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Maria Shriver on Alzheimer’s and Women: Hope Over Fear

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Try to remember what you were doing a minute ago.  Got it?  Now wrap your brains around this:  In the past minute, another American developed a fatal disease that will slowly erase the personality and a lifetime of memories.  That person will either die with that disease or from it, because there is no cure.  That disease is Alzheimer’s, and it’s a growing national epidemic. 

Right now, Alzheimer’s disease is like an earthquake rumbling deep in the core of our society, and women are at its epicenter.  Women are fully two-thirds of the people with Alzheimer’s.  They are also 60 percent of the unpaid caregivers of loved ones who have it.  In every way, Alzheimer’s is a mind-blowing disease -- not just for the people who get it, but for everyone around them.  

Believe me, I know.  When my father, Sargent Shriver, was diagnosed back in 2003, my mother, four brothers and I all felt we were entering a world that was confusing, dark and depressing.  People just didn’t talk about Alzheimer’s when it hit their families. It was a diagnosis shrouded in shame, and there was little information and even less hope. That’s why today, I’m passionate about defeating it.

So on October 15th, I released The Shriver Report: A Woman’s Nation Takes Alzheimer’s, a groundbreaking effort produced in collaboration with the Alzheimer’s AssociationIt’s a comprehensive, multi-disciplinary snapshot of women as caregivers, breadwinners and people living with this disease. This is a follow-up to last year’s Shriver Report: A Woman’s Nation Changes Everything, which looked at the transformational change that has overtaken our country as women have become about half of all US workers, while still being our primary caregivers.  We found that the way we are in America has changed, now that two-thirds of mothers are primary or co-breadwinners.  Husbands and wives reported that they now regularly negotiate their schedules and their joint responsibilities.  We saw that attitudes and behaviors are evolving, but our institutions have not kept up.  

Maria Shriver (R) greets former Supreme Court Associate Justice Sandra Day O'Connor before testifying before a Special Senate Aging Committee hearing on Alzheimer's in Washington on March 25, 2009. (UPI Photo/Kevin Dietsch) Photo via Newscom Photo via Newscom

This year we’ve focused our Shriver Report on the Alzheimer’s epidemic as another tipping-point issue for American society, one that has the potential to shift the way we live yet again.

When we call it an epidemic, we’re not exaggerating.   Next year the first of 78 million baby boomers turn 65, at the same time life expectancies are greater than they’ve ever been.  That means the proportion of our population living long enough to need care is growing like crazy.  As a result, more and more of us will have to care for more and more loved ones with Alzheimer’s.   As a daughter of Alzheimer’s myself, I know firsthand that having a person with it in your family isn’t like dealing with any other kind of illness.  The duration of the care required -- the financial cost and the emotional and physical stress and strain on the family -- are all much greater.

Our Report includes a landmark nationwide poll, which found that 27 percent of Americans have someone in their family with Alzheimer’s.  We found that the profile of an average Alzheimer’s caregiver is a married woman about 50 years old, working full- or part-time, most likely looking after her mother.   Most of these women provide a whopping 40-plus hours of Alzheimer’s care a week.  Many of them are also looking after their children.  

We also found that 56 percent of Americans overall know someone with the disease -- and 90 percent of people who know someone with Alzheimer’s said they were concerned that they or someone they know will develop the disease. 

There’s plenty of reason for that concern.  Today, half of women aged 85 have Alzheimer’s, but the number of people with Alzheimer’s is expected to triple over the next 40 years.  At the same time, we don’t have a corresponding boom in caregivers.  We don’t have an infrastructure of professional caregivers trained for Alzheimer’s.  Neither do we have a business community ready to provide the workplace flexibility needed by our unpaid family caregivers who also hold down jobs. 

We certainly don’t have the financial resources to cover Medicare, Medicaid

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Searching For Cecy 5 pts

Thank you for your continued efforts to bring awareness to a disease that wreaks havoc with the strongest of American families. Alzheimer's disease is indeed a national tragedy. We often feel shame at our inability to help our loved ones who have embarked on the slow, painful journey into Alzheimer's. Thank you for shedding the light needed to bring this challenge out of the dark. It is hoped that the excellent research and data contained in "The Shriver Report" coupled with your passionate efforts will help to bring us closer to a cure.

Sincerely,

Judy Prescott, author of, "Searching For Cecy: Reflections on Alzheimer's"

www.judyprescott.com

rlmartin 5 pts

I have worked with Alzheimers residents for over 30 years. I would like to start a facility that is just for AD patients. Most nursing homes have AD patients mixed with the general population, or are on a unit that has not been designed for them. I would like to open a facility with only AD patients with a secure, but accessible, outside area.One with activities that are based on Alzheimers needs. A facility with no corners so resident don't 'get stuck' while wandering.I would love any input, suggestions....

Marileigh 5 pts

 Marileigh

I left/quit/retired from my career as a social worker to care for my mother who has Alzheimer's. 24/7 care. I don't know how I was the chosen child to care for mom, but I'm glad I was. I don't help or support in any way from other family members. They have adopted the "out of sight out of mind" stance.

I so appreciate your speaking out on what it is. What Alzheimer's disease is and what we, as caregivers, go through. I have walked away from my own life to care for my mother. I wouldn't have it any other way.

Marileigh

danacesar@gmail.com 5 pts

Dear Maria,
Thank you for an outstanding blog. I wonder if you are aware of the role blue-green algal (BGA) toxins play in the development of Alzheimer’s. BGA produce a number of compounds that are toxic or debilitating, even in small amounts and can be found in drinking and recreational water. There is a growing body of research showing that algal toxins are the cause of many other common diseases, as well (ALS-PDC, and liver and brain cancer). Direct and indirect costs for damage caused by algal blooms can range in the hundreds of millions. For a summary of findings, and to see what Oklahoma is doing about BGA, please go to: http://www.ncf-net.org/pdf/BlueGreenAlgalToxins.pd...

Our best hope, I think, is better water policy.
Dana

threehautemamas 5 pts

My beautiful grandmother was diagnosed with Alzheimers just as I was becoming a mother myself. She held her first grand child but never got to know her first granddaughter. My mother went to the nursing home every single day for years, to feed her, change her, and mother her own mother. She dropped it all for my grandmother and made her her number one priority until she passed. Thank God she had that luxury and my heart goes out to those who don't.
What this country needs to be doing is bringing peace to the families of those suffering alongside patients, trying to have patience with a disease that is all encompassing.
Keep up the good fight
http://threehautemamas.typepad.com/blog/

Carol Wright 5 pts

I have not read the full report yet, but as a frontline caregiver (not INFORMAL SUPPORT term used to refer to us in studies and reports)....this is not enough.

It is not enough to say how severe the problem is and then suggestions continue to perpetuate the problem. That women will continue to take it on the chin, on their shoulders, and breaking backs to take care of the nation's senile elderly.

Did you address all the deadbeat children/siblings who get off scott free, who do not help one ounce and shove all responsibilities off on the one responsible one? That has to change...even if the only thing done is that the actual caregiver receive more inheritance share, or can EASILY petition to have a parachute amount when the house sells, before funds are reserved for nursing home costs.

There can be many solutions. Caregivers can apply for and receive full SS and Medicare coverage for themselves, no matter what their age. If their charge is SSI disabled and receives disability funds, then the caregiver is deemed also that disabled, for they really are.

I have not mentioned all the false diagnosis of Alzheimer's. Many dementias are caused by prescription drugs, as perhaps five of my mother's drugs were. Extreme behavior modifying drugs are now routinely used on Alzheimer's patients, and as in my mother's case, caused the very delusional behavior they were prescribed to combat. Two drugs backfired in this way, creating a straightjacket case. I discovered the real cause and got Mom off them. No delusions now, how about that? Who pays for her lost mind? Who is responsible? Those considering trying going drug free for a few weeks or a month, look up Beers Criteria or Beers List on the internet. So many prescription drugs my mother took caused dementia. If only I'd known this 8.5 years ago, Mom may have been able to salvage her mind then...instead of picking up the pieces now...there is not much left to work with after all this time.

What else...has anyone except me considered that because family caregivers are stuck with the moniker "informal support" in studies, theses, and government reports...that we don't get grants and direct funding. Informal support means "unpaid," and since we're predescribed in that way...funding goes right over our head. It wasn't til I read the recent Alzheimer's Report that I realized this... look up the term on Google.

Who is looking for real solutions, and not just making it more known that this situation is such a burden on women. Oh wow, it is really bad. Keep up the hard work gals...here, we'll see if we can get you unpaid time off. wow...that's IT?

Kathykate 5 pts

MariaShriver -- thx for taking this as your cause. You continuously impress me.

I read Still Alice this summer and changed my life. Read it.

Kathykate (p/t copywriter, f/t mom)

Diary of a Return-to-Work Mom ( http://www.returntoworkmom.com/ )

Msvip213 5 pts

I recently ran a 4 part series on my blog about parenting yor parents: when roles change. The series was based on my mothers story of having to care for my aging grandmother and discovering that her mother has Alzheimer's. You can find it here (http://www.the-mommychronicles.com/2010/10/parenti... ( http://www.the-mommychronicles.com/2010/10/parenti... ))

The hardest part about Alzeimer's is truly for the famil becuase the person no longer remembers. I know that it is hard to see my grandmother this way becuase I remember the days of being a child and spending time at her house. She was such an active woman, she was a real social butterfly. As the Alzheimer's progressed she started forgetting who I was and to this day she has no clue wo I am. Its truly like losing someone twice. My grandmother is not longer inside her body and then one day will come and her body will be taken away as well.

lauriewrites 15 pts

As a longtime supporter and former social worker for the Alzheimer's Association, and a former caregiver for a grandmother with vascular dementia, I am so happy to see this on BlogHer. I like it when my worlds collide in good ways.

I've been in the offices of congressmen in the Ohio State Capitol and on Capitol Hill with dementia caregivers and I'm fully aware that this is a grassroots effort that has raised millions of dollars not just for research (which is of course sorely needed) but for IMMEDIATE, USEABLE dollars for caregiver relief and health care solutions that make sense for people with Alzheimer's and related dementias and their families. The numbers were frightening when I first learned them in 1996 and I'm sure they're even more daunting now. But no matter what, there will still be people and families living with the day-to-day of these diseases, which as horrible and frightening as they are, are still their lives.

I used to tell my famillies, when they'd talk about how no one came around anymore and how no one understood, that that was true. No one's been old or ill until they are, and it's an easy thing to have no experience with, but that's not an excuse. I did it because I cared and I was called, but I came to understand that the karma was a side benefit. This is care that the people I cared about would continue to need, and so would I. I wish it had been better for my grandma and her peers, and I want it to be better for my parents and me. I hope we can keep doing a better job.

(P.S. SUpport your local Alzheimer's Association, or at least be aware of it, whether this disease has touched your life or not. If you ever need it, it's nice to know it's there...and the chapters need, honor and productively use your support.)

Laurie
LaurieWrites ( http://lauriewrites.typepad.com )
Photos on Flickr ( http://www.flickr.com/photos/rubyshoes )