Traveling with memory issues
I am thinking of taking my husband on a trip back to see my family out of state. Anyone with experience here? How difficult was it? I am concerned my husband will be more confused as a result. Any advice would be appreciated. He has short term memory loss due to a ruptured brain aneurism.
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I traveled by air with my husband with dementia until he had two strokes and I couldn’t manage the physical requirements anymore.
Here’s what helped me-
When buying the tickets on the airline’s website, click on the Special Assistance tab and then the cognitive disabilities tab. That alerts the airline staff and makes you both eligible for early boarding. My husband would get a little agitated if he felt “hemmed in” so I would buy the tickets as early as possible to get seats toward the front and to choose aisle seats for both of us, across from each other. I could easily chat with him, but be ready for whatever just in case. In a smaller plane with two seats across, we would sit together with me in the aisle.
This is important (you’ll see why later), print out the itinerary and write on it your name, address, and cell number, his name, the name, address, and cell numbers of who you are visiting. Show him it, fold it up and have him put it in his jacket pocket. A family emergency occurred when I was out-of-state, I made the plane arrangements, signed him up to be met at each airport gate, brought to baggage claim to be met by a car service. My brother printed out and wrote up everything and walked him to the TSA station. He was met at the next airport gate and delivered to the connecting gate. The plane arrived in Boston early, he was not met at the arrival gate, and off he walked. A frantic two hours later, multiple calls with the car service begging them not to leave, I received a call from a kind person at a taxi podium in a completely different terminal building. He had shown her the folded papers. She kept him with her, the car service drove over, and then to the family member’s house. I was able to get there a few days later and we returned together.
Look to see if the airline has curbside check-in. This is a godsend- you get dropped off at the curbside podium, buzz across the sidewalk, the agent checks in your bags, gives you the boarding passes, and off you go. There is a small fee, which must be paid with a credit card, but it’s really worth it not having to wait in a long line or use the kiosks in a big crowded area. Bring a few dollars for a tip.
I would buy ahead at our grocery store a 4-pack of Starbucks $10 gift cards to have ready as a “thank-you” if we needed help from someone for something. All airports have Starbucks and people really appreciated them.
In the airport, when I needed to use the restroom, I’d nonchalantly place the carry-on bags in front of him and place my book bag on his lap, saying, “I’m going to the ladies room, you’re in charge!” We’d laugh and I’d move quick. I figured he’d have to extend effort to move the carry-ons and holding my bag on his lap would be a comfortable weight and visible reminder that I’m coming back, he’s not lost or alone. When he had to use the restroom, I’d wait by the exit door and figured if time went on too long, I’d ask someone to check on him, but that never happened.
On the plane, we never had a problem. At baggage claim, I’d have him sit on a bench where he’d be away from the crowd and I’d position myself so I could see the belt and see him. With the carry-ons in front of him, the bag on his lap, and me smiling and thumbs-upping, he was fine sitting and waiting.
If being met at the airport, the people coming should come early and wait in the Cellphone lot. Using the app FlightAware, they’ll know exactly when your plane will land. When not being met, I paid the extra money for a car service. I figured doing a car rental would be a lot of extra stress on me and him, when we were both tired from the journey. To find one, I just googled and went with who had the best reviews.
When visiting, I found my husband needed a lot of extra sleep- long naps and early to bed. I did my best to make sure we were both well-hydrated, ate usual food at usual times, and got enough rest. If staying with family, make a card for his wallet with their name, address, and phone numbers in case he leaves the house or wanders away in the park. I’ve read that attaching an Apple Tag to the person’s shoe or belt could be a good idea. My husband would get interested in something and head in that direction, so it was important to keep an eye on him when out and about. It can be difficult for family members to understand that.
Hope this is helpful, keep traveling as long as you can together or by yourself if your budget and future circumstances allow. Most assistive livings will take short term “respite” admissions for caregiving families to take a 1-2 week vacation- just call and ask. Posting a big wall calendar with the dates marked in red for the trip start and the return date will help reassure the person that this change isn’t permanent.
@medott The suggestions by @centre are great. Let me add my story - Last year, my "best cousin" Nan, with significant memory loss, and her daughter made a trip here to visit family.
A friend and I had recently hosted Nan in our winter home, where she did fine with a limited schedule of activities and plenty of time to just relax, so I made a very strong suggestion that they choose a "home base" and have people visit them once in town. I offered my home, where my cousin stayed many times before. I also offered to host several small, spaced out gatherings over the 2 weeks, even offered the daughter a chance to take off for a few days with a same-aged cousin to see some of her favorite places.
Of course, not having dealt with memory loss (the kids are leaving her significant other to handle most things, then second-guessing him) she chose to move her Mom every 2 days, take her to a dozen or more places, and totally ignore the concept of needing extra rest. By the time they arrived at my house, near the end of the trip, Nan was confused and exhausted and daughter was frazzled. Needless to say our next visit will be at her home, 100 miles away, when we next head in that direction.
So, travel is possible, and she still remembers her winter trip to see me. But she has totally blanked out the summer trip - I think she was so exhausted that she wasn't really present for most of it.
@centre @sueinmn Thank you so much for your detailed advice. Fabulous! I have bookmarked it to refer to later. My husband who has Alzheimer's disease has just been cleared to travel after completing 6 months of Lecanemab infusions. The last time we traveled was in 2023 and it was not easy. We were on an active tour (lots of walking/hiking) with a group of about 16 people to Normandy. We very rarely had time to rest and changed locations every other day. My spouse became very confused during that trip and he was diagnosed with Alzheimer's the next year. With the information today I will be much more prepared. We need something fun to look forward to. I can't thank you enough!
@moea I'm about to leave on a "stay in one place" tour of Italy - Positano, Pompeii, the Amalfi Coast - because I find frequent moves exhausting - I'm bookmarking this to let you know if I think it's doable for someone with memory issues when we return.
My sister-in-law loves European river cruises for exactly the same reason.
@centre I am just so afraid he will go backwards if I leave him on his own. I get out as much as I can with private duty coming in the help several days a week, for a couple of hours (thank God we kept his long term care insurance going).
@medott For a trip with your husband, here’s an idea to consider- my parents, in their 80’s, loved going to DisneyWorld. They would stay on the property and could manage the bus and monorail systems. They had 3 rides they would go on (the Tiki Room, Pirates of the Caribbean, and It’s a Small World). They had favorite restaurants and signed up for several shows. They loved people-watching, especially in areas with pretty gardens. They would go to the boat launch area, climb aboard and ride along for an hour or so, nobody minded. They’d get off at the Grand Victorian and sit in the beautiful lobby, if they were lucky, the piano player would be there.
I think my parents felt safe there- everyone is nice, the staff is happy to help, they could move (or not) at their own speed.
You didn’t really confirm how you are traveling, air, driving, train, ???
If by air, pull out all stops to make a dirct flight with no plane changes or layovers as lengthy travel with layovers can be very confusing both for the trip and once you arrive, especially if any time zone crossing.
If by car, plan to stay at least two nights at any trip other than a day trip, again because of the time needed to absorb all the changes driving and hotel, etc.
Train trips can sometimes take longer but you can get a private cabin with bathroom, bed, and view all in one place and if going to dining car is difficult, they will bring food to you upon request.
We have traveled all over the world before dementia. After dementia, small cruise ships without children or BIG commotion work well too. Our latest trip taught me that a combination of time zone change and 6 hr. Layover is deadly!
@centre You sure did good !
I suppose it depends on the degree of progression. My dad liked to take short drives to visit places where he had fond memories, but even an hour drive tired him out and when we got home he was disoriented and anxious. We learned short drives and then right back home worked best. I don’t think daddy would have rested in a strange place either.
My cousin, who had significant dementia didn’t do well leaving her Memory Care unit. It took her about a day to settle down. Once she returned, she seemed unfamiliar with the place. This was disconcerting.
I’m glad some people have had good outcomes.
I also heard there is a special lanyard going into use that all airport personnel will recognize as an “at risk “ individual