Mark wrote: > She's nowhere near that, but she has a little trouble
remembering which day of the week it is. She's usually
off by one day.
Mary replies: Well, we don't normally grill our loved ones on every
day things we assume they can do. You might want to test it out - i.e.
give her a calendar and ask her to show you what day it is, then ask
her to show you tomorrow or yesterday, and then perhaps a week from
today. Ask her if this month is April, what was last month? What will
next month be? Draw a circle and put 12 at the top and ask her to
write the numbers around the edge like a clock face. Or give her the
circle with the numbers on it and ask her to put hands on it to show 3
pm. Ask her what time an hour later would be or an hour earlier.
Before my mother in law was diagnosed, she broke her hip and had to go
to a rehab hospital. They wanted her to track her own medications, so
they made a chart with the days of the week across the top, and times
to take the pills down the side, and she was supposed to check off
when she took her pills. Couldn't do it. Couldn't understand the
matrix and the sequence. At the time, if you met her in a social
situation, you would have thought she was totally fine.
It wasn't until we figured out that sequences were a problem early on
that we started surreutittiously testing her to see what she could do.
Even if she knew what day of the week it was, that didn't mean she
could really use a calendar or a clock. They often lose their sense of
the passage of time early on, in part because of the short term memory
deficits, and it's very hard for them to estimate how long things take
and back up those times to plan their day. For example, if they know
they have an appointment at 9 am, they can't always figure out what
they have to do (i.e. get up at 7, have breakfast and a bath which
will take an hour, get dressed and call the cab by 8:15, be ready for
pick up at 8:40 because it takes 15 minutes to get there, blah blah.
Multitasking goes out the window when you can't estimate how long
things take you know when to start to so everything happens at the
right time.