Lost in Time: Understanding the Journey of Dementia in the Elderly

Written by: Odelia Tan (24-A4)

Designed by: Julianna Del Rosario (24-E6)

Back in June 2024, a movie took Southeast Asia by storm, even setting off a TikTok trend where users showed their puffy, tear-streaked faces after watching it – the heartwarming Thai film ‘How to Make Millions Before Grandma Dies’. 

(WARNING: Contains spoilers about the movie’s plot!)

For those unfamiliar with the film’s plot, the film follows the journey of a family grappling with their relationships and personal values as they attempt to secure an inheritance from their beloved grandmother after her end-stage cancer diagnosis. In particular, the protagonist, M, sets out with vested interests, but as the story unfolds, ends up discovering the true value of familial bonds and caregiving. 

Though the movie centres on M's grandmother's battle with stage four colon cancer, it also highlights the profound impact of caregiving, a theme that resonates deeply with those caring for elderly loved ones with dementia. In a fast-paced world where the latest trends and technologies captivate our attention, it is easy to overlook the quiet struggle faced by a significant part of our society – the elderly living with dementia. 

What is dementia?

Imagine waking up in a familiar room, only to be unable to recall where you are or recognise the faces of loved ones around you; this disorientation is an unfortunate, but daily reality for those with dementia. Dementia is not a single disease but a collective term for various diseases that impair memory, thinking, and the ability to perform daily activities. It is caused by damage to brain cells, which affects their ability to communicate with each other. For those afflicted with this disease, simple tasks like preparing a meal, remembering appointments, or even recognizing one's own reflection can become daunting. 

Yet, dementia is not just about the gradual loss of memory and function, but also about the emotional and psychological journey, both for the individuals affected and the caregivers who walk alongside them.

The Journey Begins: Recognising Dementia

Dementia doesn’t appear overnight; It often starts subtly– manifesting as mild forgetfulness, difficulty finding words, or even momentary confusion– but which is often easily dismissed as normal ageing. Yet as the disease progresses, these symptoms become more pronounced, leading to severe memory loss, disorientation, and possibly even shifts in personality.

For caregivers, recognising these early signs is crucial– It opens the door to early medical intervention and planning for the future. Much like how M's superficial relationship with his grandmother deepens into something more meaningful, caregivers of dementia patients often find their roles evolving into something more profound, requiring patience, empathy, and resilience.

Navigating the Emotional Toll of Dementia

Caring for someone with dementia can feel like an emotional rollercoaster– it is common for caregivers to experience frustration, grief and helplessness as they watch their loved one fade away. In ‘How to Make Millions Before Grandma Dies’, M initially struggles to connect with his grandmother, driven by selfish motives. Yet, as he spends more time with her, he begins to understand the depth of her needs– and the significance of his presence in her life.

Caregivers of dementia patients often face similar emotional struggles– the repetitive questions, the loss of shared memories and the constant need for supervision can be overwhelming. But amidst these challenges, there will be fleeting moments of connection and understanding that make the journey worthwhile.

Building a Support System: The Backbone of Caregiving

Just as M is supported by his family in caring for his grandmother, caregivers of dementia patients need a strong support system. This might include family, friends, healthcare professionals, or even local support groups. It’s essential for caregivers to share their experiences, seek help when needed, and not face this journey alone.

Support groups provide a safe space to share stories, exchange advice, and find comfort in knowing others are going through similar experiences. Professional counselling can also be invaluable by helping caregivers manage the emotional burden and develop strategies to cope with the challenges of caregiving.

Practical Strategies for Dementia Care

Caring for someone with dementia involves more than emotional resilience; practical strategies are equally important in managing daily tasks and ensuring the well-being of both the patient and the caregiver. Establishing a routine can provide a sense of stability and reduce confusion for the person with dementia. Simple, clear communication is essential, as is creating a safe environment by eliminating potential hazards.

Engaging the person with dementia in meaningful activities–like listening to music, gardening, or doing simple crafts– can also enhance their quality of life. These activities not only provide mental stimulation but can also create moments of joy, much like how M eventually discovers happiness through the simple act of spending time with his grandmother.

The Future of Dementia Care

The future of dementia care lies in a holistic approach that goes beyond merely medical treatment; it involves emotional support, practical assistance and community empathy. As our understanding of dementia continues to deepen, it is essential to prioritise person-centred care, focusing on the individual’s needs, preferences, and dignity.

Moreover, fostering a culture of empathy and understanding within our communities can create a more supportive environment for individuals with dementia and their families. By raising awareness and advocating for policies that support both patients and caregivers, we can ensure that no one has to face the journey of dementia alone.

Conclusion: Embracing the Journey

Understanding and navigating the journey of dementia in the elderly requires a blend of knowledge, compassion, and support. It is a path that, while challenging, is filled with moments of love and meaning, which can be deeply rewarding. Just like M’s journey in How to Make Millions Before Grandma Dies, caregiving can transform lives—both for those with dementia as well as their caregivers. The story of M and his grandmother hence serves as a poignant reminder of the power of love, care, and the human spirit in the face of life's most challenging moments.

As we continue to explore and learn more about dementia, let us strive to create a world where those affected are supported, respected, and cherished for who they are and who they have been. In embracing the journey with empathy and dedication, we can make a meaningful difference in the lives of those living with dementia and their families, to ensure that no one feels forgotten or isolated. 

Just as M found his true inheritance in the love of his grandmother, we too can find profound meaning and purpose in the care we give to those who are lost in time.