Posts Tagged ‘Alzheimer’s Dementia’
Laughing Increases Happiness and Health: Enriching the Dementia Journey
Ever since I interviewed Dr. Madan Kataria, the founder of Laughter Yoga, I’ve wanted to learn more and laugh more. That’s because laughing increases health and happiness.
There are no Downward Facing Dogs, Warriors, or other traditional yoga postures in the laughter practice. Instead the focus is on gentle breathing exercises, easy movements, and, of course laughing. Dr. Kataria researched the science of laughter and learned that the body does not differentiate between intentional and real hilarity.
Dr. Kataria believes that laughing is a skill anyone can master and laughter yoga is ideal for people living with dementia. He says: “Laughter Yoga is an aerobic workout that helps uplift your mood within minutes by releasing endorphins from your brain cells. You often remain energized, relaxed, and in good spirits throughout the day. Laughter also makes your immune system stronger and lowers your blood pressure. Plus laughing with others builds a social bond and reduces feelings of isolation.”
Several weeks ago, Ron and I journeyed to Ferryville, Wisconsin, to study laughter with the esteemed Master Trainer, Robert Rivest. We are now Certified Laughter Yoga Leaders. Delightfully, laughing increases happiness and health and over the next months, we’d love to share some of the benefits and joys of intentional laughing with you.
It’s easy to add splashes of laughter throughout your day. Here’s an idea from Robert for getting started: VIDEO
Robert taught us the exercise The Wall and we shared it with our friends Vicki and Saundra. Vicki is so inspiring the way she manages her many physical challenges, which include early onset dementia. She is the best laugher. After a couple of attempts to laugh our way through our imaginary boundaries, we all felt lighter, happier, and more connected: VIDEO
For more information about laughter yoga, visit RobertRivest.com
Also enjoy LaughterYoga.org
You’ll find lots of videos to lure you into laughing. And stay tuned to this blog, for more moments of ha-ha-ha-ing.
Deborah Shouse is the author of Connecting in the Land of Dementia: Creative Activities to Explore Together and Love in the Land of Dementia: Finding Hope in the Caregiver’s Journey.
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Adapting Hobbies to Meet Changing Abilities
Years ago, I worked as an activity director at a county home in Butler, Mo. There I learned about adapting hobbies to meet changing abilities. Albert taught me that even when you can’t grip a domino, you can still enjoy the game. Every Wednesday, we dropped him off at the town square for his weekly session. A friend helped him place the pieces and he often won. Sadie taught me the power of memorizing poetry. Though she could no longer see the world around her, she enriched her inner world by memorizing dozens of verses. Visiting her was like opening a book of best-loved poems. The residents all taught me the joy of sitting around a table together, working on a project. Even if the project didn’t work out the way we envisioned, the energy and camaraderie did.
Earlier this year, we had the opportunity to offer a presentation on engaging through creative activities for the National Association of Activity Professionals. These professionals are so vital in helping people stay creative and connected throughout the dementia journey. We were inspired by their depth of knowledge, compassion, and eagerness to learn.
As part of our presentation, we discussed adapting hobbies to meet changing abilities. We shared ideas from Connecting in the Land of Dementia, and our participants offered ideas from their experiences. Here are some tips for adapting hobbies:
Ask yourself: What does the person love most about doing this activity? What are the most important components for them?
For example, for gardeners, is it the feel of their hands in the soil? Is it producing flowers or harvesting vegetables? Is it having something to take care of? Or is it the ritual coffee and cookies enjoyed after the work is done?
For those who like quilting, is it the finished product or making the squares? Is it the companionship with other quilters? Or the texture and colors of the fabric?
For scrapbookers, do they enjoy looking through photos or gluing pictures on the page? Do they like leafing through magazines and cutting out pertinent words and pictures or adding stickers and other playful accents. Or maybe it’s the companionship of working together.
By gathering answers to these types of questions, you can break down the activity’s components and encourage people living with dementia to keep pursuing their interests.
If you have ideas for adapting activities, we’d love to hear about them. For more information on the NAAP, visit https://naap.info/
Deborah Shouse is the author of Connecting in the Land of Dementia: Creative Activities to Explore Together and Love in the Land of Dementia: Finding Hope in the Caregiver’s Journey.
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Widening the World Through Travel
As the waiter served dessert, Lori La Bey looked around the table at her family and smiled. She couldn’t believe she had pulled this off — her children, her siblings and their children, and her parents all enjoying a Caribbean cruise together. Her mother was living with Alzheimer’s and her father had brain cancer: they had assumed they wouldn’t get to travel again. They were beaming and Lori knew all her planning had been worth it. She was widening the world through travel.
She still treasures the family pictures from this trip. This meaningful travel experience inspired Lori, founder and host of Alzheimer’s Speaks, to orchestrate a cruise for people who are living with dementia and their families.
“Travel is a normal part of life,” Lori says. “When you stop traveling, your world becomes smaller.”
From her years caring for her mom, Lori understands how easy it is to feel isolated and stuck. She also understands the joy of engaging in the world, trying new things, and meeting new people. Her trip enriched her family and she wants to offer others that gift of connection and adventure.
Lori also learned some tips from traveling with her parents. Here are a few ideas for creating a smooth traveling experience for yourself and for someone who is living with dementia:
Create a flexible travel experience. Lori chose cruising because it can be reasonably priced, you can unpack once and stay in the same room the entire trip, and there’s lots of flexibility with eating (including free room service), activities, and touring. Cruising is also ideal for the intergenerational experience, offering activities for all ages.
Make the person living with dementia part of planning the trip. Discuss the trip with all involved, asking for feedback and talking about what each person really wants to do. Incorporate those dreams into the trip.
Empower your travelers. Lori packed all her parents things into one giant suitcase. Her father had always been the one managing the luggage and he really wanted something to carry. “I hadn’t thought to pack a couple of small bags so he and my mom could feel like regular travelers,” Lori says. “People want something to be in charge of so they don’t feel left out.”
Work with a travel agent and make your life easier. Plan in advance for noise, long transfers, layovers, long car rides, and other chaos. If flying, call the airport if you need to arrange for wheelchairs or other inner airport transportation. To mute noises, bring earplugs. Carry along items that soothe and comfort each of us, including favorite music and head phones. If you’re cruising, talk to the cruise lines in advance, discussing special needs, including dietary, medical, and any mobility issues.
Take pictures and videos and document these precious moments. You’ll enjoy looking through these memories again and again together.
“Travel is about being together and widening your world,” Lori says. “It’s a wonderful way to build those moments of magical and meaningful connection.”
For an amazing way to widen your world, consider Lori’s upcoming November Dementia Friendly Conference and Cruise. Lori and a team of educators, including a panel of inspiring people who are living with dementia, have planned a nurturing, connecting, educational, and inspiring Caribbean trip. For more information, visit, https://alzheimersspeaks.com/cruise-with-us
Deborah Shouse is the author of Connecting in the Land of Dementia: Creative Activities to Explore Together and Love in the Land of Dementia: Finding Hope in the Caregiver’s Journey.
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Sharing Ideas for Staying Connected
“How do we stay connected during the dementia journey?” This is a question with dozens of creative answers. Recently, we spent time at Northland Shepherd Center, hosted by Dianna Englander. We were sharing ideas for staying connected with the Together We Care Caregiver Support Group, a lovely gathering of family caregivers and friends. 
Caregiving is such a creative practice, demanding flexibility, humor, and the willingness to make mistakes and try again. We discussed ideas from Connecting in the Land of Dementia, including incorporating singing, laughter, and art into everyday life. We also explored the power of nature and talked about unique concepts for bringing the outdoors inside. We brainstormed different ways we could prepare food together and connect in the kitchen.
Here are some extra ideas we learned from our audience. I’ve changed the names to protect people’s privacy.
Anne’s father, who was normally very active, became very upset when his care facility had to temporarily curtail his movements, due to a flu outbreak.
“I want to go to the hospital,” he told the care staff repeatedly. Finally, they called Anne and asked her to come over.
“Dad was just wild,” she told us. “So I asked him to take a deep breath with me, and told him we were going to watch a basketball game before we problem-solved.” They watched an hour of basketball, which soothed both of them.
“I want to go to the hospital,” her father said.
“Why?” she asked.
“So I won’t feel alone,” he said. “I’m scared to be alone.”
Anne realized how social her father was, always walking down the hallways, greeting people, spending time visiting. She instantly began to problem solve, getting permission to walk down the corridors, wearing protective masks, gathering phone numbers of her father’s friends at the home, so he could call them.
“Taking a break and doing something soothing first really helped us figure out the problem and then solve it,” she said.
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Before her dementia advanced, Sandra’s friend loved singing in the church choir. Now, when Sandra visits her, her friend frequently asked the same question over and over. Sandra turns to beloved hymns they both know so well and when her friend becomes anxious, starts singing to change the energy. Soon, they are both singing, as they have for so many years, the old hymns guiding them back to a deep connection.
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Patriotic songs inspired Alvin’s father, Fred. So often, Fred literally tuned out the singers who came to entertain at his memory care community. One day, the group began singing “The Star Spangled Banner,” Instantly, Fred stood and put his hand over his heart. He sang along and kept standing and singing through all the familiar patriotic melodies. Afterwards, he talked about his time in the service, breaking his usual stoic silence.
At the end, we all felt a sense of renewal and companionship. Sharing these important creative ideas had enriched our lives and inspired us anew.
I’d love to hear your ideas for staying connected. Please email me at myinfo@pobox.com.
For more information about the Northland Shepherd Center, visit http://northlandsc.org/about-nsc.html
Deborah Shouse is the author of Connecting in the Land of Dementia: Creative Activities to Explore Together and Love in the Land of Dementia: Finding Hope in the Caregiver’s Journey.
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Connect through Movies and Memories
No one said, “Hush,” during the excitement of the paper airplane-flying competition in the Plaza Library. No one put a warning finger to his lips during the spontaneous conversations about favorite childhood foods. And laughing and clapping were encouraged during the two short films and two clips that anchored the Feb 11th Movies and Memory event, an invitation to connect through movies and memories. 
Most of the audience that poured into the Truman Forum that Saturday afternoon could not resist the alluring aroma of the freshly popping corn and stopped to get their free fix. They settled into the comfortable seats and sang along as music therapist and performer Rachelle Norman invited audience members to croon old favorites such as Blue Suede Shoes and Tennessee Waltz. Then they enjoyed two Oscar-nominated shorts, Paper Man and The Feast. 
Everyone stood and walked through a waltz, guided by a ballroom dance instructor, after a romantic clip from Cinderella’s ballroom scene. After the final rousing cinematic scene, Marian the Librarian from The Music Man, everyone smiled as volunteers handed out cozy heart-shaped boxes of Russell Stover’s chocolates and shining red carnations. 
“What a great way to end the week,” one of the caregivers said.
Later, Michelle Niedens, Education Director at the Heart of America Chapter of Alzheimer’s Association, said, “I don’t know whether we have more fun planning these events or participating in the events.” All of us on the planning team agreed. This partnership with the Kansas City Public Library, the Alzheimer’s Association, the Kansas City FilmFest, and The Creativity Connectiong (me and Ron) is filling us all with hope and joy. Our quest to create a dementia and family friendly film series is happening and we are delighted. It’s free of charge, offering families a lovely way to have an uplifiting and interesting experience together.
Don’t miss our next event on April 9th, 1:30 at the Plaza Library. We are thrilled to be part of the Kansas City FilmFest. and we are planning some lovely surprises for our attendees. 
For additional information visit: www.kclibrary.org/signature-events/movies-and-memories-annie
Deborah Shouse is the author of Connecting in the Land of Dementia: Creative Activities to Explore Together and Love in the Land of Dementia: Finding Hope in the Caregiver’s Journey.
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Finding Meaningful Memory Care
“I feel like I’ve been on extended vacation,” Ron’s father Frank said, after his first day in a memory care facility. “Today was really enjoyable.” Ron and I just melted with happiness. We had visited many facilities, with the hope of finding meaningful memory care with great activities. Frank couldn’t have said anything nicer.
It’s quite an emotional journey, finding meaningful memory care. I asked my friend, Dr. El, Dr. Eleanor Feldman Barbera, PhD, author of The Savvy Resident’s Guide and a columnist for McKnight’s Long Term Care News, for some tips.
Finding Meaningful Memory Care With Engaging Activities
“Remember, everything is an activity,” says Dr. El. She encourages care partners to seek a community with a dedicated memory care program, so people with cognitive impairments can benefit from all the offered activities.
“In a specialized unit, staff are trained to work with people who are living with dementia,” Dr. El says. “This training can help people enjoy greater independence.”
In one facility, a lady liked to wander into people’s rooms and take their jewelry. Rather than getting upset, the staff understood, framed this as “shopping,” and simply returned the jewelry.
“These kinds of insights create a calmer, slower-paced environment that reduces agitation,” says Dr. El.
Seek Structure, Soothing and Variety
Here are some things to look for, as you visit facilities:
- Is there a home-like atmosphere?
- Is there a structure to the day?
- Are there calming activities scheduled for change of shift? Changing shift is disruptive, so some communities orchestrate a teatime with music or other soothing activities.
You’re also making sure there are a variety of activities throughout the day. These should include:
Outdoor Time: Taking people outside makes a big difference in mood, appetite, and the sense of connection to the world.
Movement: Exercise is an important component to health.
Nurturing: Look for activities that make people feel confident and good about themselves, such as spa days or activities that incorporate skills such as cooking, art or gardening, modified to provide a “success” experience.
Engagement: Being engaged, rather than just entertained, inspires a sense of purpose, creativity, and social connection.
Kindness is Everything
“Meet with the recreational therapist,” Dr. El suggests. “Is she compassionate and caring? Are the staff members kind? You can have all the activities in the world but if they’re not done with gentleness and humanity, they won’t work.”
Let the recreation director know what your loved one likes to do and see if she can adapt the activity.
Stay Involved
Visit as often as you can and attend activities together. Encourage friends and relatives to join you. Meet other residents and get to know the families and staff.
“You can act as a connector to create friendships, so residents engage in their own interaction, even when you aren’t there,” Dr. El says.
For more information, visit Dr. Eleanor Feldman Barbera, PhD, http://www.eldercarewithdrel.com,
Treat yourself to Dr. El’s book, The Savvy Resident’s Guide
Deborah Shouse is the author of Connecting in the Land of Dementia: Creative Activities to Explore Together and Love in the Land of Dementia: Finding Hope in the Caregiver’s Journey.
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Build Community Through Sharing Stories.
Just blocks from the bustling tourist shops in the port area of Falmouth Jamaica, stands a white stucco Salvation Army Church. Inside this building, we met with local community leaders. We shared stories and information, offering ways to stay connected throughout the dementia journey. We hoped to build community through sharing stories.
Even before we spoke, Shirley Duncan, a volunteer with Alzheimer’s Jamaica, and one of the event organizers, said, “I have a surprise for you.” She spoke eloquently of the need to talk about dementia, to share experiences, and to be there for the caregivers and people living with dementia. Then she told us that today’s participants were making a commitment to form an on-going group that would educate, advocate, and care for those affected by dementia in their community. “We are calling our group Debron, in honor of you two, because you are the catalysts,” she told us.
Ron had been working with Shirley and Dundeen Ferguson of Alzheimer’s Jamaica for several weeks, setting up the presentation. Shirley and Dahlia Klein orchestrated the details, spreading the word among the community leaders, garnering the venue, and making sure all went smoothly. We were thrilled to be catalysts and delighted to be discussing ideas with such a dedicated group of women, many of whom were former teachers.
We shared ideas from Dr. Madan Kataria in Mumbai about the power of laughter yoga, and we told a story about creating an inland beach from, Dr. Claire Craig in Sheffield, England. We talked about the power of Dan Cohen’s Music & Memory program and discussed ways to connect through art, citing a story from Teri Miller in Houston, Texas. And we chatted about ways to stay connected through cooking together, sharing our own favorite childhood dishes, which included spiced shrimp, banana porridge, dumplings, roasted corn with shredded coconut, and so much more.
“We will spread these ideas throughout our community,” one of the women told us. “That is what teachers do, we share information.”
We left feeling so inspired and so connected. This is what we all need, caring people, compassionate and eager to learn, ready to offer help and hope.
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During our presentation, we talked about Dr. Madan Kataria’s Ha Ha chorus. At the end, the women said, “We want to sing you a song.” They serenaded us with the Ha Ha chorus. Watch this video and please, sing along.
https://drive.google.com/open?id=0B0elXRV1YrIqUkhqNzN3RkhPSUU
For more about Laughter Yoga, visit Madan Kataria’s website, http://laughteryoga.org
Deborah Shouse is the author of Connecting in the Land of Dementia: Creative Activities to Explore Together and Love in the Land of Dementia: Finding Hope in the Caregiver’s Journey.
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Making a Difference, One Island at a Time
“We are here to explore meaningful ways to stay connected throughout the dementia journey. We are all going to take what we’ve learned and we need the commitment of all of you to help us reach out to the families living with dementia in our communities,” Raymond Jessurun said when he introduced us at a gathering of healthcare professionals, family caregivers, and government representatives. Raymond, who is Secretary of the St. Maarten Alzheimer’s Foundation, is a passionate and inspiring speaker. He urged everyone to join as volunteers of the Alzheimer’s Foundation to spread the meaningful engagement throughout the island, making a difference, one island at a time.
As a group we discussed many engaging activities, including the joy of singing, the nurturing that animals can offer, the power of looking at art, and the creative conversations that cooking together can inspire. We strategized adding more laughter into the day and the importance of knowing each person’s musical preferences. We were also learned of the challenges family caregivers face, which in residential settings as in the Sint Martin’s Home are being addressed by professional caregivers.
Our host, Bregje Boetekees, Director of the White and Yellow Cross Care Foundation in St. Maarten, was deeply tuned into the importance of offering an array of individualized activities and to the comfort that nature brings to those who are living with dementia. She is overseeing the construction of a new elderly care facility with a large courtyard that will offer safe and ready outdoor access, as well as fertile ground for gardening and other nature-based activities.
As always, we left feeling inspired by each of the people we met. Bregje and her team are constantly exploring ways to enrich the lives of their residents who are living with dementia. Raymond and the board members of the Foundation are an example of how a few compassionate and determined people can make a difference. Just eight years ago, Raymond was struggling to find his mother-in-law the dementia care she needed. His advocacy attracted other caregivers and this year their Foundation, which is recognized by Alzheimer’s Disease International, celebrates its seventh year of serving the community. In June, Raymond is co-coordinating a gathering of leaders of Alzheimer’s organizations of 15 Caribbean countries as a step to forming Alzheimer’s Caribbean. These advocates are making a difference, one caregiver at a time, one facility at a time, one island at a time.
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We invited everyone to join us in Dr. Madan Kataria’s Ha Ha chorus. Watch this and please, sing and laugh along. Click here to view the St. Maarten HaHa Chorus
For more about Laughter Yoga, visit Madan Kataria’s website, http://laughteryoga.org
Deborah Shouse is the author of Connecting in the Land of Dementia: Creative Activities to Explore Together and Love in the Land of Dementia: Finding Hope in the Caregiver’s Journey.
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Three Top Tips for Tuning into Singing: Insights from Finland
Mom was staring into space, oblivious to my brilliant smiles and cheerful conversation. So I started to sing, just to occupy myself. I chose songs Mom liked, such as “Oh What a Beautiful Morning,” “A Summer Place,” and “You are My Sunshine.” Normally, I felt a little down when I didn’t really get to connect with Mom during my visits. But after a half-hour of being a one-woman show, I felt uplifted and energized. And Mom seemed to be making a sound much like humming.
Singing was often a part of my time with Mom. I’ve always felt happy after “making a joyful noise.” Now a study from Dr. Teppo Sarkamo and his colleagues in Helsinki, Finland, explains why.
Dr. Sarkamo’s research found that “regular musical activities can have an important role in maintaining cognitive ability, enhancing mood and quality of life” for people living with mild to moderate dementia. These activities also promote the well being of care partners and offer a beneficial leisure activity for the person living with dementia and the care partner.
Invite Out Your Inner “American Idol”
You don’t need special musical abilities to benefit from listening to music or singing. The research shows that incorporating simple musical activities in daily care is “a cost-efficient way for offering emotionally, cognitively stimulating, and enriching musical experiences.”
The study’s music therapist, Sari Laitinen, kindly offered these ideas for care partners and the person living with dementia.
- First, reserve enough time together to spend with the music. The main thing is feeling peaceful together. When singing, choose the songs together from a songbook. In our research project, we prepared a song booklet of our own for the participants, which mostly included well-known Finnish singe-a-long songs from their early years: childhood, teenage years and early adulthood. The care partner can begin by humming a melody first, and if their partner recognizes the song, they can start singing it together. Usually, the partner knows the lyrics “by heart” and their memory retrieval is quite automatic.
- Usually the songs bring about personal, autobiographical memories related to the life era and events when the songs were popular. Allow the reminiscence of your partner to proceed on its own time and terms, accepting the stories and not immediately correcting if the people or places happen to be incorrect. You want a mutual feeling of telling each other important things about life. It is all about acceptance and the understanding that something important is shared. The feeling of being understood helps to cope with life.
- Listening to music is based on the same principles as singing together: the care partner can suggest some records he/she thinks are meaningful and see what happens. When asking your partner to choose the record, it is good to have some LPs or CDs with a photo of the artist on the cover. Again, it is nice to have a quiet place for the listening and time to share the stories and the feelings that the music evokes. It is good to keep in mind that although the songs are familiar from a long time ago, the experience of music is always “here and now”. By experiencing the music together and by being sensitive to the ”reactions” (emotions, thoughts, memories) evoked by the music, the care partner can offer acceptance and validation of the experiences, the feeling of being understood. Given time, this can lead the discussion from the reminiscence of old times to themes that are important now, such as acceptance of the lived life, mourning of losses, joy in the moment, feeling of vitality, strengthening the feeling of life and so on.
For more information, visit: Singing is beneficial for memory and mood especially in early dementia
Clinical and Demographic Factors Associated with the Cognitive and Emotional Efficacy of Regular Musical Activities in Dementia, Teppo Sarkamo, Sari Laitinenb, Ava Numminenc, Merja Kurkib, Julene K. Johnson, and Pekka Rantanene a,
Deborah Shouse is the author of Love in the Land of Dementia: Finding Hope in the Caregiver’s Journey.
COMING SOON: Connecting in the Land of Dementia: Creative Activities to Explore Together
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A Love Story about Being Braver, Stronger, and Smarter
“Where there is great love there are always miracles.” Willa Cather.
I am always looking for wonderful love stories and I found this one when I was visiting the blog of one of my favorite writers, Louise Penny. I went to her site because I had just finished reading her book, A Fatal Grace, and I was feeling withdrawal. Plus, I knew her husband was living with dementia and I thought she might have some insights. She has some deep insights and she has generously given me permission to share them with you.
From Louise Penny:
Michael no longer knows my name. And now needs help eating. He can no longer walk on his own, and cannot read, or do puzzles. He barely speaks. He sleeps a lot, and I try not to take it personally, as though I am not doing a good job stimulating him. But, poor guy, when I try to stimulate him, by singing or dancing or finding games that might interest him, he looks at me, smiles. And falls asleep.
He remains the happiest man I know. Smiling at everyone. Reaching out for people’s hands.
And people are so very, very kind. I could never have predicted that when people visit, the first thing they do is go over to Michael, introduce themselves even though he’s known most for years, and chat. He loves it.
And then he falls asleep.
At bedtime, when he is finally and gratefully horizontal, I whisper in his ear. Something that came out of a horrific event in 2014, when Corporal Nathan Cirillo was shot and killed by a gunman on Parliament Hill, in Ottawa.
As the young man lay dying, men and women ran over to try to help him. One woman, Barbara Winters, knelt beside him and whispered in his ear that he was loved. That he was a good man and a brave man. She just kept repeating that.
And now, every night, after I turn the light out, I whisper in Michael’s ear that he’s a handsome man. A kind man. That he is thoughtful and funny and he makes everyone around him feel special. I whisper that he is loved, and he is safe. And then I kiss him good night. And he smiles.
Then I whisper to myself, “You are braver than you believe, stronger than you seem, and smarter than you think.” #
To learn more about Louise Penny and her books and her ideas, please visit https://www.facebook.com/louisepennyauthor
Or subscribe to her newsletter at www.louisepenny.com
Deborah Shouse is the author of Love in the Land of Dementia: Finding Hope in the Caregiver’s Journey.
