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With Mayo Clinic health education outreach coordinator Angela Lunde
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June 27, 2008
Support group comes full circle
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By Angela Lunde

Last week at the support group I co-facilitate, three women shared difficult news — they had each lost their loved one with dementia within the past few weeks.

They expressed a variety of emotions including relief, guilt (guilt for feeling relief, guilt for wondering if they did enough), and profound sadness. They spoke about the void they are grappling with now.

Just weeks ago, their days were filled with orchestrating care, medications, doctor's visits, baths, and sometimes challenging behaviors. They had been spending their days worrying, grieving, and feeling overwhelmed.

Now, life is dramatically different, not necessarily better or worse, just different. Important to all of us around the table that evening was the discussion of "lessons learned" from these seasoned caregivers.

During the group they each spoke eloquently about the precious time they spent caring for their loved one, and while they would not say that this time was blissful, it was indeed special and precious. The women spoke about how they had learned to live in the 'moment' and not force their loved one to remember or anticipate anything beyond the now. And if their loved one insisted that they were their mother instead of their wife, well then, for that moment they were the mother.

Elinor Fuchs, a professor at the Yale School of Drama wrote in her book "Making an Exit:" "Actors are taught — Stay in the moment. No point in going behind (my) Mother with a little cognitive vacuum cleaner to straighten up meanings, or running ahead with plans for the day. On the stage it is always now (for someone with Alzheimer's disease)."

The women spoke about the later stages of the disease. It was at this time they learned not to dwell on their loved ones failure to "know" them through names or roles (i.e. husband, wife, son, daughter). However, these caregivers were certain their loved one still "knew" them as a special person in their life who provided a sense of belonging, reassurance, and love.

For these three women, completing a caregiving journey has brought profound life lessons, and in some (maybe peculiar) way, their lives have been enriched. More than anything, I know the wisdom and life lessons they have gained will be passed on to the caregivers sitting next to them and across the table. In the group last week, one of these women held the hand of a woman attending for the first time as she cried about her declining mother. This is the life of a support group come full circle.

19 comments posted
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September 23, 2008 9:32 p.m.
To Donna Aug 6, 2008. First order of business is get your husband off the road! If he has an accident in his condition, and the condition can be verified, you can an probably will be sued! See his doctor, tell him the situation and try to get your husband in to see the doc. In most states, a medical doctor can contact the motor vehicle folks and have his license revoked. Might make hubby mad, but consider what you will do if he has an accident! Richard
- Richard Downey, support group facilitator
August 12, 2008 7:31 a.m.
My husband has middle stage Alzheime's and is suffering from an arthritic knee. My dilemma is that replacement surgery is the only cure for the pain but with his dementia, is it wise to have the surgery?
- Aletha
August 7, 2008 11:32 a.m.
Katheen, My husband was placed a year ago in a care facility. After 19 years of physical health problems, open heart surgery in 2000, his complaints began 'he couldn't remember'. Then Sundowners began. I have no regrets on placing him, nor do I feel quilty. I still cry. This disease is real, it affects everyone. My husband isn't the same man, his brain is slowly being eaten by this disease. It's good to cry, this is a long goodbye. I read everything about this disease I can get my hands on. Stay on top of his care! Shirley
- shirley
August 7, 2008 9:28 a.m.
I am married to a man who has 3 older siblings with Alzheimers. I have been trying to find a study we could participate in but have had no luck. Any suggestions anyone. We live in Fargo ND.
- Vicki
August 6, 2008 9:33 p.m.
Elizabeth, I know exactly what you mean when asked about your loved one knowing you. I always told them, he does not know my but he likes me!! I think people are curious about a disease that some have never had contact with. We can educate them. Hang in there. Nan
- Nan
August 6, 2008 9:29 p.m.
My husband passed away in May. We had been friends since we were 12 years old and I miss him. Married for 51 years and my job in the last 10 years was as a caregiver. Time will heal so they tell me but I spent my time taking care and making sure his care was good after I found a wonderful facility that met all my expectations. My life has changed and my days are not as full and the evenings are lonesome but the thing that makes me okay is that I know he is with Jesus and feeling no pain and that his mind has been restored. Always we learn something from our journey and I learned patience and lots of things became unimportant. I wish all of you the peace of mind to know that you are doing all you can. I have no regrets and that gives me peace. Nan
- Nan
August 6, 2008 7:54 p.m.
My husband seems to be getting alot of the symtoms, but will not go to the doctor to find out for sure if he has it, he is afraid they will take away his drivers licence. He is not the same man I married, has child like behavior and his common reasoning seems to be going. I never thought once about my spouse turning on me and thinking I am his enemy. From day to day, I am not sure if he has went to our financial advisor and changed things financially, I am really afraid that among everything else that is going on, I will wake up with no means to live once of these days. I really feel alone, and that I have lost the man I love so much already, but yet he is ok one day and totally not making any since the next, although he thinks that there has been no change in him. what can I do?
- donna
August 2, 2008 2:59 a.m.
thank you for expressing the message from the women in your support group about the privilege of caring for their spouses and I know my husband feels my presence and is soothed by it, whenever i visit his nursing home. That said, I limit my visits because every medical change (always for the worse) brings a few days of adjustment and melancholy for me. Through all this, it is still a blessing to express my love for the helpless man I married 34 years ago. I have a question for all of you---why do acquaintances/friends always ask "does he recognize you?" and how do you respond to the questioner?" It makes me think most people think a.d. is a disease of recognition only---what do you think?
- elizabeth
July 22, 2008 10:19 p.m.
My mother, age 87, has not been diagnosed with Alzheimer's but has some form of demenia. I'm the only caregiver. Dad passed away 15 years ago. I'm an only child and still work full time. Mom is paranoid accusing me of stealing her medication and now food from her freezer. Plus she thinks I don't like her and doesn't trust me! I'm not sure how much longer she can live alone and I hate the thought of placing her in a nursing home. I'm glad I came across this site and plan to return whenever I can.
- Polly
July 17, 2008 5:30 p.m.
My husband was diagnosed at least 8 years ago with Alz. Now he is acting at times child like. How do I cope with this?
- virginia
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