Stages of Dementia: Many Transitions, Many Losses

October 31, 2019

So many losses. People with dementia and their loved ones often have loss after loss. 

Bio photo: Arlen SolemMourning each loss as dementia progresses

I was speaking with a family member the other day and had a conversation like many I have had before. This woman’s husband, who was of our residents, died recently. She said that while now it hurts and is sad, she will finally mourn him for the last time.

She said that every time there was a decline she mourned. When he no longer knew where he was, she mourned. When he no longer could remember many important life events she mourned. When he could no longer walk, she mourned. When he no longer could move himself around in his wheelchair she mourned. Now that he has passed, she would mourn his death. She would mourn the finality of the years of dementia. She would mourn all the pain and loss.

Mourning loss, but also remembering joy

I think that she may underestimate her mourning as being one final time. Her sadness will likely come and go. It may creep up on her when she least expects it. 

But now she will also be able to remember better the great joy that she had with him. While being a caregiver, whether at home or with someone in a facility, it can be hard to see the forest through the trees. With his death having come, she can think of the many wonderful years that they shared together and not just see the losses that had come with his dementia.

Stages of dementia: different perspectives

For many, it can be hard to find joy in people with dementia. For others it is much easier. I have written before that spouses tend to have much greater struggles than do children of those with dementia. Children can more often find the joy despite the declines.

Often it seems that spouses can hope for an end, for the sake of their loved one and for their own sake as well. Most of our residents are content much of the time. Many are downright happy most of the time. It can be hard for some to accept this. Some families seem to struggle to see the resident for who they are now and only think of them as they were. When thinking of them as how they were, they see only loss. They think that this person cannot possibly be happy because they never would have been happy to know this is how their life is.  As a result, many of these families project their unhappiness onto their loved one. They can push for more and ‘better’ things for their loved one, often not seeing that so often the unhappiness they see in their loved one is their own pain.

While there are similarities in many situations, no two residents or families are the same. You may see yourself in parts of what I have written, or if I know you, you may wonder if you are who I am talking about at times. I will tell you that what I have written is pertinent for many people I have known over my time with Emerald Crest. You are unique but you are not alone.

Reverend Arlen Solem

Chaplain and Campus Pastor

 

For questions about our spiritual care program, or if you would like spiritual care and support for you or your loved one, contact Chaplain Arlen Solem at 612-554-6379 or apsolem@augustanacare.org.

At Emerald Crest, we offer a deep knowledge of memory care in a specialized assisted living setting for seniors with Alzheimer’s and dementia-related conditions. We encourage you to contact us directly with any questions or request a tour. 

Emerald Crest provides memory care in a unique environment, specifically designed to support those with cognitive issues. Utilizing this exceptional model of care, individuals with dementia, Alzheimer’s and related conditions can flourish in positive relationships and participation in meaningful activities. Memory care is offered in the Minneapolis – Saint Paul area with communities in four convenient locations: ShakopeeBurnsvilleMinnetonka and Victoria, MN.

 

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Quotes

I strongly feel my husband was treated with respect and dignity and am very thankful for all the staff that took such kind and capable care of him in the 16 months he was living there.  I found the nursing staff was caring and loving and always felt he was treated properly.  I have told everyone that asks about his care at Emerald Crest that I am so thankful and blessed he was there.  Emerald Crest was an answer to my prayers when I no longer could take care of him by myself.  Thank you all for providing such quality and loving care to people who desperately need it.

— Barbara, Burnsville MN, wife of EC Burnsville resident

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