@Tmom5 - I was my Mom's primary caregiver during her final years. I hope some of my experiences can help you have a better trip.
I can't stress enough to keep her hydrated - UTIs are common in ALZ/Dementia patients, and can wreak havoc under the most controlled circumstances.
If you (and any caregivers) have a bit of time, I fully recommend taking some time to go to the Message Boards at
alz.org. There you will find a compassionate and experienced community of loved ones and caregivers who will become an invaluable resource to you as her condition progresses.
My mom had stroke-related Dementia, which presents with very similar symptoms to Alzheimers, and is often treated in a very similar fashion. I found those Message Boards to be a true lifeline more than once during our 5 years of caregiving in our home.
We took Mom back to WDW one last time, early on in her diagnosis. Here are my tips:
- I cannot stress this enough: prior to travel you need to have certain documentation in place. If this hasn't been done already, you need to make it a priority. The documentation that we NEVER left the house without was:
- Durable Power of Attorney
- Medical Power of Attorney
- Advanced Directives for Health Care
- State ID/Driver's License
- Medicare/Medicaid card (+ any "third party" insurance card(s)
- her "one sheet" that I kept updated (this is one sheet of paper, laminated, that had all of her medical info condensed, including her diagnosis, her current meds + doseages, her doctors contact info, and then helpful information (example: Don't shout her name at her because it makes her cry, do call her by her middle name, etc.)
If she should have a medical issue while you are traveling, you may potentially need any/all of those documents. Don't leave home without them.
- Hydrate her (and everyone else in your party) like crazy. Yep, you have more bathroom issues, but WDW can cause even the most healthy among us to be dehydrated - you don't realize how much you can sweat out in a day there! Even sitting all day on my
ECV, I still need to hydrate more than at home.
- If she has a medication schedule, try to stick to it as closely as possible. Stay close to home meal times if possible as well. If you can't keep her meal schedule, try to stop for a snack. Routine is very important to Alzheimers/Dementia patients. Keep her meds on schedule is even more important. Bring along at least 3 days extra medication (just in case) and if you fly, don't pack her meds - carry them with you in your purse, or her tote bag.
- If she has a comfort item, be sure to bring it. And bring a backup comfort item if she has one. My Mom's originally was her purse, but later became her blue zip-up sweatshirt hoody. Even if she didn't wear it, she liked to carry it with her. (her backup was a lap quilt she had made prior to the onset of her disease process) I kept both of them with us at all times when she had to travel, and I brought along 2 large two-gallon ziplock bags to store them in to help keep them clean.
Her Dementia (stroke-related) could often cause "catastrophic reactions" to things that we took for common. One night, she became afraid to toilet.
I will spare you the details, but it was horrifying. Not just the logistics of the clean-up (which still haunt me to this day) but just to see someone so afraid to go to the bathroom.
Luckily, we recognized the catastrophic reaction for what it was, so we could deal with it appropriately. Catastrophic reactions can occur at any time, but we noticed that the stress of travel could increase the chances for one, as well as the duration and severity. Sticking to routines, and keeping familiar items on hand can help.
- If you don't already, you will soon travel with a tote bag full of her care items. This may be anything from her "comforts" to toileting supplies, wipes, water bottles, folding cup, tissues, a trash bag, etc. If you rent a wheelchair for her, you can hang a standard backpack off the back on the handles to keep everything handy.
Whenever traveling, we would set up "bathroom kits" that I would create in a gallon zip-lock bag. It would have a fresh pair of briefs, a pair of nitrile* gloves, and a small supply of wipes in a sandwich size zip-lock bag. We would also include a fresh, clean damp washcloth folded in a separate ziplock bag. Because Mom sometimes got emotional during toileting (side effect of her strokes) I always popped in another sandwich bag with a few tissues folded up. In two separate 2-gallon zip-lock bags I would put one pair each of the soft knit pants she preferred to wear i case we needed a wardrobe change. As the day progressed, I would keep/consolidate any "extras" that we didn't use, and place soiled briefs, wipes, etc. into a ziplock to dispose of. Soiled washclothes went back into a ziplock bag for laundry. . By packing everything "flat" in ziploc bags and squishing all the air out, it makes it super easy at Security/Bag check as well; they can see all the contents of every bag, and so won't have to go rooting around through everything.
*we only carry nitrile gloves so we don't accidentally expose someone with a Latex allergy to a trigger.
- If she is prone to wandering, I'm sure you have already thought about a lanyard with her name + a caregiver name and cell phone number, but as we both know, those can be removed. Pinning a name tag to her front might work, but if she has a bad moment, and removes it, then it does no good either. Same thing with "safety bracelets" (used for kiddos and Sr's alike); a determined person will just take it off. Some folks will use a Sharpie marker, and write contact info directly on the skin - works for kids, but fragile senior skin might not welcome that. In our case, I simply wrote the information on a 3 x 5 index card, folded it in half, and safety-pinned it to the *back* of her shirt or dress, typically at about the level of where her bra crossed her back. She couldn't reach it to remove it, and it was visible enough that if she needed help, someone would see it.
- If you are flying, remember that airports can be noisy, busy, and scary under the best of circumstances. Some Alzheimers patients do OK with that, but others can be stressed out by the loud noises (think jet engines backing away from the terminal, the beeping of the carts, etc.) and the stress of TSA checkpoints, so be prepared.
- Most airports have a fairly long walk from the curb to the gate, and from the gate to baggage claim/Disney's Magical Express, so you may want to rent or borrow a wheelchair from home for the entire trip if you are flying. Medical equipment (wheelchairs) flies for free, no additional charge, and you would be able to wheel her all the way down to the airplane door. The chair would be gate-checked and returned to you upon landing.
- If you drive, make sure that she is seated in the middle of the seat with someone on either side, or that any door she is next to is "child locked" so that she can't open it while the car is in motion. The first time my Mom tried to open a car door at 65 MPH I was shocked and stunned - and I stopped on the shoulder, moved her to the back seat and engaged the child safety locks. I had nightmares for years after that. It happens, and sometimes those cognitive "lapses" can be triggered at the most unexpected moments.
- We hung a Christmas bell on the interior Resort room door handle that would make noise if she tried to leave during the night.
- Small, familiar things are important - bring her favorite hand lotion, try to replicate her bedtime/morning routines from home as closely as possible. The more comfortable and relaxed she is, the better the trip will be for everyone.
Like others here, I have walked this path with my Mom, and I know how difficult this is. Don't try to do everything - instead focus on doing what she wants to, and to making memories that you can re-visit in the future when she can no longer travel with you.
My Mom famously never smiled in pictures - except when we were at WDW! My favorite photo of her, ever, was taken on Main Street in the Magic Kingdom, and she is laughing and smiling. We had just made "the turn", and she saw the Castle, and her face lit up. Every time we go to MK, I stop on that spot, and blow her a kiss. We always eat lunch at The Plaza, because it was her favorite, and we have to ride Jungle Cruise (with a Dole Whip after!) for the same reason. She's always with us on those trips, in our hearts and memories.
Don't focus on the future... focus on having the best time you can now.
I wish for you the most magical, loving trip you can have.