7 Stages of Alzheimer’s

In a recent Facebook post, I mentioned that my mother is slipping into Stage 5 of Alzheimer’s. Some of my followers  asked me, “What are the stages and how do they manifest in our loved ones?”

7 Stages of AlzSo I’ve decided to answer that question with a series of blog posts about the 7 Stages. Each week, we’ll look at the next consecutive stage – but not totally from a scientific point of view.

My journey into the world of Alzheimer’s has included my mother’s disease but also the viewpoint of a special lady – Reverend G.

These posts will include Reverend G’s personal experiences and her thoughts through each consecutive stage.

Also, each post will end with a Bible verse that Reverend G hangs on to during that stage. She is, after all, an ordained minister and her faith is important to her – no matter what is happening to her brain.

As we move closer to the book launch for the third book in the series, “Final Grace for Reverend G,” I’ll also include some videos to help my followers understand each stage of the journey.

So to introduce the series, here are the 7 Stages of Alzheimer’s – as Reverend G experiences them – with a bit of scientific information from my research. I hope you’ll join me on this series of posts and share them with your friends.

Stage 1: Preparation. No cognitive decline is present, but a sense that Reverend G doesn’t feel exactly well and wonders what is going to happen. She believes God is preparing her for something in the near future. Isaiah 43: 2-3.

Stage 2: Questions. A small amount of forgetfulness is present, but nothing that impairs life. One example is when Reverend G forgets a line from “The Lord’s Prayer.” This is the stage where “The Unraveling of Reverend G” begins. Isaiah 48:2.

Stage 3: Fear. Something is definitely wrong and life is beginning to seem more difficult. Early confusion sets in. Reverend G loses an entire carton of Chunky Monkey ice cream. Fear is a constant companion. Psalm 34:4.

Stage 4: Diagnosis. Reality confirms the diagnosis as more and more confusion affects Reverend G. Handling finances becomes more difficult and while short-term memory begins to fog, long-term memory is still coherent.

This is the stage where most families begin to consider assisted living arrangements. Reverend G begins to accept what is happening to her. Psalm 43:5.

Stage 5: Early Dementia. Reverend G no longer cares about time or the days of the week. She has difficulty counting backwards although she still knows the names of her loved ones. She still enjoys eating cheesecake with blueberries but she may have some trouble tying her shoelaces or making decisions about what to wear.

She may have dreams that seem real, although they just confuse her further. Her comment appears often, “Oh God, oh God – I can’t stand it.” Reverend G lives through Stages 4 and 5 in “Intermission for Reverend G.” Hebrews 13:5b.

Stage 6: Back to Childhood. Severe cognitive decline as Reverend G is now entirely dependent for her survival. She experiences expressive aphasia as speech become more difficult.

Her beloved Chris is with her and her family remains a source of comfort, but she has forgotten major events and the seasons of the year mean nothing to her. Time has virtually disappeared.

She does know her own name, but others will have to help her with daily living. At this point, she is relying on God to keep her faith strong, because she has no cognitive ability to comprehend what the Bible says, even though she may be able to recite some passages or find comfort in music.

“Final Grace for Reverend G” begins at the end of Stage 5 and continues through Stage 7. Psalm 56:3-4.

Stage 7: The Race is Won. In this final stage, Alzheimer’s patients are virtually infants. All speech is gone. Feeding and toileting need assistance. They lose the ability to walk and are bedridden.

Reverend G is visited by family and friends, but it is God’s faithfulness that continues to sustain her.

As the author, I wrote Reverend G with some ability to comprehend thoughts although she can no longer voice them. The deep viewpoint was the tool I used because I wanted to show what we cannot know – how the Alzheimer’s patient can still feel love and experience faith.

This is where final grace becomes most important. John 14:3.

So these are the stages of Alzheimer’s, told from the viewpoint of our beloved Reverend G.

In the end, with final grace, even a fictional character can help us understand that once we belong to God – he will never, ever let us go.

©2015 RJ Thesman – Author of the Reverend G books http://amzn.to/1rXlCyh

Cheering for the Young

VF01Last weekend, I attended graduation receptions for two young women. I have followed these girls through the lives and prayers of their mothers – two of my friends. And when I see these girls on Facebook or at my church, I smile – even though I know they probably don’t realize who I am or that I have an interest in their lives.

But now they are embarking into the future, armed with one of the greatest treasures we all hope to possess: passion.

Each of these young women are passionate about who they are and what they want to accomplish. Each of them is unique with giftings that show how incredibly smart they are and how much potential they possess.

On one hand, I want to protect them from what is out there. I know they will experience losses and resulting griefs. That is just life. They will also be tempted to abandon their passions for lesser goals. I hope and pray that does not happen.

Generations of women have abandoned their passions for lesser goals. That is a travesty. Many women have even forgotten what it felt like to have a dream and feel energized to make that dream happen. So many women believe they are not enough and try to find artificial ways to make themselves measure up.

And so…within this blog platform…I wish to give you female graduates some advice. As an older woman, I’ve earned the right to do that and as a woman who has prayed for you, I believe it is my duty to share insights learned from long years on my knees and long hours trying to find the restorative keys to my own passion.

Dear Ones, please listen and heed this advice:

Always keep your passion alive. Whether you long to become an editor of an international publication or you yearn to join the Philharmonic Orchestra or you hope to run the Boston Marathon and beat the guys – keep your passion secure and alive. Without your passion, your soul will become stale and you will lose the energy and zest for life that is so necessary to not only survive, but also to thrive.

Never settle for what is merely good – whether in jobs, possessions or love. Instead, wait for and strive for what is best. Fifty years from now, you will look back and be glad that you waited for the best because that gives your life significance without regret. God created you as unique, and he wants the best for you. So never settle for only the good.

Be authentic. If you don’t want to join the crowd, if you don’t want to be part of the sorority, if you hate broccoli – just be yourself and stay authentic. Wearing a mask is more tiring than being yourself. And trust me on this – you are already incredible. You are beautiful and you are a treasure. You are already enough.

When life gets hard, remember that your parents raised you to embrace your passion. They have sacrificed much so that you could run toward your goals and every day, they think of you and pray for you.

Then also know this…if you listen very carefully, somewhere in the atmosphere you will hear the rest of us women who have gone before you. We are cheering for you and hoping that you will be the ones to break the barriers of gender abuse, so that all women everywhere will be embraced as the incredible creatures we are.

I love you both. I continue to pray for you. I believe in you.

©2014 RJ Thesman – “Intermission for Reverend G” – http://amzn.to/1l4oGoo