No matter which of the above four categories outlined by former First Lady Rosalynn Carter you may fall into, there is little doubt that your life has been affected by Alzheimer's -- either through a family member, friend or spouse. I won't bombard you with statistics, since they are all over the media airwaves, thankfully so! But I want to point out the there are over 65 million family caregivers in the US alone, mostly women, struggling along as the unsung heroes or sheroes, as the case may be, who deal with this disease or others, daily.

I want to let you know that they need your help. Yes, I'm talking to YOU! This is not a disease which will allow cheering from the sidelines. You're going to have to get down and dirty, and maybe take a few hard knocks for the team and almost definitely get out of your comfort zone. If you know anyone who is dealing with Alzheimer's, for heaven's sake, help them out!


Here are some things you can do:

1. Give them a huge hug and a warm, sincere "thank you" for their love and care. Let them know you acknowledge how tough it can be. It will make both of you feel better.
   
2. Offer practical help: a couple hours of respite care so they can go to a movie or shopping or take a nap. Do their laundry at your house and deliver it clean and folded. Take their children out for an afternoon of fun at the park or zoo to give those "sandwiched" between elder care and child care a break on one end of the caregiving spectrum. Find information about resources available in your local area for support, respite, help and give them to the caregiver with encouragement to help them follow through.
  
3. Take a walk to end Alzheimer's on Saturday, October 19, when the Alzheimer's Association is sponsoring a national fund-raising event. Click on the Alzheimer's Association link above to sign up. Get your company involved in matching donations raised (if you work for a company so inclined).
   
4. Help start a Memory Cafe in your community. Here's a "Toolkit" guide for this very worthwhile project and more information about how successful they are and how easy it is to bring better quality of life to those with dementia. There are currently about 80 Memory Cafes around the US, mostly grassroots local efforts, and so very helpful to caregivers and those with dementia. The concept is really taking off in the UK, with excellent support from the government. Here, unfortunately, we have to do it ourselves.
   
5. Be an advocate for creating dementia-friendly communities, so that caregivers can take their loved ones out to a restaurant, shop, church, or other public event without feeling the terrible stigma that tends to pervade uninformed environments. It isn't that people aren't willing to be dementia-friendly. They simply don't know how. Educate yourself, then educate others. See the excellent resource "Aging, Dementia, and the Faith Community: Continuing the Journey of Friendship" by John T. McFadden, M.Div., Chaplain at Appleton Health Care Center in Appleton, WI)

6. Practice the Mosquito Principle: "If you think you're too small to be effective, you have never been in bed with a mosquito." So, go ahead and be annoying to the decision-makers who can help to fund the end of Alzheimer's. Bother everyone you can think of and be very persistent in your efforts to help caregivers at the end of their rope, dealing with Alzheimer's. You CAN make a difference. Practice being mosquito-like. It can actually be fun, once you get the buzz, er, whine of it!

7. Introduce folks to this website which has a depth of resources, links, tips, advice and sanity-saving humor to help caregivers maintain their own well-being. There are helpful ideas about using music, meditation, aromatherapy, self-care, inspiring books, personalized playlists on iPods with www.musicandmemory.org, and so much more at www.caregiverwellness.biz.

8. Lastly, practice outrageous acts of kindness and caring for the people you love, and maybe for strangers, too. Use the Pay it Forward concept. Reach out and offer your support in big and small ways. Be vocal, be an activist, be a pain in the patooti, but be involved. If we are not, who will be?

Are you a family caregiver at the end of your proverbial rope? If the answer is yes, hang on and read on! You have options:

1.      You can tie a knot in the end of the rope and hang on for dear life in hopes that some miraculous rescue will occur before your strength gives out and you fall into the abyss of overwhelm, frustration and caregiver burnout below. (I don’t recommend this option, since, in my experience miraculous rescuers are few and I usually go for a more proactive option, anyway. Plus, if you fall and hit the rocks below, it really hurts!)

2.      You can tie a noose with the rope and figuratively hang yourself, in essence, giving up your own precious life by giving in to negativity, depression, and despair. By giving up, you shift all responsibility for caregiving to someone else and abdicate your role. (I certainly don’t recommend this option, since I believe whole-heartedly in Life with a capital “L” and that love has amazing powers to heal and keep us whole! But you would be surprised how many people choose this)

3.      You can swing on the rope trying to clear the canyon of caregiver destruction beneath you and get on solid ground. (This is a marginally better choice than #1 or #2, but still doesn’t work for me)

4.      You can use the rope to make a hammock of support beneath you – a place you can relax, rest and renew your strength, inner resources, and commitment to the caregiving journey. Eventually, your rope hammock can become a rope bridge allowing you to safely navigate across the caregiver chasm and keep your life and sanity in the process. (Now, I admit I am biased, but this is the one I would choose.)

This post is an excerpt from my soon-to-be-published ebook, which provides practical tips and gentle self-care and self-nurturing techniques to make life less of a struggle and more of a loving learning experience. If you are tired of struggling and dangling your way through the uncertainties of caregiving, please sign up to receive a release notice when Sanity Savers: For Caregivers at the End of Their Rope  is published. Find support for a more balanced, healthy, life-enhancing approach to giving care – a hopeful, positive way that includes you along with your care-receiver.

There's a lovely Southern expression, "Letting the well fill up", which means that you have to stop drawing water from the well in order to allow it time to replenish.  I love this image!  It surely applies to caregivers as a perfect metaphor for allowing ourselves the time to renew, reinvigorate, reach out for inspiration -- to have a respite from our cares and caregiving so that we can let our resources of love, energy, enthusiasm, and compassion be recharged from the inside out.  To pause and "let the well fill up" with grace and guidance.  Whatever your spiritual tradition, take the time you need to connect to your Source in prayer and meditation with heartfelt trust that the well will be filled to overflowing for you.  And open your heart to receive the blessings!

Max Highstein has created a soothing, relaxing guided meditation called The Healing Well.  To hear a sample of this and his other guided meditations with beautiful music, please visit www.guidedimagerydownloads.com