Alzheimer’s – Page 11 – Barefoot Lily Lady

In Search of Charlotte’s Bathroom

Momma has had trouble for a number of years now finding the bathroom. Even the last year or so that she lived in her own home (since 1962), it was often “invisible” even though it was located right across the hall from her bedroom. She had a little better success finding the necessary-room when we moved into her senior apartment, but was still perplexed in finding it if she happened to get up on the side of the bed that was not facing her bathroom. With her back to the door, she could not see the bathroom, so it stood to reason that it just didn’t exist.

Later on, when we moved Momma in with us, our tiny half-bath became her bathroom. Even though she passed it oodles of times per day in her trek between the bedroom and kitchen, its location still eluded her. We came up with a very helpful solution by placing a sign above the bathroom door which could be read no matter whether she was seated in the kitchen at her usual spot at the table, or seated on the edge of her bed. [I wrote about that sign here.]

Momma now has a beautiful ensuite bathroom and shower combination at BeeHive, her home over the past several months. Even though her bathroom is just steps away from her bed, she oftentimes still does not “see” it. It’s understandable that she might be confused because the toilet itself is tucked away in the corner and all she can really see from her vantage point on the other side of the door is the walk-in shower and sink. So, I decided to try painting another sign that she could read from just about anywhere in her bedroom.

Wayne cut an appropriate length of board, primed it for me, then put some little hangers on it. I got out my paintbrushes and acrylic paints and had a little fun decorating a “Charlotte’s Bathroom” sign to hang over her bathroom door. I borrowed a ladder from the staff at her assisted living and hung it up for Momma just after lunch today. Mom sat on her bed watching me. As I “tap-tap-tapped” with my little pink hammer driving in the first nail, she read the sign over and over again. “Charlotte’s Bathroom.” She said it was a pretty sign, so I told her that I made it especially for her and was glad she liked it. She thanked me for making it for her and again read the sign as I reached for the second nail.

As I was pounding the second nail into the wall, Momma made me laugh when she said (with great urgency), “Now, where’s the bathroom?”

Well…I tried.

Five Minute Friday: Willing

Hubby asked me earlier this year if I wanted to travel with him to India where he and two other men from our church will be serving in a teaching capacity (I wrote a little more about that in Enlarging My World). I don’t think I answered right away, as I had just placed my mother in assisted living memory care. But there was definitely a tug of willingness and a sincere longing in my heart to travel with him and see firsthand this ministry.

After prayer about the ‘what-if’s’ related to mom’s care while I’m away, I decided to go. God had put the willingness in my heart. Momma was, is, and will always be in God’s very capable hands.

As soon as I said yes, I learned there was a job for me to do. I would be teaching English as a Second Language (ESL). I’ve been busy preparing for that ministry from the moment I learned what my responsibilities would be. There’s a passport to be obtained (check!), immunizations to be received (done!), shopping for appropriate clothing (dragging my feet on that one), and reading nearly every library book I can get my hands on related to ESL. Most days you’ll find me listening to experienced ESL teachers share their teaching tips on YouTube.

Even with this preparation, I have felt for a few weeks now like I’m spinning my wheels. My foot is on the gas, but I’m getting nowhere, and digging myself into a rut of negative thinking. When I find a great idea and try to incorporate it into a lesson plan, ten reasons why it won’t work pop up in my mind.

I have five lessons to teach while I’m there. Five hours to give the students a better grasp of conversational English. Five lessons and five hours — that’s all. I want to make them count.

I’m finding myself melting into a puddle of anxiousness as I wrestle with what to say, what to teach, and how to do this thing I’ve never done before. This wrestling match has driven me to spend more time praying about this ministry opportunity. I know that all of my willingness and preparation in the world won’t matter one iota if the plans that I’m making are my plans alone. I have been reminded once again that my heart must be willing to seek and rely upon the Lord’s wisdom and guidance.

Here I am, Lord. Please take my willingness to serve You and guide my steps of preparation in the way I should go. Direct my paths to the resources that will be helpful. Shield my heart and mind from that which discourages. Keep my mind focused on what you want me to teach. Your will, not mine.

Interesting how, once I released my tight grip on what and how to teach this class, the Lord directed my steps by allowing me to find the teacher’s edition of the English Grammar and Composition book I had loved using when I home-schooled my daughter eons ago. I thought the book was long since given away, but the Lord knew it was going to be helpful in the future.

Although I’m a little late to the link up, this post is inspired by the writing community at Five Minute Friday. Each participant writes for just 5 minutes on a one-word prompt – last week’s prompt being “willing.”

Assisted Living: What to Expect

When one wrestles with the thought of placing a loved one with memory loss into assisted living, many questions come to mind while making that life altering decision. Thankfully, there are many good books related to caring for a loved one with memory loss (and I’ve probably read most of them). If I could only recommend one, it would be Jolene Brackey’s, Creating Moments of Joy. [I wrote a little book review about this book here.]

I love this page. I live this page.

It’s important to have realistic expectations concerning assisted living memory care.

It has been almost four months since we moved Momma into assisted living at BeeHive Homes of Oregon, WI. She has made a great transition – not without its hiccups, but BeeHive is definitely a gift from God for my sweet mother. In these four months I have fallen in love with each resident who lives there with her and each one responsible for her care.

There are 16 rooms at BeeHive. At any given moment you might find my dear mother in any one of them, although she has her favorites. She loves to nap in Carol’s room, enjoys the sunny window in Caroline’s room, and can often be found rearranging pillows and tending to every one else’s babies in her neighbor Kathi’s room.

On any given day, my mom might be wearing her favorite outfit, or might be looking cute as can be in another lady’s pajamas. The other day I noticed mom wearing her nearby neighbor Roy’s watch; she also had his remote control and he had hers. I’m really not sure who has her colored pencil set, it’s been on the lam for a few weeks, but know they’ll turn up some day. She probably put them in someone else’s drawer for safekeeping on one of her daily adventures tooling around in her wheelchair.

Momma is a gatherer. If something is missing from someone else’s room, it can reasonably be assumed Charlotte probably has it for safe-keeping in her purse, or wrapped in a blanket and tucked away in a drawer in her room. Toilet paper is irresistible. An unattended doll or stuffed animal won’t be lonely for long if she can help it. She even managed to pick up an unattended cell phone that belonged to one of the hospice staff. I half-jokingly remind the staff that if something is missing, just check Charlotte’s purse and drawers–it’s probably there.

Only one of these dolls belongs to Momma – but they are all equally cared for and loved. [Photo credit: Kathleen Zelinski]

Slowly, but surely, I’m learning whose stuff belongs to whom (most of it is labeled). I spend the first few minutes of my daily visit returning things she has borrowed and retrieving things she has tucked into places where they don’t belong and returning it to the right place.

One thing is for sure — Momma belongs and is in the right place.

Everyone needs a good neighbor

Not long ago, I pushed Momma in her wheelchair out to the commons area so she would have a change of scenery and perhaps engage with others and be distracted from her current woes. As soon as she saw the other people, she planted her feet so I couldn’t push her any further, then said, “Oh, no! I’m not going there! None of those people like me.”

Just then, I believe, God sent a lovely lady named Lola to gently engage Mom in conversation. After a bit of small talk, Momma asked Lola which room she lived in. Lola pointed to her husband Roy’s room just two doors away and reassuringly patted my mother’s arm and said she was very glad to be Momma’s neighbor.

Thank you, Jesus! Just what Momma needed.

Photo credit: Kathleen Zelinski

Five Minute Friday: Enlarging my World

My world has been relatively small the past few years, staying pretty close to home. Life has revolved very much around taking care of my mother as she battles Alzheimer’s. Over the years, I found myself growing weary and having to stop doing several things I love in order to be able to focus on her ever-increasing needs.

In late March, my sweet momma took up residence in a beautiful assisted living facility devoted to those with memory care needs. I still spend a few hours each day with her, but I can sleep throughout the WHOLE night in my own bed and am no longer fully responsible for her daily care. I’m beginning to feel more rested and able to resume some (but not all) of my former activities and ministries. I can take a little road-trip with my hubby, play in the dirt in my garden, or prepare a Sunday School lesson for the kids at church without interruption. It’s truly a blessing from God’s gracious hand.

With this new freedom, my world will enlarge even more in September when I accompany three of the men from our church (including my hubby) on a teaching trip to India. My responsibility during this trip will be to teach English as a Second Language (ESL) to the students who will be gathering for the purpose of enjoying some seminary-level training. I have never taught ESL, so this will be a huge stretch for me – something which will also enlarge my world as I help this group of adults whose first language is Hindi in their continued quest to become more fluent in their conversational English.

This is my hubby Wayne’s second trip to India (he’s the handsome, white-bearded guy on the lower left of the group photo above), as he traveled with our pastor and another friend on a teaching trip last year. This fall’s trip is a giant leap for me, as I’ve never been out of the country. [Well, unless you count the time when my hubby and I were honeymooning 43 years ago in a rented recreational vehicle and we drove over the Canadian border in the days before a passport was required.] This trip to India will be my first trip overseas, passport, visa, shots, long international flight, and all the cultural adventure that will surely come with that experience.

In the meanwhile, I will need much prayer support as I prepare for my role as a teacher on the other side of the world.

This post is written for the Five Minute Friday Writing Community. Please come join us! https://fiveminutefriday.com/

Wordless Wednesday: Motherhood at 85

Photo Credit: Kathleen Zelinski, BeeHive Activity Director

Alzheimer’s through a Great-Granddaughter’s Eyes

Let me introduce you to Violet. This granddaughter has held my heart for 15 years now and I am quite certain she has a special place for me in her heart too. Any time we spend together is special.

Not only does she love me well, but she also has a special softness in her heart for her memory impaired great-grandmother. Violet goes out of her way to be a bright spot in my mother’s day as often as she is able. Most recently she wrote a few letters to her and asked me to slip them in her purse every now and then so she had something new to read. On other occasions she will come with me to visit her GGma.

Violet and I share in common a love for writing. I love reading what she writes and especially love finding her thoughtful notes sprinkled liberally throughout my house. On a recent visit, Violet picked up a pencil and a notepad and poured out some thoughts on paper about Alzheimer’s. I asked for permission to share them on Barefoot Lily Lady.

Alzheimer’s
By Violet Cynthia Schultz

Family becomes strangers
‘Home’ becomes lost
Books become confusing
Memories become a maze.
Guests become intruders
Flowers become weeds
Shouts become whispers
Old stories are forgotten
making them new again.

Yet the smile of a stranger
can still brighten up the day
Help from a friend becomes a blessing
when you’re lost.
The old photo album
jogs memories new and old.
The surprise intruders
become a highlight of the day.
The countless weeds
spark the old passion of gardening
And the whisper of a voice ensures
comfort, rest, and security.

Feeling Discombobulated

On one recent visit to see Momma at BeeHive, I stopped to chat with one of her bevy of sweet caregivers. With a note of concern in her voice, her nurse informed me that they found mom sitting on the floor twice the day before, but weren’t sure whether she had fallen or if her story of being down there on purpose was the truth. I was neither surprised nor alarmed, as I know my mom’s ambulatory skills are precarious at best. Momma didn’t appear to have any injuries and they were able to help her get back into her wheelchair or bed.

I further learned Momma had not been cooperative this particular morning and had no interest in eating breakfast (a common theme) or coming out of her room. I expressed my thanks for the update then headed toward mom’s room to check on her. Expecting to find her awake and futzing around in her room, I found her lying on her disheveled looking bed and it appeared as though she had been crying. Her face lit up momentarily when she saw me, then the smile abruptly broke into a quivering lip, soon accompanied by a free-fall of tears. I sat on the edge of the bed and rubbed her legs, casually examining them for telltale bruising or other evidence of injury from her suspected falls. Momma lamented she didn’t feel right in her head – something was terribly wrong – that she felt discombobulated. Her right knee was her chief complaint in the pain department making it impossible for her to get out of bed. It did look a little puffy, but there was no bruising that I could discern.

Comforting her as best I could for a few minutes, I thought I should try to get her up and ready for joining her new friends (new every day) for lunch. When my attempts to get her out of bed for lunch failed, her resourceful CNA brought in her lunch, playfully waved the delicious aroma of chicken toward her and cheerfully convinced mom to sit on the edge of her bed and try a few bites. Success! Between bites, mom peppered me with questions about where she was, how she got here, when her parents were coming to get her, what was happening in her head, and other such concerns. I tried all the reassuring answers and diversion tactics I could muster.

When she had consumed about half of her lunch, she wanted to try to get out of bed again. I parked her wheelchair at the end of her bed and came alongside to assist her in standing. Pain prevented her from standing and pivoting to sit; rather, she skootched as close as she could to the wheelchair, then began sliding her bottom off of the bed and plopped onto the chair. All I could do was try to keep her from hitting the floor. Definitely NOT an approved transfer technique, but her unorthodox methods proved successful.

Using her feet to propel herself, Momma navigated herself to her window to watch the birds at the feeder. Pointing at a visiting woodpecker, she proffered, “That looks a little familiar, but everything looks so strange.”

Next, she baby-step shuffled her wheelchair to her nightstand and gazed at her nursing school graduation portrait. Carefully lifting her baby doll up off the bed, she sat her baby in her lap, pointed to the portrait, then whispered in Dolly’s ear, “That lady looks so familiar, but I can’t remember where I know her from. Do you know who she is? I can’t remember her name.”

“I Wish I Could Help”

One recent thread on a Facebook group for dementia caregivers discussed the topic of how to respond to people who say “I wish I could help.” Most have good intentions, but no concrete offers of help. Others are just making polite conversation and really have no intention of helping. One tongue in cheek caregiver response was, “I’m going to start a list to hand them.”

We all laughed.

One longtime caregiver’s contribution to the post was, “I think we should all make our own list to have ready whenever we hear that offer.” Before long, we had created a rather long list. Some of our responses were a bit of a tease, like the caregiver who said, “If you want to bring me a gift, bring Kleenex! My loved one goes through two boxes a day!” We all laughed because an obsession with Kleenex and toilet paper seems to be prevalent in the world of memory loss.

Let me share a few more of the ideas culled from our group effort:

Instead of “let me know if you need anything,” please just show up on my front porch with a good cup of coffee.
Another caregiver added her twist on the impromptu coffee date idea: “Yes, show up on my front porch with a cup of your favorite coffee. Then sit down with my loved one and tell me to get lost for awhile while you drink your cup of coffee.”
Talk to me. Listen to me. I don’t really have someone I can carry on a conversation with anymore.
If you see a need that you can meet, just do it. It will make my day.
One woman’s husband asks her each morning, “What can I do for you TODAY that will make your life easier?”
Send me a card once in awhile (I have a special friend who does this every single week).
Share with me one of your special memories of my loved one. In doing so, you will help me focus on the good and remind me that their life mattered.
Tell me that what I’m doing matters.

One item on the list was my favorite: Ask God to show you how you can help. I promise, He will.

Charlotte P. Boyles, RN

Momma was still in bed when I arrived for a visit earlier this week. I learned that she had experienced two nights this week without sleep and it seemed to be catching up with her today. She did NOT want to get out of bed and had already missed breakfast and lunch. The hospice nurse was there visiting and asked me if this sort of thing had happened while I was still caring for her in our home and, if it did, how did we handle it.

I told her that it did happen. It was usually just one night and full day without sleep, but that Momma could sometimes go for 2 or 3 days with little to no sleep. When sleep would finally come, she’d be much like she was today – out cold. I soon learned it was very difficult to awaken her and try to cajole her into doing something she didn’t want to do (like changing clothes or bathing). She would be so groggy and uncooperative. On those days – right or wrong – I would just adjust my schedule to hers.

“So, when she does wake up, what’s she like?” the nurse further queried. I told her she would perk up and she’d be like a different person. The kind and thoughtful Charlotte would replace the grumpier, exhausted Charlotte.

Sure enough, before the hospice nurse left the building, Momma awakened. She was sitting up, got dressed, was chatty and very hungry. Previously verbally unresponsive and only opening her eyes a sliver, she was now bright-eyed and complimenting the nurse on her outfit and telling her how nice her hair looked.

A night and day difference.

I decided that the crisis was over and it was time for me to go home. Momma had already wheeled herself out into the great room and was chatting with one of the other residents. As I exited the building, I threw a glance over my shoulder and saw that my mother had wheeled herself up to another frailer looking resident. There they sat wheelchair to wheelchair with my mother gently stroking the woman’s arm, asking her how she was feeling today and wondering if there was anything she could do to help her feel better.

Charlotte P. Boyles, R.N. was on duty. My heart couldn’t help but swell with love and admiration for my mother, the nurse.