Alzheimer’s
is not a high profile disease that attracts funding. Reality is that in most countries, the burden of caring for the victims of Alzheimer’s falls on the families. Unfortunately,
Alzheimer’s funding isn’t ‘sexy’ in today’s world. Breast cancer and child leukiama,
for example, are. They attract research
funding much more easily (and add prostate cancer to “the non-sexy” list).
In my family’s case, the financial
burden fell on my father. Nursing homes are expensive. At the time, my ‘retired’ father
had to pay over $2,000+ per month after tax for my mother’s care. This on top of
the normal day to day expenses and any medical needs she had.
Others are not so fortunate and have to dissipate their retirement fund – if
they have any! Add to this the emotional and healthcare of the caregiver themself and dealing with the stress, the potential loss of social interaction, and the pressure these stresses place on relationships and family members and its not hard to understand the burden caregivers have to manage.
My father enjoyed working but because of my mothers illness my parents
weren’t able to enjoy the typical retirement lifestyle. When asked to speak on
behalf of caregivers he stated “I worked since I was 17, paid all my taxes,
become a self-funded retiree but felt I was being financially penalized because
my wife had the misfortune to contract Alzheimer’s disease.”
My mother was
cared for at home for all but the last months. Simple tasks she used to do became tasks
we did, for example buying clothes or any shopping trip; we had to quietly
communicate my mother’s condition to salespeople without her knowing. This involved carrying a small business sized
card that we discretely slipped or showed to the shop attendant. We found it easier eventually to just frequent
shops that were aware of my mother’s condition. She gradually lost the idea of
how to use a knife and eventually a fork. We had to devise “mom-friendly”
meals. By the time she reached the
nursing home; she had to be fed by hand and only on pureed meals. Toileting
became a problem as she became doubly incontinent. Incontinence pads were resented, protective
pads/sheets required on beds, chairs and car seats. Any dignity or privacy was basically
lost to her.
The result was we placed her into a ‘dementia specific’ nursing home where she was free
to roam around and had several activities she could do without being able to wander
out of the home, due to locked doors and windows. All under the supervision of remarkably
dedicated and underpaid nursing staff. My father found it difficult to ‘pluck up’ the courage to
take the step feeling that it was the beginning of the end and the real end of
his 49 year marriage. He and/or a member of my family visited every night to be
with her and assist the nurses where we could, but she couldn’t
walk, by shortly after could scarcely talk.
One of the
really sad things was that she didn’t ever get to enjoy her grandchildren, nor did
they get to enjoy her. Her inability to recognize them, their age and the confusion
about ‘grandma’s’ condition, helped in the family making the conscious decision
of not taking her grandchildren to the nursing home.
Did my mother undergo mental torture as she struggled to talk to us? I’m sure she was
but how could we really know? She couldn't
tell us! . What we can relate is how gut- wrenching it was to hear my mother repetitively say “I don’t want to live my life
like this”;“I’m frightened”. A tough time for any caregiver knowing that you really cant help and can only try to distract or make comfortable.
There is still
no forecastable pattern to the disease in any one person. Geriatricians are unable
to predict with any accuracy how quickly, widely or deeply any one sufferer
will be affected. In my mother’s case, she lost her physical abilities before
her mental capacity to understand. This of course created much anxiety and
confusion for her and difficulties for us.
As a nation, and in my own country of Australia ,
most caregivers i meet have the same hope ... that somehow more funding and research will be done to reduce the incidence of dementia and therefore
reduce the number of sufferers and the resulting trauma of the caregivers. But
until a solution is found there is a need for more support facilities for the
caregivers – day care, respite care, and permanent care, less financial impact
on caregivers, more professional caregivers with better pay, more community
education on Alzheimer’s on how caregivers access facilities and support
systems.
Finally, a need for more community education and understanding that
dementia should not be considered a dirty word and is currently something that
could affect you as a caregiver or a sufferer at some point in the future.