Alzheimer’s Caregiving: How to Approach the Holidays

As we head into the holiday season, it’s worth looking into ways your loved one with Alzheimer’s or another progressive dementia can be included in the festivities.

Obviously, how you address this season will depend on the stage your loved one is in. Early in the disease, you probably won’t have to make many changes in your traditions and plans. Eventually, your loved one may not be able to execute the tasks they would normally do at this time of year by themselves. Your mom may not be able to cook a favorite dish, but you could work around that by working together to help her. Your dad may not be able to shop independently for presents, but you can do it together.

As time goes on, large festive gatherings will just be too much for your loved one. It may be hard for you and your family to make the necessary modifications in traditions to accommodate this new reality, but it is absolutely necessary. The noise and chaos of a house filled with excited children may sound like the ideal holiday, but it will cause much confusion for your loved one as he or she tries to sort out what is happening around them.

Holiday gatherings are often the times when family members understand there is problem with a loved one. Thrown out of his or her familiar routine, your loved one may decompensate and their deficits become much more obvious. There is usually a spike in calls to the family physician about these matters in early January!

So smaller gatherings are eventually best. It’s probably best to do this in the loved one’s own home. Maybe different family groups can come for a visit individually throughout the day, and the surrounding days, being careful not to exhaust the limits of the loved one.

As the disease progresses further, perhaps your family member is in a memory care unit or a skilled nursing unit. During the last five years of my mother-in-law’s life, the family would gather for Thanksgiving and Christmas dinners in her nursing home’s dining room. Our gifts to her were something practical, yet lovely–a fuzzy cardigan or a plush blanket, for example.

We were able to maintain our own family holiday traditions with Harvey for most of the duration of his disease. Our family of four kept our small traditions with stockings, gifts, and our breakfast of Monkey Bread. Then we would gather with the larger family for the big festive meal. The last Christmas that Harvey was home, though, this larger family gathering proved to be too much for him, and he hid out in one of my parents’ bedrooms. Once I realized what was happening, we left, but I felt badly that I had let it get to that point. And badly that we had to leave our extended family.

Everything changes with a diagnosis of dementia. Even holiday traditions.

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6 Responses

  1. Renee, I just learned of your blog from Mindy Bodenhemer. My husband was a successful furniture store owner in North Alabama when we reunited at a high school reunion. We’ve been married 15 years. Dementia has owned him for 8 years. Oct 19 this year, he broken his neck in a rural road roll over adding to his foggy confusion. I appreciate your gentle writings.

    1. Susanne, thank you for sharing a bit of your story. Those of us on this Alzheimer’s path understand just how hard it is. I really appreciate your characterization of my writing as “gentle.” Made me smile. I wish the best for you and your husband!
      Renée

  2. Thank you for your writings and thoughts Renee. My prayers are with you and your family this holiday season. I have heard it termed an “Awkward grief “ living with a loved one with dementia. We are grieving what is gone while our loved one is still with us. I also know holidays can be even harder after a loved one has died. Praying for peace and comfort for you and your girls.

    1. Thank you, Anne. I will be writing about grief soon. I’ve been using the term Ambiguous Grief for what you describe, but I really like “awkward!” It has more of an emotional pull.

  3. Again, thank you, Renee. I am sending this to a Seattle friend, who suspects one of her daughter-in-laws mother has signs of dementia. The word ‘gentle’, as one reader commented on your writings, made me smile also. A perfect word for a gentle writer, coming from a gentle mother and father, choosing a gentle husband, and having lovely, gentle daughters. Loving and gentle go hand in hand.