For many of you it will come
as common knowledge that my mother passed away, at the age of 94, as result of
contracting Alzheimer’s.
A relatively short while ago
a friend of mine invited me to his house to meet his Dad who was also ill with
the same sickness.
We attempted to engage his
father in conversation but it was difficult. There were moments of clarity but,
for the most part, his mind was elsewhere—in a place where we had no access. He passed away a short time later.
I am now informed that
another friend of mine has the same problem in that his father, too, has
Alzheimer’s.
Coupled with that is the
realisation that another close friend has this illness. This friend is someone
who is very dear to me; this has come as something of a personal blow.
It is hard to describe, for
me, what Alzheimer’s is. There are many medical and learned tracts that
discourse on the technical aspects of the disease. These mean little, or
nothing, to me.
From a practical viewpoint it
is hard to put into words what the effect becomes—not just on the patient but
also on the carers and relatives.
It is distressing.
In the first place there is
confusion because neither those people close to the patient nor the patient
themselves know what is happening.
It is likely that the patient
considers that everything is normal but to the close relations it is far from
normal
For some relatives they
believe that the patient is ‘making it up’, that they need to ‘pull their socks
up and behave themselves’.
The truth is that they are
slipping away into a different reality.
Trying to make the patient
return to your reality is a lost cause and will only serve to increase the
distress felt by everyone.
Tensions will rise because
there will be occasions when the victim of this disease becomes violent.
Perhaps they suddenly realise
that the world around them is not the same as the world they perceive.
Understand that the sufferer
is slipping away from you in their heads. There is no blood to see, no rashes,
no broken bones and rarely any delirium—at first.
But they cannot distinguish
night from day. The memory of you is disappearing. There comes a point when
they will not know who you are.
You will give them
medication, medication that is often started far too late. One night you will
give them a pill and say, “Swallow.”
They will not understand.
They may just repeat your words. There is no concept in their heads of what you
are attempting to convey to them. Giving them any medication is time consuming.
Some medications have to be held under the tongue until they have dissolved. There is no possibility of
the patient understanding that instruction. The only imaginable way is to start
it early so that it becomes an automatic function for them.
Frustration. So very
frustrating.
Right from the outset it may
be that tempers will be frayed because you do not understand them. They will,
increasingly, not understand you.
Trying to restore their
reality into your own perceptions does not work. You must join them in their
reality—whatever that might be.
They will wander around at
night calling out for people, close friends, relatives, who died years ago.
Their ‘just now’ becomes
increasingly distant compared to your ‘just now’ as their short-term memory
fades away.
The only consolation is that
they are unaware of what is happening to them.
The people suffering are
those that are looking after them. It is exhausting and it is a twenty-four
hour a day job.
At the end we believe that
Mum knew she was about to die. We are certain that she was trying to say
goodbye to us.
Somewhere, in the depths of
her mind, there was just the smallest inkling of what was happening and who we
were to her.
We shall never know.
It is a small comfort.