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Theresa Armao has always loved traveling, says her daughter Rosemary. She and her husband would take Rosemary and her four sisters on family trips every year to Lake George, New York; Cape Cod, Massachusetts; or Hampton Beach, New Hampshire. Once her children were grown, Theresa continued to travel frequently with family and friends, visiting destinations across the U.S., the Caribbean and Europe.
When Theresa started showing signs of dementia about 12 years ago, while in her late 80s, Rosemary didn’t want the adventures to end for her mom. So she and her sisters have continued to travel with her.
The last big family trip they took was a cruise in the Caribbean two years ago. “She loved it,” Rosemary says of her mom. “She said at one point while sitting on the deck with a drink in her hand and sun shining down, ‘I’ll never forget this,’ ” Rosemary says.
Two months later, when Rosemary brought up the trip, her mom didn’t remember it, which might be for the best because the flight home turned into a disaster. Problems with their connecting flight left Theresa and one of her other daughters stranded at an airport for 18 hours.
“That almost broke us,” Rosemary says. “After that, we said we’re never traveling again.”
But they have continued to hit the road. The trips aren’t nearly as ambitious now, and there are plenty of challenges, considering that Theresa is now 99 and can no longer walk. But Rosemary says it’s important for her mom to continue to do what brings her joy.
“I’m not going to stop until she is unable,” Rosemary says. “I’m not sure what that looks like. I just think it’s unsafe to keep her in the bed all the time.”
From a medical standpoint, it’s OK for people with Alzheimer’s disease or other types of dementia to travel, says Alison Lynn, a licensed clinical social worker and director of social work at the Penn Memory Center. And if travel is important to your loved one’s quality of life, it can be worth the effort to continue taking trips, she says. The key, though, is to put protections in place that reduce the risks for both the person with dementia and caregivers.
If you want or need to travel with a loved one who has dementia, take these steps to increase the odds that your trip will be enjoyable.
Step 1: Determine if travel makes sense
Even when a loved one has memory loss, travel can be worthwhile. “They might not be able to remember it two weeks later. They might not remember it the next day,” says Kathy Speer Shoaf, a geriatric neurology registered nurse and owner of Elite Cruises and Vacations, which creates and facilitates dementia-friendly cruises. “But, in the moment, they had joy.”
That said, check with your loved one’s doctor to get the green light to travel, says Annalee Kruger, president of Care Right Inc., which provides customized aging plans for family caregivers. Make sure that you understand where your loved one is in the progression of their dementia and what level of support they will need. Your loved one’s doctor can provide insight and resources, such as the Alzheimer's Association, which has information about the stages of dementia.
More important, Kruger recommends asking yourself, “Is this really a good idea?” Make a list of your loved one’s behaviors that could create challenges, such as wandering, agitation, sundowning (late-day confusion) or sleep disruptions. Recognize that taking your loved one to a new environment will likely exacerbate these behaviors and make them more difficult to manage.
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