Book review – Health & Living – A voice for the voiceless


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From the Irish Nurses and Midwive’s Organisation May edition

“The diagnostic process described by Elizabeth was a drawn out and often excruciating affair. The story will serve as a useful insight for healthcare providers into dementia care from the perspective of the patient and their loved ones”

“This is a story of personal experience with dementia and the lessons learned from it. Elizabeth is at pains to get across that at all times she was trying to be her husband’s voice and to maintain his dignity. With great humour, she readily accepts that she sometimes got things wrong but tells an often worrying tale of the ‘care’ her husband received from the various healthcare professionals whom they sought help from.”

– Tara Horan

The Caregiver’s Voice Review



brenda Avadian has posted a wonderful

When the world of caregiving descends upon your shoulders if you are not aware of what to expect, your experience will be a struggle.

Elizabeth Tierney, author of Dignifying Dementia–A Caregiver’s Struggle, has a doctorate degree; yet, she encounters just as many obstacles as other caregivers while caring for her husband for nine years. Regardless of one’s education, caring for a loved one is a challenge and as Tierney learns a journey in discovery.

There are many books about caregivers and their journeys. Some are expressed in a unique voice that opens our eyes and teaches us something.

Tierney and her husband’s journey begin after he goes to the emergency room for rectal bleeding and leaves with a diagnosis of dementia. Reeling from such an inappropriately timed comment, the Tierneys try to get on with their lives but this diagnosis haunts them.

They see a neurologist then another and another-five in all. Each offers a different diagnosis ranging from cognitive impairment to Alzheimer’s and an unheard of diagnosis in between. The outcome? Lewy Body Dementia.

For two vibrant people working in the field of education, who welcomed adventure when they closed the door to a secure lifestyle and traveled overseas to work, their lives were about to be reduced to a limited sphere of care

A loving wife with good intentions, Elizabeth quickly finds herself overwhelmed by the day-to-day loss of her beloved Jim. Feeling trapped, she tries valiantly to preserve his dignity even during those moments when Jim gets lost in a familiar city or wants to leave after feeling a doctor’s questions are demeaning.

Caregiving takes its toll. After a friend’s helpful observations and advice, Elizabeth accepts that she needs help.

She asks questions—lots of them. She also discovers that despite the advice of professionals to ask questions, many would rather she not ask any. They see her inquisitive nature as challenging. Still, she manages a two-pronged approach to help her and Jim.

For her own sanity, she visits a psychologist, psychiatrist, psychic, and even an acupuncturist. She grows saddened to encounter examples of rigidity among those in the “helping” professions. For example, one doctor insists on praying with her, despite Elizabeth’s insistence on being heard.

She looks for professional in-home care for her rapidly declining husband only to learn that quality and dependable care vary as widely as her husband’s initial diagnoses—from the purely loving and attentive caregiver to the one who lacks the necessary skills beyond talking on her cell phone. When Elizabeth speaks up, the CNAs and their employers accuse her of being difficult.

She persists and eventually finds a round-the-clock team who cares for Jim. With caregivers coming and going and overlapping between shifts she copes with the feeling of life in a college dorm by carving out one room of private space.

Elizabeth recounts may of the challenges and impossible moments that are all part of caregiving. At times, I can’t help but think if this were the first caregiving book I read, I would run fast … and far … from any caregiving responsibility!

Yet, Tierney’s book opens our eyes and helps us know what questions to ask. Dignifying Dementia also emphasizes the importance of following up to ensure we receive the care from medical professionals and caregivers that we and our loved ones deserve. Only then will we have the knowledge, hope, and strength to carry on.

Brenda Avadian, MA
Alzheimer’s / Dementia Caregiver, Expert Spokesperson, Coach, and Author
Editor, TheCaregiversVoice monthly Newsletter and The Caregiver’s Voice Book Review

review of Dignifying Dementia on The Caregiver’s Voice.