, angst, etc. You're right, this is a 'choiceless choice'. But I can choose my response to it.

  32. Thankfully, I am not at this point. However, I have had to change the way I think and feel about the changes that are taking place with my mother. It is hard to accept that this person you are caring for is not the mother you grew up with or enjoyed talking to and traveling with as an adult. Now, I see glimpses of my mother but for the most part she is not there. She is still functional and active, but she is just not the same person. It is hard to explain to people that aren't going through this. But I have a hard time with the fact that this woman who taught me how to cook, cannot be trusted to cook because she will forget that something is on the stove and burn up the food and the pan. Thank you for this post, it does help to know I'm not alone.

  33. is there anyone out there who had to put their husband with Al’s the in a nursing home I’ve only been reading about mothers ….. especially the financial aspects on a wife.

    • Yes I would like to hear more from wifes who has to spend or handle the expense of loosing ss and/or pensions upon putting husbands in a nursing home and not looking all our pensions to do so. I know lawyers can save one from this but would like to hear from you.

  34. My husband has Dementia and this has been devastating to our 4 children and myself. He was always such a “Go-getter” doing things in such a fast manner that we often told him to SLOW DOWN. Then 6 yrs ago, he got very feisty and tried to kill me as I was getting ready for work. We had no idea what was wrong. The ER doctor told me right away what he had and that I had a hard road ahead of me. And believe me it has been just that. We all have to be so careful in what we say or do around him. I retired early to take care of him so that naturally has put a damper on our income. He always received cash for his work jobs so his SS check is not adequate to cover his medical expenses. His dementia medicine is outrageous. But if I have to starve he will have it or be locked up. I know he will be in a home soon. If it wasn’t for my Heavenly Father, I would be in a terrible shape but by His grace I will survive. I pray for all the people effected by this terrible disease that a cure is found to detect it early in the onset.

  35. Very enlighting and thoughtful words. I am an Alzheimer patient and looking at the future with some concerns. Tania's words were useful and actually comforting for me. I am a disabled combat veteran, former University Professor and State Official, now on an entirely different life path that I would have ever imagined. My creator has plans for me that I could have never anticipated. Thank you Alzheimers Association for keeping me informed and in-touch with current research.

    Dr. James P. Hawke, Ph.D.

    • After reading as much as I can on the computer world about alot of things especially about Dementia stages & Alzheimers because I've been court ordered to live in an asissted living complex here ,but do find it hard to believe any one with Alz. or progressive Dementia can comprehend the computer or the fundimentials of Dementia and/or Alz

    • James, I was so very glad to read your comment. Is there any advice you can offer me on talking with my very brilliant Mother who is now negotiating this unexpected journey too. She is very brave but I'm not so brave and find myself for the first time guarding every word I speak around her for fear of adding to some really anxious moments she has from time to time. I often feel selfish because it's almost like I'm so angry that she is here, but not here and I miss her and shouldn't because she IS here. Can you advise me a way to stop doing that and to respect and accept the changes with Mom. I wish I could say all this to Mom and I will soon because I know she'd have the answer for me but I'm still afraid and maybe cowardly. You have a personal perspective on this condition and how it is discussed with you, your practical advice may be the most helpful of all to share. I'm finding that Mom's Doctors only talk about medication and are full of generalizations. Go Well James. Mary

      • Greetings Mary, it was very nice to hear from you. My prayers and best wishes are for you and you Mother to weather this difficult disease. For me, I try to live each day in the best mood and with the most positive impact I can have. Memory is a problem, but I refuse to let it get me down. These days I often wear "Cargo Pants", in one pocket I have a "Droid" computer with telephone and many other helpful features. In the other Cargo pocket I have a Garmin navigator so I can still find my way around to the place I need to visit. In two weeks my wife and I are heading back to Hawaii for a second visit this year. Last year we spend several weeks in New York. I have no memories of the trip, but the pictures we took show me just how good a time we had.

        Good luck with you Mom and she will be in my prayers and, of couse, you will also be in my prayers to have the strength to get thru this disease. God bless you both!

        Dr. James P. Hawke, Ph.D.

        • James, you must keep writing on this Blog. Because of you, I found a way today to open a more open conversation with my Mom by telling her I talked to a person (you) who was also negotiating this condition.

          It's such a consolation to hear you say that you have no memories of a trip but that pictures helped you see how good a time you had. I can do that with Mom this Christmas now and know that she REALLY will have a record in a way that she believes and that won't frustrate her. I hope you understand what it means to me to get this insight from you. I also hope you and your wife have a great time in Hawaii, take lots of photographs James.
          With blessings to you too. Mary

  36. I hope that as caregivers we understand the necessity of making provisions for ourselves while we still can and not have our children or future caregivers in the same bind that many of us presently face. I took out an insurance policy that will be used for my care if I am unable to care for myself in any way. I was forced to put my mother in a nursing home and it is a heart-wrenching experience. I still visit her every day. I do not have children, and even if I did, I wouldn't want them to have to worry about how they were going to care for me. Please check into getting something in place for yourself. This way, you know you can go to a facility that you choose.

    • Linda would you please share more information about what type of insurance you took out for your long-term care. I too have no children and wouldn't want to burden anyone with my care as gracefully grow older.

  37. My mother was diagnosed with dementia five years ago. For the first two years, I worked four 10 hour days and spent three days with her at her home. Then I left my job three years ago to care for her full time. These years have been incredibly hard. Watching a loved one fall into the darkness of dementia is a horrible experience. One day I know I will have to place her in an assisted living facility with memory care. It tears me apart to think about it. For now she is content at home and I send her to an adult day care facility during the week so I can catchy breath.

  38. My husband had dimentia, and I kept him at home, as I was able to care for him. My main challenge was caring for his incontinence – both with his bowels and bladder. But I learned to cope with it — it was like caring for a child that has not learned how to detect this body operation. I was blessed that he was very docile, and always did as I asked, told or directed with hand signs. My first inclination that his brain was working incorrectly was when he completely forgot who a friend from high school day was, as he told many stories of this particular friend. As time went on, he gradually had problems remembering his own children's names, and would write them down and keep them in his billfold. Long story short his heart surgery, hip surgery, and bilateral hernia operation also took a big toll on him. The last year and half he barely communicated orally. I do feel though that I did not show enough affection to him daily, like hugging and kissing him – as he passed away in September and I miss him so much. He either had a small stroke where he couldn't walk, or the dimentia just finally took that ability away from him. Doctors didn't seem to really know. All in all he lived 7 years after I first noticed the symptoms. An Alzheimer/dimentia home would have been way to expensive. We would have been married 62 years this coming November. Our family all have lived close, so I had their support. I had home health care for awhile, but they don't really have the authority by Medicare to help in all aspects. I made arrangements for someone to come to the house to shave him, cut his hair and clip his toenails. I was able to take him with me to grocery shop, and eat out until the last three months, when I realized he really was not enjoying the car rides or having to get in and out of the car. So started to have one of our daughters come to be with him while I got out. And started to just go through the drive thru's at restaurants. I was getting so I really did not want to prepare all the meals. It is hard for Alzheimer/dimentia patients to have change – so I tried to keep a definite routine and I think that helped him a lot. Like I said, I have been very fortunate that my family was close.
    However, I do think it is less expensive to keep them at home, and hire help if at all possible, and it is familiar territory for them. There is no golden rule set of answers though – as each patient is different.

  39. My mom who suffers from Alzheimer’s has been wanting to “go home.” My dad is her primary caregiver and they have lived in their home for the past 34 years. I know this is common but any suggestions on how to handle this. She gets very angry with him.

    • That is exactly what my mother is doing with my dad. He is her main caregiver. I help during the day, but it is at night when she gets so angry at him. Doesn't know who he is and doesn't know they are married. It has been very difficult for him. He keeps wanting to pretend that it is not as bad as it seems. Doesn't want to tell anyone doesn't want any outside help. Not sure how long this is going to go on before he will ask for outside help.

  40. i have recently moved my dad into my house as he has been diagnosed with dementia. and i find my self getting stressed out with him here is there anyone out there that can give me some suggestions on helping my dad he acts like a 2 yr old in public and it just breaks my heart to put him in a assisted living facility he is 68 yrs old please help me…..

  41. My mom has dementia and it tears me up every time I visit her. Today she tried to bite me. I left in tears. She was once such a loving,sweet person. I wondered if you have found any blogs or books that can bring even a little comfort.

  42. Please help me!! My 85 yr old mom has dementia. She is in a hospital right now which medicare is not paying for her stay as they say dementia is not a medical. She has not only Medicare but blue cross / blue shield. She cannot afford private pay and does not qualify for medicaid. What do we do.

    • Hi Maria, You can learn more at the link below or speak with one of our professionals at 800.272.3900.


    • Look after her yourself take all the free course you can at nursing homes I wish I could look after my mom but can't because of family I miss. Her teribly

  43. I Havel had my mom in a home for about a year now she seems to be adjusting I see her once a month but she is fading fast so I call her every day I don't know what else I can do I really love her it breaks my heart to see her this way

  44. Hi. Is there anyone out there that has or had a parent get diagnosed around the age of 60? My mother is 61 and is going in for neuro testing in 3 weeks. We are pretty sure she has some form of dementia, as does the doctor. My dad is 55 and working full time. She was just put on a leave of absence due to her memory issues. My sister (22) and I (27) are having a really tough time with this as well as my dad. I am having a really tough time as this is all i can think about from the time i wake up until the time i go to bed, and im not eating well, and have so much anxiety over this. Looking for support. Thank you

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