Thursday, March 14, 2013

The Stages of Alzheimer's Disease

You’re in your home of many years, walking down the hall to a bedroom, but before your reach your destination you realize that you don’t remember where you are or where you’re going. You suddenly lose your feelings of safety and security, and your life no longer feels like your own. You become a victim of an unknown force. What is it? It is the first terrifying sign of Alzheimer’s disease. This disease has become a part of my grandmother’s life and coping through the different stages has been a difficult situation. Although it is an endless battle, there is help available.

Alois Alzheimer, a German neurologist, first described Alzheimer’s disease or A.D. in 1906. A.D. is the most common cause of the progressive loss of intellectual abilities, know as dementia. It is a devastating and incurable disease that chiefly affects the elderly. It is already a major public health problem and it will become an even greater problem as the number and proportion of the elderly population increases.

My grandmother was diagnosed with A.D. in 1993. Prior to her diagnosis, we noticed that her memory was deteriorating quite rapidly. She would forget names of family member, the proper names for things, such as the mail box, which she would call the post office, and she would forget her normal every day tasks.

“I wish someone would help me with my memory,” my grandmother said when she became frustrated one day. It was heart breaking because there was nothing we could do to help her. Finally when her memory became really bad and she started having terrible mood swings we decided to take her to the doctor. The diagnosis wasn’t a total shock because in the back of our minds we expected it, but it was still a pretty hard blow to all of us. Now it was time to prepare for a very long battle.

As my grandmother entered the moderate stage, the battle had truly begun. Her mental state worsened, and it was clear that A.D. was taking over her life. It was eerie how the disease progressed and how it changed this loveable and caring wife, mother, grandmother and friend into a confused, hateful and temperamental woman.

This brave woman became terrified of everything. Holiday socials with the family could no longer be held at her house because large numbers of people set her off into a frenzy. By this time she had forgotten who some of our family members were, such as the ones she only saw a few times a month. It was a hard situation because we knew that someday when would forget us all.

Besides the deterioration of her memory, confusion was the most noticeable symptom, during this stage. One day as I was sitting with my grandmother in her home she began saying, “When are we going home? I want to go home.” I tried to tell her that she was home, but she looked at me angrily and said, “This isn’t my home.”

With the confusion, came the inability to make decisions of any kind, and handling the finances were out of the question. She simply became a child allover again, and it was sad because you could see the fear and uncertainty in the eyes of someone who used to be so strong and brave.
Although the pain and the hurt ruled our lives, we knew that we couldn’t give up so we continued to put our faith in God and we prepared ourselves, as she entered into the advanced stage.

A few years had passed, and she was now showing signs of the advanced stage. Mental disabilities were obvious. By this time we had put my grandmother in a nursing home because she needed more care than we could provide.

Then the day came that we prayed would never come. She forgot who everyone was, even my grandfather. Now and then she would remember, but for the most part she only knew that we were family.

What scared me the most was when I noticed she had gone back to what seemed to be her early childhood. She acted like a defenseless five-year-old. My mom was talking to her and she said, “I want my mommy. I want to be with the kids.

Physical changes began to take place with my grandmother. She, at times was unable to control her bodily functions and she was sleepy all the time.

All we could do was watch her fade away into the oblivion of this disease. We couldn’t help her mentally and there was only so much we could do physically.

My grandmother had remained in the advanced stage for quite some time when she leaped right into the Latter Stage seemingly right before our eyes in 2003. Severe cognitive decline is the hallmark of the latter stage. My grandmother’s sense of confidence and dignity were lost. Depression over took her and communication grew impossible. She had trouble breathing and was put on oxygen. Soon after, she stopped eating and a feeding tube was put in. Then one night she drifted off to an endless slumber.

Alzheimer’s disease is devastating for everyone involved but you don’t have to face it alone. There are support groups, financial help, and it’s amazing how far a simple hug can go when your nerves have reached the end. For more information about this disease contact the Alzheimer’s association in your area or go to your local library. By doing this you will find that you are not alone in the endless battle.

1 comment:

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