In Memory of Jim |
Being
a caregiver to a loved one who has dementia isn’t a job that anyone wants, and
yet 15 million Americans fill those unpaid positions. This army of caregivers
is made up of various friends and relatives who battle the around-the-clock
attention that a person with dementia requires.
The
Alzheimer’s journey is a long and complex route. It begins with small lapses
and glitches that can be overlooked or explained away. It is easy to be in
denial that something major is going on, and you just tend to muddle through
each day as it comes.
By
the time, the symptoms become more obvious, you go through an entire battery of
tests to rule out any diseases that can be treated. As in any diagnostic process,
you will go through highs and lows. Some physicians will analyze the tests results
and give you different answers. One might say, “It’s low blood sugar and as
soon as you treat that, the symptoms will go away.” Another might say, “Get
your affairs in order while you still can.” Throughout the early diagnostic process,
the caregiver shares the anxiety, the fear, and the loss with a loved one. Later
in the disease, the caregiver bears those anxieties alone.
When
your loved one has Alzheimer’s or other related dementia, caregiving becomes an
all- consuming responsibility. If your parent has Alzheimer’s, you find that
your roles have reversed and you feel like the parent. If it is your spouse,
you miss the special bond you had and find your love changing from a reciprocal
relationship to one where you expect nothing in return.
Most
people look at a caregiver and think he or she is a person who feeds, bathes,
toilets, and watches over the person with dementia. They see the physical side
of caregiving as the overwhelming responsibility. They see a caregiver who
looks exhausted from the physical demands and lack of sleep. They may even
understand the mental strain of trying to keep a loved one safe: taking car
keys away from someone who has driven for many years or installing special
locks or alarms to keep them from wandering away and getting lost.
What
the outsider cannot see is the pain and stress that threatens to overwhelm the
caregiver’s soul. They cannot see the inch-by-inch losses that make each day a
new challenge. They cannot see the inner strength that keeps the caregiver
going against all odds. By this point, the caregiver knows that there is no
cure, no effective treatment, and no hope of survival for her loved one.
The
outsider may wonder, why bother? It’s a
losing battle. These are the same people who won’t go to visit because, “He
doesn’t know who I am and won’t remember if I’ve been there.” Hogwash! People
with dementia might not be able to say your name or even recognize you, but
they know when someone cares enough to spend time with them, bring them a
milkshake, give them a hug, or even make them laugh. No, they don’t need anyone
visiting who is going to resent spending time with them or who upsets them. Someone
who cares enough to learn how to communicate with a person who has dementia is
always a welcome visitor.
After
Jim’s disease progressed and I couldn’t provide the kind of care he needed at
home, people used to ask if Jim knew who I was. Jim was silent the last few
years of his life, so I wasn’t sure whether he remembered my name or that I was
his wife. It actually became irrelevant. What he did know was that I came to
see him every day and that I loved him. It wasn’t important that he remembered
me, but that I, and the rest of our family, never forgot him.
Studies
show that the hardest part of being a caregiver is grief. A caregiver’s grief
is insidious, sneaking up and attacking unexpectedly. For a caregiver to remain
healthy, he or she needs to find solace in the fact that the person with
dementia is taken care of physically and showered with love.
Caregiving
with love isn’t what you do, it is who you are. You owe it to yourself, and to
your loved one, to keep the faith that live is
good, but some of us have bumpier roads for our journey.
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Copyright
© January 2013 by L.S. Fisher