Teepa’s Tips for the Holidays: Special Times for Special People

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By Teepa SnowNovember 8th, 2020

Teepa’s Tips for the Holidays: Special Times for Special People

by Teepa Snow, MS, OTR/L, FAOTA

As we prepare for the closing of another year and as the holidays are  approaching, it’s a good time to do a check-in! Before we get revved up for a round of holiday activities, festivities, and commitments, consider how your partner is doing, how your support system is functioning, and most importantly, how you are doing.

As dementia progresses and we find our partner is still with us, yet remarkably different, we will want to do more frequent pauses and reassessments of how each of us is looking, sounding, moving, feeling, and doing. Taking a step back and estimating time use, energy use, and satisfaction is critical prior to embarking on old holiday traditional activities, planning additional special events, or gathering large groups of people together for interactions.

If any one of us is already maxed out, then adding one more drop in the bucket could tip the scales into distress! That does not mean no holidays. It does mean we will want to change or modify something before we take on something or someone else for the holidays. Getting us to a better place, before attempting something special will increase the probability that the something special is a good special and not a mess.

What are the key items to check on when measuring your holiday readiness? Consider doing this review with a good friend or support partner. Actually set a chunk of time aside to complete this assessment of what is happening. Encourage one another to pause and really consider what you have noticed about the last few months or weeks, not just assume it is the same as it was the last holiday season. Please make sure you both include the person living with dementia in the experience. Add their lived experience into the mix as plans are considered.

1. How are you each spending time? How balanced is the 24 hours?

a. How much and when is sleep happening? (6-9 hours per 24 is a decent balance point)

b. How much time is spent on taking care of body, brain, home, and hearth?

c. How many hours are spent at work or doing something that gives a sense of purpose—of value? (I matter, what I do matters to someone or something, I am still here for a reason.)

d. How many moments of pleasure, satisfaction, or joy are included in each day? What is the frequency, intensity, and duration?

e. How many hours are spent relaxing or being spiritually refreshed?

f. On the downside, how many minutes or hours are spent simply waiting on someone or something to get done or to happen? How much downtime is there in the day?

2. How about physical wellness, health, illnesses? Where are each of you on a 10-point scale? (from barely alive to thriving)

3. What pain is present—physical, emotional, or spiritual? Is it being well-managed or addressed?

4. What physical, emotional, or spiritual reserves are available? What more can be offered?

5. Where are other system supports? What else is available and not being used, no longer available, or beginning to wear out or give out?

Now that you have taken inventory, where does that land you, your partner, and your support system? Are you looking great and ready for some holiday festivities, in a big way? Is each of you in the same place, or is someone in a different place and needing a change of pace this time around? If there is a low spot in the mix, what can we do this holiday season to balance things out?

Is it time for a break from the routine? Would little pieces of holiday spirit and pleasures be just the ticket? Or is there one or more of those involved who really needs something very different or smaller this year? Is it possible that breaking the season into small moments and very short, single sensory experiences would be a better idea for all concerned? Or is it possible that different members of the team will each need something different out of the holiday season to find purpose and joy this time around?

Pausing and taking inventory can make all the difference in holiday experiences this year. It could be, that like Santa or Kris Kringle making a list and checking it twice, there is as much fun and purpose to be had in having short sing-a-longs on Zoom as getting everyone together to have a holiday party. Preparing for the holiday feast by looking through the family cookbook, the pantry, and the fridge may be all that is really needed to celebrate the meal. Then, stopping in and eating with a good friend or faith community family for the meal could take the place of completing the rest of the traditional meal preparation. Perhaps there will be new moments of pleasure and joy without the work and waiting involved in a full-out gathering at your place or a long-distance trip to others.

Could there be as much pleasure and less stress with turning on a small crockpot of apple juice and cinnamon sticks as there is with a full-out trip to the local farm? Or would the car ride to the farm with the leaves turning or the holiday lights shining be the best match up?

The bottom line for changing abilities and special times…

Check in and assess in the moment, rather than assuming this year will be like the last. Make sure this season has moments of joy built in, and savor each one. Perhaps it’s time to change—to stop keeping up traditions that simply fill us with a sense of longing or loss, or overwhelm our partners or supports. Instead, let’s find or create new options or opportunities that satisfy or fulfill a sense of purpose and value, by doing less and liking more. There is a big difference between letting go of what is not working and enjoying what is possible, rather than enduring or giving up and simply grieving that loss.

8 Comments on “Teepa’s Tips for the Holidays: Special Times for Special People”

  1. Hoping you will update this otherwise fantastic blog to include the need for protecting ourselves and our loved ones from Covid infection. Eating with others outside our bubble is not at all a good idea, but video calls during a meal or candlelighting can be a good way to connect. Thank you for all of your wonderful tips for us and our partners.

  2. What a great message regarding the holidays!
    And I love that it’s a video- for months I have saved the email newsletters in the hopes that I would find time to read them during the work day. Finding that time rarely happens but who can’t commit to watch a 5 minute video. Great content and format! : )

  3. Thank you Teepa!
    I really enjoyed the webinar today.
    Its the little things that matter.
    God bless you this Holiday season!
    Connie Alverson -|-

  4. I like the point about letting go of some traditions that may be overwhelming. While I want a Christmas tree this year, I don’t want to remove and carefully put away the decorations later. So, this has made me think that we’ll still get a tree but decorate it with natural ‘disposables’ – strings of popcorn (which my mom *might* be able to do), dried orange slices, pine cones, and other items I can compost or safely toss later.

    On a separate note, I want to caution caregivers re. keeping a close eye on their ‘charges’ during the holidays. My mom had a stroke opening gifts last Christmas morning (and stayed in the hospital 3 days). She completely recovered (other than her Alzheimer’s of course), but then last month, she had a very low pulse and passed out (bradycardia w/ pulse at 43) on her 94th birthday. She was fine for the months between those dates. So, I think stress/excitement on big days is an issue for her – and it may be for others. We’re going to observe Christmas Hanukkah-style this year – opening one small gift a day for a few days. I will not tell her exactly when Christmas is. We’ll just make it spread over a week. It worked for Thanksgiving – she just had a big turkey dinner, but didn’t quite know why. So, no stress, no passing out, no stroke!

  5. I love the short video, it is more meaningful than reading the newsletter. Holidays are different now but adding Covid makes them really different.
    Thanks so much for sharing your thoughts.

  6. Lauren, thank you for your response and reminders. I love the idea of celebrating slowly, as the excitement may be too much their damaged brain to handle.

    Thank you, Teepa, for all you do!

  7. Hi Teepa, your holiday messages (article and video) are a gift. To find “new moments of pleasure and joy without the work and waiting involved” and to approach the holidays with “whatever they mean in the moment” – wisdom for us all. Thank you, Taara

  8. Thought provoking, Wise and wonderful Woman Teepa Snow, May you be richly blessed this Christmas Season and all year through, my Thoughts and prayers will go up for You. Thank you for bringing us a step closer to our seniors and loved ones that are living life through Dementia, by the Grace of God/ this too shall pass! Much Love Dear Friend & Mentor❤️❤️

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