Coping with Her Grandfather's Alzheimer's Disease and Lessons Learned from "The 36-Hour Day"

In this blog post from AFA Teens Advisory Board Member  Emmy Prothro she explains the important lessons she learned about caregiving and particularly those from reading "The 36-hour day" and how they benefited her interactions with her grandfather who had Alzheimer's disease. 
      
It has been eight years since my grandfather was diagnosed with Alzheimer’s disease.  We have been very lucky that his illness has progressed gradually over that time.  

     
As I look back over the past few years, it makes me happy that I can remember the days when everything was normal at Maw Maw and Paw Paw’s house. Paw Paw used to sit and sing with us for hours.  He would tease us and make us laugh.  He always had time for us. So as his disease has gone from forgetfulness to almost total disability, I have tried to give back to him my gift of time. 

     
The hardest thing for him is letting people help him.  I have learned to be more compassionate and patient with Paw Paw.  I always give him a kiss when I leave, and I tell him I love him.  Sometimes he will still say, “I love you too.”  I have learned to cherish those moments. 

     
This past summer, I read the book “The 36-Hour Day" a family guide for caring for persons with Alzheimer disease by Nancy L. Mace and Peter V. Rabins. As I read this book, I not only began to understand the illness better, but I also began to understand what my grandmother has gone through as Paw Paw’s only caregiver during the past eight years, until a few weeks ago when Paw Paw had to go to a rehabilitation hospital. He had become completely dependent upon her for everything, from getting dressed to eating to going out in public. She has done it all. She is my hero.

     
In reading, “The 36-Hour Day,” I also learned ways to communicate with my grandfather as he slips away more and more each day. Remaining calm, smiling, holding his hand and looking directly at him when I speak are all ways to communicate with him nonverbally.

     
As I learned from the book—and in real life, when someone in your family is facing a disease that involves memory loss, it is challenging for the family as well as the person who has the disease. All of us try to help Maw Maw out as much as we can. We have all adapted to Paw Paw and his needs.  The most we can do is keep his life as stable and familiar as possible.  Although I cannot change what my grandfather is going through, I have realized how my family can better deal with his disease and be more compassionate toward all of my family members who have been affected by it.  

     
Editor's Note: Emmy's grandfather recently passed away on September 9, 2011. Emmy notes: "I am glad that I had him in my life for 18 years."

What a Difference Spending a Few Hours with Someone with Alzheimer's Disease Can Make

 In this blog post by AFA Teens Advisory Board member, Barrett Cole, she addresses the growing Alzheimer's disease epidemic and calls on teens to make a difference by volunteering and spending a few hours with someone with the disease.

     
Alzheimer’s disease doesn’t just affect the people with the disease; it has a huge impact on their families, their friends and their communities.  It not only robs individuals of their cognitive abilities, but it steals time and energy from everyone involved.  With a growing aging community, Alzheimer’s disease continues to wreak havoc on those whose lives it affects.  As people live longer, and with no cure yet in sight, Alzheimer’s disease will have a huge impact not only on older generations but on younger generations as well. 

Alzheimer’s disease is a growing problem.  According to the Alzheimer’s Foundation of America (AFA), it is estimated that as many as 5.1 Americans may have Alzheimer’s disease.  

Current research from the National Institute of Aging (NIA) indicates that the prevalence of Alzheimer’s disease doubles every five years beyond age 65.  While deaths from other major health factors continue to drop in the United States, the number of deaths due to Alzheimer’s disease continues to increase.

            
With a disease like Alzheimer’s, for which there is no cure, one of the most important things that we can do as neighbors and communities is to give of our time and energy in helping people dealing with the disease and its insurmountable trials.

            
Alzheimer’s disease is not only emotionally draining, but it is financially draining.  It is estimated that one to four family members act as caregivers for each individual with Alzheimer’s disease, according to AFA.  The annual cost of caring for one individual with Alzheimer's disease ranges from nearly $18,500 to more than $36,000, depending on the stage of the disease, and the national tab for caring for individuals with Alzheimer’s disease is estimated at $100 billion annually.

"The demands of day-to-day care, changing family roles and difficult decisions about placement in care facilities can be extremely hard to handle," according to the NIA.  Community initiatives such as online and face-to-face support groups can be a lifeline to those dealing with these issues.

Volunteering to just visit someone with Alzheimer’s disease for as little as an hour can make a difference both for the caregiver and the individual with the disease.  Additionally, recent studies show that social engagement and mentally stimulating pursuits can help reduce the risk of cognitive decline and Alzheimer’s disease in particular. Take the time to go read a book or play a game with someone with Alzheimer’s disease.  Cook a meal.  Hold a conversation with an individual who spends most of the day alone taking care of a loved one.  Help educate members your community about this disease and risk factors.

            
Even one small act of kindness like this can mean the world to people affected by Alzheimer’s disease—and can reward you with meaningful experiences in the process.

               

The Residual Power of Music

In this blog post, AFA Teens Advisory Board member, Liz Pires speaks to the residual power of music, its ability to heal, and how we can help use music to improve quality of life for people with Alzheimer's disease. 
 
It is generally acknowledged that music elevates mood, soothes fear and tension, and solidifies relationships. So how can it heal as well?

Neurologist Frank R. Wilson, who is an internationally respected, Pulitzer Prize nominated-author, labels music one of the hallmarks of humanity (Hodges 17). While most people are neither bestowed with the gift of musical ability nor the ear to distinguish between sharp and flat tones, every human being has the capacity to appreciate and experience music.

People with all types of disabilities are able to understand and enjoy music in a way that fascinates many doctors and scientists – and why is this?

The residual power of music…

Several years ago, an article in Wall Street Journal included information about a 28-year-old man in the Bronx, NY whose recovery from a stroke was helped along by music. The reggae and rap that emanated from his borrowed iPod aided him in walking again (Beck), emphasizing that music has an incredible healing power that is, mostly, indescribable.

In an article in The Wall Street Journal, Concetta Tomaino, D.A, the executive director of the Institute for Music and Neurologic Function, in the Bronx, NY, describes  music as "engaging very basic mechanisms of emotions and listening…stimulating dormant areas of the brain that haven't been accessible due to degenerative disease."  The institute’s internationally recognized programs use music therapy to assist the "awakening and healing" of individuals with various neurological conditions, including Alzheimer’s disease.

  

I’ve found that music’s click of familiarity possesses a calming feeling, a sense of home for anyone and everyone. Just as our skin feels warm and our head begins to gently bob to the sound of a favorite song slowly making its entrance, an individual with Alzheimer’s disease may be able to do the same. The process of measuring an individual’s ability to react to familiar music can be unreliable; however, music still has a charming, undeniable force. The rush of music can call up distilled memories or just feel recognizable, like warm water trickling into a tired, dry plant. It’s nourishment.

I urge others to explore the magic of rhythm and beat in the face of the devastation of Alzheimer’s disease. One idea that I find to hold colossal potential and requires little effort is an organized music drive to benefit people with Alzheimer’s disease. In every way possible—from stopping by garage sales to asking storeowners, friends and neighbors, collect used and new iPods, CD players, CDs and cassettes to donate to organizations with programs for people with Alzheimer’s disease.  Or better yet, to make this drive even more impactful, find out what types of music the residents have enjoyed in the past and try to collect those songs. In addition, you can find individuals or groups to perform familiar music at senior centers or care facilities.

Easy. With those simple acts, you can make an immense impact on many peoples’ lives and simultaneously involve the community, which would also help raise awareness of the disease.   

Hodges, Donald A. "Implications of Music and Brain Research." Special Focus. Music     Educators Journal, Sept. 2000. Web.

Beck, Melinda. "IPod Therapy for Alzheimer's Patients - WSJ.com." Business News & Financial News - The Wall Street Journal - Wsj.com. 16 Nov. 2009. Web.

How One Novel Shaped a Teen's Experience Volunteering in the Alzheimer's Community

In this latest post from AFA Teens Advisory Board Member Abril Resendiz, she reviews a novel entitled “Still Alice” and suggests how it has helped her as a volunteer at Alzheimer’s organizations. 

For the last several years, I have been volunteering at several different types of organizations, but nothing has had more of a colossal impact on me than volunteering at a care facility for individuals with Alzheimer’s disease.
     I began volunteering at a care facility near where I live in Texas during my freshman year of high school and from the moment I started there, I felt an inexplicable sensation. I soon realized that the people who I was talking to were cognitively impaired. And as a result, our conversations were rather circular. At first, I could not ascertain how to talk to the residents, but after a few visits I realized that the key was to engage them in a conversation in a way that was most meaningful for them.
     I formed such a strong connection with these residents that I felt I should learn more about their illness. I wanted to expand my knowledge of Alzheimer's disease to be able to interact with the residents in the most effective way possible.
     I read several books to further learn about the disease, and even though they guided me to understand the biology of the disease, I still remained unaware of how someone with Alzheimer’s disease would actually feel as the disease progresses. That is, until I came across the novel, “Still Alice,” written by first-time author Lisa Genova, who holds a Ph.D. in neuroscience from Harvard University.
     The novel is a compelling, heartbreaking and terrifying story about a 50-year-old woman named Alice Howland, who is a brilliant Harvard professor, wife and mother of three. The novel depicts her sudden descent into early-onset Alzheimer's disease and the impact that it has on her life. While most books about Alzheimer’s disease are written from the point of view of a clinician or other healthcare professional, “Still Alice” is written from the point of view of Alice, the person who actually has the disease. I believe that this literary approach makes the book that much more powerful.
     As Alice slowly starts to lose her cognitive abilities, the story becomes more difficult to follow. Yet, although the description of events as told from Alice’s perspective becomes less clear, mirroring the course of the disease, what is gained is much more powerful: You get to see the feelings of frustration, anxiety and turmoil that Alice experiences.
     I believe “Still Alice” is a compelling book that can help family and friends connect more effectively with their loved ones and better understand what they are going through.
     The insight I gained from the book has, no doubt, helped me become a better volunteer. One of the caregivers at the facility once told me that she saw me as a messenger—that through my visits, I was delivering joy into these residents’ lives. However, in reality, I see myself as the recipient of this joy, a joy that I believe I acquire each time I volunteer.

How to Overcome the Loss of Communication Caused by Alzheimer's Disease

In this latest post from the AFA Teens Blog, 2011 AFA Teens Advisory Board member, Chris Schloss provides meaningful suggestions on how to overcome the loss of communication caused by Alzheimer's disease.  

One of the many frustrating aspects of coping with loved ones affected by Alzheimer’s disease is the loss of communication. More than likely, over time, the disease strips people of their ability to remember words, communicate thoughts and even to understand the life stories you might want to share with them. This limited communication is a fact that many caregivers find hard to accept.

But, in order to move forward through this sad period, caregivers can make the most out of the time they have with loved ones with the disease by cherishing the precious moments that remain. If a caregiver can proceed to this step, he or she might ask many questions: “How do I make the most out of our remaining time?”, “How can we still communicate if I can’t tell him/her anything?”, and “How can I get help?” Both my grandmas currently have or had Alzheimer’s disease or another form of dementia. Only one is still here for me now, and I am facing these types of questions as my relationship with her continues to change as a result of her illness. 

Now, whenever I tell my grandma anything pertaining to my personal life, it’s hard to believe that it will only entertain her for a few brief moments at most. Lately, it has escalated to the point where we hardly speak because of the pandemonium. 

I have discovered that the most successful way to bring her to a calm state is simply to reminisce with her over her childhood memories or engage her in discussion about the things that she enjoys. 

Once, during a stretch of long, chaotic days, my sisters and I brought over our black lab. This acted like a quick remedy for happiness; I hadn’t seen her that happy for months. She didn’t stop smiling, laughing and petting the loving dog, and my sisters and I saw a glimpse of how we remembered her a few years prior. Another time, when, things went bad, my mom and I took the advice of another AFA Teens advisory board member and played Puerto Rican Christmas music for her, even though the holiday season was nowhere near. Again, she was ebullient because she still remembered the memories of the carols. 

The most important factor in keeping a loved one relaxed and sociable is to make the person feel as comfortable as possible, at all costs. Sometimes, when all else fails, just sitting quietly and holding the person’s hand is the best way to connect. Making the most out of the time you have with a loved one with Alzheimer’s disease isn’t necessarily figuring out how to communicate your own personal life, but rather stepping back and enjoying being in the moment.

How "Mannies for Grannies" is Utilizing the Power of Touch to Aid People with Alzheimer's Disease

In this blog post by 2011 AFA Teens Advisory Board member Lexi Gray, learn about the importance of touch for people with Alzheimer's disease and how she is truly making a difference with her service organization, "Mannies for Grannies." 

The power of touch is a subject that has been studied for decades. Newborns, for example, need human touch because it helps them feel the same sense of security that they felt inside their mothers’ womb. Studies have shown that babies who are not touched can suffer from health problems, including failure to thrive, poor immune systems and even brain damage. Children in orphanages are often not held or touched enough, and are sometimes afflicted with “severe social problems.”  In some extreme cases, children’s deaths have been linked to lack of touch.

     
These studies are prime examples of how important touch really is to the human race. While not quite as detrimental as the lack of touch for newborns, the need for touch for older adults is very strong as well. Adults are known to lead happier, healthier lives when they receive loving touch from others on a regular basis.

     
Unfortunately, for people afflicted with Alzheimer’s disease, they often receive too few visitors and limited human interaction. 

      
Realizing this inspired me to start an organization called “Mannies for Grannies.” Through “Mannies for Grannies,” I take a small group of middle and high school aged girls to a nearby nursing home to give manicures and hand massages to the residents with Alzheimer’s disease.

      
And although we are not professional manicurists, the residents really do seem to benefit from our visit. I believe this may simply be because they are receiving the attention they need and deserve from others.   So our visits are really not about how great their nails look after we are finished, but instead, it’s about how our visits make the ladies feel on the inside after they have received human interaction and touch.

     
I know that perhaps the residents do not remember our visits soon after we leave and I know that giving the residents manicures and hand massages will not cure their disease.  However, my hope is that it does enhance their lives in a positive way.

     
So if someone close to you has Alzheimer’s disease, remember to hug and use touch with them often.  And if you are so inspired, you can also start a service organization that brings the power of touch to those who are often forgotten.

     
Editor’s Note: For more information on how to “Tap the Power of Touch,” check out the Fall 2010 issue of care ADvantage magazine, AFA’s quarterly publication for caregivers of individuals with Alzheimer’s disease and related illnesses.

What Athletes Show Know About Contact Sports and Brain Injury

In this post by Michael Powers, a graduate student at Boston University and former football player for the University of Pennsylvania, read what athletes should know about contact sports and brain injury.

Many of you may have seen the news about dementia in athletes who played contact sports. The condition gaining most of the attention is called chronic traumatic encephalopathy (CTE). For those of you who play contact sports such as football, soccer, lacrosse or hockey, hearing repeated stories of athletes developing dementia can be frightening.

After playing college football and taking thousands of hits to the head, I am very concerned about my health and the health of my teammates. The recent news of a college player suffering from brain damage hit particularly close to home because we played for the same school.

The best way to deal with this sort of fear is to educate oneself, which is why I have done extensive research on the subject. I wanted to find out the truth about dementia in athletes and share it with other athletes.

Here are the key facts that I have found:

1. Although certain types of brain changes, called neurofibrillary tangles, have been described in some athletes, there is no conclusive evidence that playing contact sports, even boxing, increases your overall risk of developing dementia.

2. There is no conclusive data to firmly show that contact sports cause CTE because the number of examined brains is small. In many of the athletes with CTE had other risk factors for dementia, such as blood vessel disease.

3. Concussions are dangerous and should be taken seriously. Repeated concussions can do serious long-term damage to your brain.

I do not want to minimize the significance of brain trauma in sports; rather, I want to emphasize the known risk of concussions. Many concussions in sports go unreported because athletes feel pressured, often by their own sense of loyalty to the team, to play through the pain. However, playing through a concussion may be dangerous because concussions may cause temporary chemical changes in the brain that make it susceptible to permanent damage.

I encourage you and your family to read the information on the AFA Teens Web Site about how athletes can protect themselves from sports-related head injuries.