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[Please note that the material on this page was current when it was first posted. For up-to-date information on this topic, visit the I Have Alzheimer's Disease section.]

Speaking Out Media Kit

Jan. 2, 2002

Backgrounder -- Issues and Ideas

Speaking Out -- Insights from people with Alzheimer's disease

These issues and ideas are taken from findings from a series of focus groups the Alzheimer Society conducted with people who participate in early-stage Alzheimer support groups and from responses to an online survey posted on the Society's Web site.

The Alzheimer Society can put you in touch with individuals, caregivers and experts who are willing to share their stories and expertise. Contact the Alzheimer Society at pr@alzheimer.ca for more information and to arrange interviews.

1. Communicating the diagnosis

"When he (the doctor) told me I had Alzheimer's disease, I dissolved into tears. I was shocked. It was the end of my life as far as I was concerned."

"The doctor said I had Alzheimer's disease and left the room."

Telling someone that he or she has Alzheimer's disease is one of the most difficult tasks that doctors face. But if it is done sensitively and the person is offered emotional and practical support, it can help a person accept the diagnosis and seek appropriate resources.

2. Driving

"I want to remain independent and not lose my licence."

"Driving picks me up. It's wonderful to have a car, still have independence."

"My wife doesn't drive, so family would have to help out."

Giving up a driver's license is one of the most traumatic experiences for people with Alzheimer's disease and their families. It can be the first real catalyst for realizing the full implications of the disease. In some provinces, physicians have a statutory duty to report medically unfit drivers.

  • Talk to people with Alzheimer's disease who continue to drive.
  • Discuss with individuals and family members their experience of losing or taking away the licence.
  • Talk to a clinician about how Alzheimer's disease affects a person's ability to drive.
  • Explore the reporting requirements for physicians in your province.
  • Find out about testing that determines if it is safe for a person with Alzheimer's disease to drive.
  • The Alzheimer Society has ethical guidelines regarding the issue of driving.

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3. Communication problems

"I can't read anymore."

"Write things down in a notebook when you are in a conversation."

"You ask for something, then you don't remember what you wanted; so you shut up after a while, you become really silent."

A variety of speech, thought and language problems can surface in the early stages of Alzheimer's disease. People may have difficulty finding the right word, reading or following threads of conversation in a group. They may lose a train of thought. Some people compensate by creating phrases to explain the missing word, inventing new words, repeating familiar words, using nonverbal gestures, avoiding social situations, or simply shutting down.

  • Meet individuals who struggle with communication problems. Learn about their strategies for coping with stressful situations.
  • Find out about verbal and non-verbal ways to improve communication with people with Alzheimer's disease.

4. Social stigma and isolation

"Alzheimer's is a lonely thing. We have to change that."

"I never know whether to tell people I have Alzheimer's disease or not."

"Join a support group. It reduces isolation."

For many people there is a stigma surrounding Alzheimer's disease. This stigma is mostly based on fear and a lack of understanding about the disease, its symptoms and how it affects people. Open discussion about Alzheimer's disease can help reduce some of the stigma and fear.

  • Talk to people with Alzheimer's disease. Find out how they experience the disease and how it makes them feel.
  • Hear their suggestions for family members and friends to help reduce isolation.
  • Learn about ways to help individuals and families living with Alzheimer's disease -- see the Alzheimer Society brochure, Ways to Help: Assisting People Living with Alzheimer's disease.

5. Relationships

"To stay with your spouse and try not to be too much of a bother to them. That's really important."

"Animals are good for people."

"Sometimes I want to retreat from them (family). They bug me, tell me, 'Stop. Don't do that. Don't go there. What are you doing?' Like in kindergarten. I know they're doing it for my good, but…"

Family support is a bedrock for people with Alzheimer's disease but the physical, emotional and behavioural changes brought on by the disease can challenge the best of family relationships. As the disease progresses, family roles are often reversed. Relationships with pets can be therapeutic.

  • Talk to people with Alzheimer's disease about the value they place on their relationships with their families. Discover how they feel about becoming dependent on others.
  • Discover the joys and sense of responsibility they get from their relationships with pets.

6. Research

"I hope the medications can hold off the disease long enough for a cure to be found."

"My real hope is that a cure is here in time for my children."

  • The Alzheimer Society is a leading funder of Alzheimer research in Canada, committing nearly $2 million in 2001-2002. Talk to some of the Alzheimer Society-funded researchers. Learn what they are doing to find a cause and cure for Alzheimer's disease and to improve Alzheimer diagnosis, treatment and care.
  • See the Alzheimer Society's Research Sheet which presents an overview of the current state of Alzheimer research in Canada.
  • See the Alzheimer Society's new booklet, Alzheimer Society Research Program: The key to a cure.
  • Check the research section of the Society's Web site at www.alzheimer.ca.
  • What are the benefits and drawbacks of participation in Alzheimer research? Find out what the Alzheimer Society's ethical guidelines recommend. Talk to an expert who can speak to the issues.

All information is available in print from the Alzheimer Society or at www.alzheimer.ca.

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