I stayed with my mom recently while my dad was out of town. I noticed how despite her Alzheimer’s dementia she can easily follow certain routines.
Laundry is no problem for her: she can do the wash cycle, transfer the clothes to the dryer, dry, then remove the clothes, fold them and put them in neat piles upstairs.
But one task she cannot do is make coffee. My parents have always used a percolator. This requires judging the water level and amount of grounds, monitoring and adjusting the flames on the gas stove, letting it boil and sit for certain periods, then decanting into a thermos.
With the laundry, each step can wait until attended to and there are visual cues as to what to do next. With the coffee percolator on the other hand, each step is of varying duration and judgement and attention are needed throughout.
I almost didn’t want to look, but I flipped through my mom’s word search books. In the picture below, she did the word search on the left well. But on the right she didn’t understand the goal of the puzzle, and absentmindedly wrote my little niece’s name, likely because my niece was present and talking at the time (she talks constantly). Sadly the word searches are incredibly simple compared to the New York Times crossword puzzles my mom did for fun only several years ago.
This demonstrates the rapid decline of the brain’s executive function while associative memory remains robust.
In observing dementia in my mom I’m struck with how the small things matter: if my parents had used an electric coffee maker all these years, my mom would still be able to make her own coffee. On the other hand if she wasn’t such an avid crossword puzzle fan she would’t have this constant verbal-lexical exercise that seems so beneficial to her now.






