When Tom’s family gathered for his 75th birthday, everyone noticed the changes. He repeated
stories, forgot names of longtime friends, and seemed confused about simple tasks. But instead
of addressing it directly, family members exchanged worried glances and changed the subject.
The Silence Epidemic Families often spend months or even years dancing around cognitive
changes, hoping they’re temporary or not significant. This well-meaning avoidance actually
makes things harder for everyone, especially the person experiencing the changes.
What’s Really Happening Early Alzheimer’s is frightening because the person experiencing it
often has moments of complete clarity alongside periods of confusion. They’re aware something
is wrong but may feel:
● Embarrassed about mistakes
● Frustrated by family members “taking over”
● Isolated by others’ discomfort
● Afraid of losing their identity and independence
The Family Ripple Effect When families don’t address changes directly:
● Everyone walks on eggshells
● Important decisions get delayed
● The person with Alzheimer’s feels excluded from their own life
● Relationships become strained and artificial
● Opportunities for meaningful connection are lost
The Cost of Waiting Many families believe they should wait for “more progression” before
taking action. But here’s what research shows: the earlier you implement supportive strategies,
the longer you preserve:
● Meaningful communication
● Independence in daily activities
● Family relationships and connections
● Dignity and sense of self
A Different Approach Instead of managing decline, what if families focused on optimizing
what’s still possible? This means:
● Having honest, loving conversations about changes
● Implementing environmental supports early
● Learning communication techniques that preserve connection
● Creating structured routines that support function
● Addressing the underlying cellular processes when possible
The Surprising Truth Families who address Alzheimer’s proactively often maintain quality
relationships and meaningful interactions years longer than those who wait. Early intervention
isn’t about giving up hope – it’s about making the most of every moment.
Moving Forward If your family is avoiding “the conversation,” know that addressing changes
directly with love and support often brings relief to everyone involved. The person with
Alzheimer’s usually appreciates honesty and the chance to be part of planning their care.