Thursday, March 28, 2013

A New Way to Help: Eliminate Choices

As my mother declines, I am sometimes left scrambling to keep up, in the sense of knowing how to best help her.  At times, an idea of a way to make life easier for her will come to me, and then I'll ask myself, "Why didn't I think of this before?"  :)

For example, recently I have been noticing how hard it is for my mom to make decisions--really, any decisions.  She is much happier being told what to do, rather than having to try to figure it out.  For example, when she's putting ice in the glasses before dinner, she'll often ask how many pieces of ice to put in each glass.  My tendency is to shrug and say, "As many pieces as you want," because honestly, I don't care a bit whether a glass has two or five or twenty-five pieces of ice in it!  :)  But I'm learning that it is not helpful for me to give her such freedom because freedom demands a choice from her, and choices are HARD.  As much as I hate to feel like I'm telling her what to do all the time, I realize that it's truly better for her if I just say, "Three.  Put three ice cubes in that glass."  Eliminating the choice is a good thing for her.

In a similar way, I have had occasion recently to put food out on her plate for her, and I'm seeing how beneficial that is for her.  Rather than having her struggle to follow the thought process of "we're having taquitos for dinner, so I need to put some on my plate, and then I should have some salsa to dip them in, and here are refried beans to scoop up, etc.", I can do her a favor by eliminating that difficult thought sequence and simply putting the food on her plate.  She still knows what to do with the food on her plate!  :)

Because my husband loves Mexican food, we regularly have tacos for dinner; and virtually every time we have them, my mom has to ask, "Now how do I do this?"  Rather than realizing that you get a tortilla first, then pile all the meat and toppings into it before eating it, she is puzzled.  Rather than looking around at how the rest of us are doing it and copying us, she has to ask, "What do I do?"  When I can graciously and subtly serve the food to her already prepared and ready to eat, it makes life so much easier...and, I think, eliminates some of the mental pressure that she feels.

Wednesday, March 27, 2013

Words from My Brother

After I wrote my brother--the one closest in age to me--an email updating him on Mom's decline, he wrote back with these words:
It makes me so sad to hear that Mom is going downhill so fast.  I thought that she was hanging in there as she has for awhile.  Your family and Dad have shouldered the load so much and I am truly grateful for your efforts.
"So sad."  Yes.  Me, too, brother.  Me, too...

Tuesday, March 26, 2013

What She Can Do

She's going downhill, and it's happening fast.

After analyzing my mom's condition for years--and being thankful that her decline was so very gradual and slow--we are now realizing that a new stage is upon us.  Things have changed.  She's losing abilities right and left, and it seems so quick now.  The knife in my heart keeps turning, digging deeper and deeper.

Hundreds of times over the past three and a half years since I started this blog, I have thought about what I should write here: usually incidents that occurred that showed how much the Alzheimer's had taken over my mother's mind.  But I very rarely actually took the time to sit down and write.  So much of the story of her decline has slipped away.  Perhaps that's OK.

For tonight, however, I want to capture a snapshot of who she is now--specifically, what she can still do.  I don't have any idea how much longer she'll keep these abilities; but for now, I'll pause and appreciate them.

~ She remembers my daughter's name.  At her most recent visit with the doctor for her regular check-up about Alzheimer's, she could not, when he asked her the names of her grandsons (specifically, my sons, the ones she sees every single day), come up with any of their names.  She could, however, tell him that my girl's name is Moriah.  :)  Even though my daughter is the youngest of my children, she obviously stands out in my mother's mind, and there's something really special about that.

~ She can feed my daughter.  Sometimes in the pre-dinner rush, I ask my mom to sit beside Moriah's highchair and feed her yogurt or applesauce or something like that, and she can do that.  An extra pair of hands at that busy time of day is a genuine help!

~ She can pray before a meal.  Since there are nine of us who eat dinner together, my mom's turn to pray before we eat doesn't come around very often; but when my husband calls on her to pray, she does so very willingly.  Her prayers are rather slow, long, and almost always include topics that maybe most people wouldn't include in a prayer before a meal; but it is obvious that she loves her God, loves her family, and puts her heart into her prayers.  I'll admit that, to my shame, sometimes I chafe at the length of her prayers; but then I remind myself that one of these days, her voice will be silenced.  I know when that day comes, I will long for the chance to hear her pray just one more time.  With that in mind, I have learned to value the precious times when she prays before our dinner.

~ She picks up sticks that fall from our many trees.  Using her pick-stick, she is able to gather sticks from the yard and put them in boxes to be used as kindling in our woodstove.  Despite the monotony of the job, she LOVES it.  As a matter of fact, monotonous jobs are really the only kind she can do now, so it's good that she enjoys them!  :)  I am truly grateful for her help with this because those sticks sure come in handy when I'm trying to get the fire going on chilly mornings.  :)

~ She washes dishes.  This is another job that she LOVES to do.  Nearly every evening--unless I send my parents on their way after we finish eating--she stands at the kitchen sink and starts washing the dishes I place on the counter as I clear up the table.  Tonight she had to ask me which way to turn the handle of the faucet to get hot water.  Often she asks me which dishpan goes in which side of the sink.  Sometimes she asks me if the soap sitting by the sink is the right kind to use.  But she very cheerfully scrubs away at the dishes and seems so pleased to be able to help in that way.

~ She makes iced tea.  My husband drinks iced tea all the time, as does my mom.  Since I'm still nursing my baby, I don't drink it as much as I would like to, but I do drink it some.  And the person who makes all the iced tea that we consume is my mom.  In the past, I have tried to make it, but it just doesn't taste as good as hers does, for some reason.  She sweetens it with stevia, rather than sugar, and so far she is able to make it just fine.  We're waiting for the day when she...oh, I don't know...puts salt in it instead of stevia or something like that.  But for now, we'll keep drinking her sweet iced tea and be grateful that she can still make it and contribute to the family in that way.

~ Even if she doesn't remember their names, she LOVES my boys and is so warm and affectionate with them, especially when it's time to say goodbye and go back to their house for the night.  My two younger boys can't let my parents out of the house without wanting hugs, and my mom is great about giving them enthusiastic hugs and telling them that she loves them.

~ She is the best at expressing gratitude to me, especially for the dinners I make.  I don't think an evening goes by that she doesn't specifically pause to thank me for the delicious dinner and the "fellowship" (the word she always uses) before she leaves to go home.  Her spirit is so gentle and agreeable and cheerful and uplifting, and that is a true blessing.

~ Believe it or not, she can still play the piano for their church.  When it's her turn to play (once a month or so), she plays several pieces for the prelude, one for the offertory, and usually accompanies some hymns, too.  Dad has to coach her about when to start playing and things like that, but her ability to correctly play the pieces is ingrained in her head sufficiently that she can still do it!

Remembering these successes helps to encourage my soul, especially because I'm more apt to remember her "failures" from the past few years.  Like the time she made a pie for us, but forgot to bake the crust.  Strawberry pie with an unbaked crust is not the most appealing thing I've ever eaten.

Or the time (several years ago) when she wanted to help with my laundry, so she found some clothes in a laundry basket in the laundry room and folded and put them away.  The only problem was that they were dirty clothes, not clean, and I had the difficult task of going around to everyone's closets and drawers and trying to determine which clothes she had put there that needed to be washed instead.

Or the time I was at their house when she got a message about making a fruit salad for a meal at their church.  She turned to me and asked, "How do I make a fruit salad?", then got a paper and pen and started trying to carefully write down the exact directions.  ("Mom, you open a jar of peaches, and then open a can of pineapple chunks, and if you have a banana, cut that up and put it in...")  And this is the woman who always had a big crystal bowl of fruit salad in the winter and would add various fruits to it to keep the salad going.

Or the time she and Dad were trying to pack before a trip to the beach with us last summer, and things were going so poorly that Dad was nearly at the end of his rope.  I had to intervene and do Mom's packing for her, which took me all of about five minutes and which I didn't mind at all.  I told Dad then that anytime they need to pack to go somewhere, I will pack for her.  There is simply no possible way she could do it herself.

Or the times, while we were at the beach, that she compulsively organized and reorganized the silverware drawer.  Take out the spoons, match up all the teaspoons, decide where to put them, grab all the forks, separate the salad forks, put them back in...over and over...  I don't know how many times she did that during our week at the beach, but every time she did it, I cringed.  "That's what a mentally ill person would do," I thought, and it made me wince to realize that that's what she is.

Or the night at the beach when she got up to go to the bathroom and became disoriented.  I was staying up late that night reading a book, and she came over to where I was sitting at the table and sat down beside me.  She then proceeded to explain something to me, but I couldn't understand ANYTHING about what she was saying.  She was COMPLETELY confused, and again I had the thought, "This is a really sick person.  We talked them into coming to the beach with us, but I feel like we brought along a nursing home resident.  Maybe we shouldn't have been so persuasive.  Maybe Mom would be doing better if she were in her normal environment at home."  (Although, on the other hand, I think Mom really enjoyed being there, so as it turned out, it was a good thing they went along.)

Or the evening fairly recently when she was standing at my kitchen sink washing dishes, then looked out the window to the top of the hill where our neighbor's machine shop is, and thought she saw people on the roof of it.  I looked and couldn't see a thing--just pine trees waving their branches, but certainly no people on the roof...and my vision is still good enough that I don't even have to wear glasses, so I trust my eyes quite a bit.  She was adamant about it though; and although I tried to change the subject quickly, she kept remarking on the fact that she was seeing people--including children--on the roof up there.  Really?  Are we at the point of hallucinations now?

Or a phone conversation I had with her yesterday.  I called my parents' number, and she answered.  Dad wasn't there.  She didn't know where he was.  Of course, she didn't know when he would be back, so I didn't even ask that question.  Then she said, "I think I'm getting ready for something, but I don't know what it is."  When I asked if their small group was getting together for dinner that evening at IHOP (my only hypothesis about what she could be getting ready for), she didn't know.  She sounded so lost.

It hurts my heart more than words can say to see her as a lost little child.  She's supposed to be my strong, capable mother!  But I know the decline is inevitable and things will only get worse, so for tonight, let me simply say, "Thank You, God, for what she can still do!"

While There Is Life

Some time ago, I saw the following quote on Facebook:

Treat your parents with loving care...

For you will only know their value,
when you see their empty chair.

As always happens when I think of my parents' eventual death, deep sorrow gripped my heart; and I was reminded that, no matter how difficult things become as they age...no matter how helpless my mother becomes because of Alzheimer's...no matter how much pain I experience in this time of extended mourning...these are days to appreciate--days that will be gone and will not return.

Someday those empty chairs will stand as a vivid reminder of what has been lost.  But while my parents are still here to fill them, I will be glad.  While there is life, I will give thanks!