Ask Miriam – December 2021
Dear Miriam,
My mom has Alzheimer’s disease and was living with me up until a few months ago. It broke my heart, but I couldn’t care for her any longer. With my own health issues, it was just too overwhelming. She was incontinent and couldn’t move around very well, so she is now in a board and care facility where they have staff to help her. The holidays are coming up, and I wonder what the best thing to do would be. I visit her often, and I know she knows who I am, but she doesn’t seem to be aware of what is going on around her. Can we still celebrate together?
—Unsure
Dear Unsure,
Caring for someone with dementia can be much more than a full-time job, and it is not unusual for a loved one to need to move to a facility in order to receive the best care. And of course, you want the holidays to be meaningful for your whole family including your mom. There are some different ways that you can do that, so choose the best fit for you.
The good news is that you can be together. When someone is confused, short visits are generally best with a small number of people. You can arrange in advance with the board and care home to arrive at a time when there are no other visitors except for you and a few family members or friends. Consider having younger children wait to visit until a less exciting time of year. Remember to check with the board and care regarding COVID protocols.
It is not necessary that your visit be on the exact day of the holiday. Bring in a few favorite foods; it doesn’t need to be a whole meal. Simple card games, reading some holiday tales aloud, or taking pictures together are activities that may give you a sense of togetherness.
Some people like to bring their person living with dementia back to their home during the holiday. If your mom is generally easygoing and copes well with change, that is a possibility, but keep in mind it can be challenging. She may be frightened by leaving a familiar environment and may become more agitated than usual. Be sure to limit the number of people around her and stay aware of noise levels.
Relatives and friends who are visiting may not have seen your mom in a while. Prepare them in advance for how she may have changed since they last saw her. Explain to them that they might need to introduce themselves to her and encourage them to reminisce with your mom and tell her stories of good memories of holidays past.
Regarding presents — keep them simple and easy to open — consider a scarf or lap blanket. Does she enjoy tactile “busy boards?” (These can be found online including at alzstore.com). Perhaps she would enjoy a coloring book or headphones she can wear to listen to music. You know your mom best. Be glad that you can be together during this holiday season even with all the changes.
Read below foor more tips on the holidays, or attend a Holiday Tips for Caregivers class, or call the Helpline at 844-435-7259.
Best,
Miriam
Questions for Miriam can be sent to askmiriam@alzla.org.
Holiday Tips for Caregivers 2021
As a caregiver, you might have mixed feelings about the holidays. There are added concerns now due to COVID-19. Happy memories of the past may conflict with worry about the extra demands made on your time and energy. Below are ways to balance the holidays while taking care of yourself.
Understand the Emotions
- Is there a sense of loss for the way things used to be?
- Are you experiencing guilt for not doing enough?
- Is there denial about accepting change?
- Are there increased fears and anxieties due to COVID-19?
Prepare the Person with Dementia
- Show photos & talk about visiting family members
- Visit the doctor to address any health issues
- Familiarize your loved one with others who might help care during this time
- Practice using protective steps such as wearing face masks, using hand sanitizer, etc.
Prepare the Caregiver
- Exercise, eat well and take care of yourself
- Assign chores and activities to others
- Plan for breaks and down time
- Plan time to spend with other family members
- Give yourself permission to take some time off from caregiving
- It is okay to say no – you don’t have to accept all invitations to dinner or gatherings
Prepare Other Family Members
- Educate family members about limitations
- Provide information about communication tips
- Share changes in behaviors and how to respond
- Identify safety measures required during COVID-19 such as mask wearing, no-contact methods of socializing, using hand sanitizer, etc.
Preparing the Home
- Keep an area that is calm and quiet for relaxing
- Keep an area that is kept monitored for COVID-19 safety measures such as no entry without washing hands, wearing masks, keeping distant.
- Avoid confusing items like artificial food and edible decorations
- Keep decorations simple – avoid flashing lights and decorations that make noise
- Run through a safety checklist – remove throw rugs, clutter, cords on the floor
- Stock up on supplies such as face masks, hand sanitizer, disinfectant, tissue, thermometers, etc.
- Establish protocols for safety during visits such as disinfecting common surfaces, washing hands when entering, etc.
Adapt holiday traditions
- Change family gatherings to a time that is better for you and your loved one
- Limit the number of people at gatherings
- Find a quiet and calming location
- Set an end time for gatherings
- Plan for activities that everyone will enjoy
Gift Suggestions (Share your wish list with family and friends):
- Bathing – waterproof radio, shower chair, hand-held showerhead, night light
- Dressing – clothing that is easy to put on/off, slip on shoes, non-skid socks, slippers
- Photo albums, picture books
- Gift certificates and Donations to a favorite charity
- Advise against brain games, electronics, pets, breakable items
Planning Activities
- Schedule visiting times for family and friends
- Schedule naps and quiet time
- Identify activities they can do with other family members, such as walks, making cookies, wrapping packages, setting the table
- Identify simple repetitive activities to maintain calmness, such as folding napkins, cracking nuts
- Explore ways to engage with virtual activities such as music concerts, visiting parks, playing games
Holiday at a Facility
- Contact the facility to learn what COVID-19 safety protocols they have for family visits
- Join the facility’s festivities
- Minimize visitor traffic to 2-3 people at a time
- Bring or plan activities such as unwrapping gifts, strolling the facility, sharing old family memories
- Plan for virtual visits with the staff so that they provide technical assistance
Travel Wisely
- Consider your loved one’s abilities and limitations when planning travel
- Never leave your loved one alone
- Avoid peak travel hours and allow extra time
- Stick to daily routines as much as possible
- Have identification on your loved one such as ID bracelet, clothing labels, tracking devices
Adapted from National Institute on Health and USF Health Byrd Alzheimer’s Institute