Showing 191 - 198 of 198 annotations tagged with the keyword "Dementia"
In this reflective memoir, a son in his mid-forties recalls the final years of his mother's life, the mystery of her changed being as she succumbed to Alzheimer's disease, and the long weeks and months he spent as caretaker, confronting the mystery of his own life and the role of memory in it by witnessing at close range the closing down of both life and memory in her. The book is candid about the whole range of feelings--including the most unexpected and unwelcome--associated with the difficult decision to bring an aging and infirm parent into one's household, care for her, reconfigure family life, and consent to the disconcerting inversion of parent-child roles.
Each of its forty short chapters is a lyrical moment. Daniel weaves memories of his mother's life--musing about those parts he can only know second hand--and exquisite portraiture, with ongoing reflection about his purposes in writing; what gifts there may have been in the difficult process of seeing her through a difficult passage into death; and how some of those gifts unfold only in the aftermath. His speculations about the inner life of an Alzheimer's patient add nothing to medical understanding, but model a deeply edifying kind of compassion and will to imagine beyond the failures of mind and body to a silent, inarticulate self that still deserves to be honored.
These three short plays (approximately 30 minutes each) were commissioned for use in readers' theatre (see Commentary). Each addresses a specific patient/provider concern at the end of life. "Journey Into that Good Night" by Berry Barta is the story of a dying adolescent coming to terms with her mortality. Her physician demonstrates gratifying sensitivity in his understanding of her emotional struggle and the girl's mother progresses perceptibly in her own grief process in the course of the dialogues.
Marjorie Ellen Spence offers "Stars at the Break of Day," set in a nursing home where a middle aged man dying of cancer is confined. The reader meets a spectrum of elderly residents whose antics provide the humor necessary to keep the piece from becoming maudlin. There is discussion about assisted suicide as well as a view into one mode of accepting pain and impending, albeit untimely, death.
The third play, "Time to Go," by C. E. McClelland, is a fantasy which combines comic whimsy with a penetrating and profound sense of reality. The central issue is that of "letting go" of a son who has long lived in a persistent vegetative state following an accident. The victim's story is articulated in conversations between him and visiting "Friends" from another realm. Without introducing theology or politics, the conversations direct the reader to focus on the parents' reluctance to make a decision to discontinue life support.
Mr. Pitt-Rimmer is a demented elderly man who lives with his two daughters. They are entertaining their friends for the afternoon. When their attention is diverted, he runs away, stopping first at the dairy store to buy some cigarettes and Turkish delight. The proprietress recognizes him and calls his daughter, but Mr. Pitt-Rimmer again slips off.
He has various other encounters before his daughters pick him up later in the afternoon. "Promise us you won't be naughty again. It makes us so sad." But the old man later writes in the back of his book, "My daughters are keeping me prisoner. Help! I have not had a piece of meat for twenty years . . . ."
Jerry, a basketball player, is going with Sheila, who hates Bonnie, who volunteers at the hospital. After bouts of intense, unfamiliar pain, Sheila learns that she has cancer of the ovaries and intestines. Sheila lives with an alcoholic grandmother; Jerry, with a single working mother and sister. The story treats Jerry's desire for sex, his friends' avoidance, and the dilemmas he faces as taking care of Sheila cuts into school and team commitments.
He wonders whom to tell, what to say to Sheila, and how to stick with a girl through defacing illness. He finds he's not in love with her. He's unsure how to handle his own family obligations as he realizes that he's the only "family" Sheila can count on. But he stays with her until the end.
His fidelity has little to do with romantic love, but rather with a larger kind of love he's learning. Sheila's death is partly a relief. Jerry needs to regroup and go on with his life after this cataclysmic hiatus. The going on, it seems, will involve Bonnie, the hospital volunteer whom neither Jerry nor Sheila appreciated until her unseasonable maturity helped them in time of need.
Brad, son and grandson of Boston doctors, resists acknowledging what is happening as his beloved grandfather succumbs to Alzheimer's disease. The family's resignation to the loss simply fuels his denial. His father, a senior physician, has to confront both his own father's dementia and his son's denial.
The rest of the family conspire from various points of view to make Brad accept what is happening to his grandfather and how the family system has to change in response. The old man, they point out, gets mean as well as disoriented. The father urges Brad not to divert his energies from "normal" adolescent occupations to trying to rescue his grandfather from an inevitable fate. Brad's response is to insist that his grandfather might get better, and to resent ever more deeply a family he sees as abandoning the old man.
In a final scene the old man is almost hit in an accident. Brad races to call his father, returning in time for his exhausted and confused grandfather to collapse against him on the sidewalk. Brad's father refuses to resuscitate him, recalling the old man's prohibition against extraordinary measures. In that moment of decision Brad comes to understand his father's predicament, his professional responsibilities, and the complexity of his relationship to the man he has known as grandfather. Letting his grandfather go, he also lets go of an adolescent resistance to his father's point of view, and crosses a threshold into adulthood that is both sobering and liberating.
Harriet White is an active, energetic 82 year old resident of the Lutheran Home. We follow her through a winter day: a birthday party for a staff member, the funeral of another resident, a visit from her son, and her daily visit to see her husband who had a severe stroke and lies, uncommunicative, in the hospital ward. Mrs. White's son asks her, as he has before, to come and live with him and his family. He also reveals that he has sold the family farm. She is devastated that he had not discussed it with her, but she puts up a good front, saying it was the only sensible thing to do.
Later, she decides to walk several miles to visit the old farm. She does so, and in the evening a search party from the Lutheran Home find her there. As they drive her back, she realizes that her status has changed: she is no longer a stalwart helper, but has turned into a difficult old woman who is liable to wonder away.
Summary:A college student takes a job as companion to a young composer who is considered crazy. The composer believes the ghost (Aghwee the Sky Monster) of his son visits him because his soul cannot rest; it cannot because the father allowed the child to die by agreeing to have it fed only sugar water. The composer dies when he thinks he's saving his son from being struck by a truck. The narrator, ten years later, recounts the composer's story because he connects it in his mind with an important event in his own life.
Summary:An elderly, demented Dr. Cahn ("his mind had slipped its moorings years ago") is taken by his son to the hospital to visit Dr. Cahn's wife who is dying of cancer. They hold hands. She is touched and pleased that he has come, but sad at his inattention as his mind wanders. In the taxi on the way home, Dr. Cahn asks, "Are we home?"