Some of you may know that our family is going through a journey together, along a road that has taken us all to places unanticipated and even unimagined. My mom has shown signs of dementia for years, who knows how many? Slowly and often imperceptibly growing, often without change or attention for months, and then a leap forward with a telling comment, or outburst, or uncharacteristic action, that leaves us with more questions than before.
After a stint in the hospital due to a UTI (which is a brain virus for seniors) and C-Diff, a dreaded infection that stems from antibiotics, my mom, who is rarely, if ever, sick or injured, returned home with a body much recovered after years of neglect, and a brain that had developed much further into dementia. It seemed that she was dying, which she daily requested that we orchestrate, and which provided the only end in sight that looked possible or feasible. But slowly it became apparent that her body was still recovering from illness, and her mind was not going to recover beyond a certain point. And thus we quickly pivoted to move her into assisted living (which she had often mentioned in the past, certain she belonged there) which, once there, she alternately appreciated and hated. That was over six months ago.
I am currently reading a book called “Travelers to Unimaginable Lands” which analyzes not just the disease of Alzheimers but the relationship of patient with the caregiver. Reading this has given voice to some of my most difficult questions and feelings. Caregivers, being human, cannot help but be drawn into the reality of someone with dementia, unless and until they come to the clear conclusion that the person is not really “there” anymore, in which case all motivation for loving them and caring for them becomes a moot point. So of course we search for the person, we rejoice when we see him/her, and we encourage actions, thoughts and feelings which we find desirable or healthy. The closer we are to the person with dementia, the harder it is to simply have a dispassionate compassion, which is the most sustainable mental perspective of a caregiver who must withstand daily, minute changes in everything from mood to purposeful action, including those that feel very close to being the “real” person!
Continue reading A Trip to Unimaginable Places in The Mind