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Puzzling


I am the type of person who, when I decide to do something, I DO IT.  I like to get something started and FINISH it.  I mean, not like big projects, heaven knows the wine rack/shelf unit I wanted to clean and repaint sat in disarray for a year before it finally got done and reassembled…  But in general – if there are dishes to be washed, I wash them.  If there is laundry to be done, I clean it.  If there is a bill to be paid, I write out the check and take it to the post office.

Which is one reason that dealing with someone with Alzheimer’s can be so frustrating.

Because, as I am learning more every day, when you are interacting with someone whose memory is compromised, it is not about the end result, it is about the DOING.  The activity.  The time spent having something worthwhile, something soothing, something meaningful to accomplish – that is the goal.  Not the finished product.

The task that first brought this to my attention was a puzzle.  There were some 500 pieces spread out on the table.  My first instinct:  put the puzzle together.  Finish it.  “Check it off the to do list” in a sense.  Even if we assume that our intention is to enjoy putting it together, to have fun doing a puzzle, in the back of our minds the goal is to finish, right?

But.

The act of DOING the puzzle.  Of finding the 4 corner pieces.  Of putting the straight edges together in one area of the table.  Of looking on the box and seeing what this red section, what these stripes, might become…  That is the act of doing a puzzle.  One piece.  Two pieces.  More and more… 

And for someone with Alzheimer’s, putting the puzzle together gives a sense of purpose.  A sense of accomplishment.  A distraction from the confusion and frustration.  Each piece is a little victory. 

So, each piece that I, a person without dementia place, well, that is a bit of “stolen purpose”, isn’t it?  Each piece that I put in is one that you can’t.  Because if I understand that the end goal is for you to find a moment or two of relief from confusion, a brief time when you can focus and be successful, then I can sit back and watch.  And be proud.  And encourage.  Oh sure, I will engage and work a little corner of the puzzle, I don’t want to be rude.  But I will let you take the lead.  I will keep you focused as long as I can.

And when your attention drifts and you go back to the repetitive behavior that has become so familiar to those around you, I will take a deep breath, smile, and begin our conversation again.




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