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Aunt Sara
LIVING IN THE MOMENT
Memories of the Past 
Gifts of the Present
By
Sara Fattori
I hope my story will prevent others from 
experiencing 
heart breaking family conflict.
	
  
In case of memory loss,
who would you like to be IN CHARGE
of YOUR LIFE?
In 2002, thirty two percent 
of persons with 
moderate or severe 
MEMORY LOSS were age 85
or older.
Individuals 85
years and older, are
one of the fastest
growing segments
of our population.
In 2002, $103 Billion 
was spent on 
Nursing Home Care.
MAKE A PLAN
Unless, preparations and planning are
made in ADVANCE with the guidance
from a …
§  Trust Attorney
§  Geriatric Care Manager
§  Long Term Care Insurance Provider
AND a Financial Institution. . . . 	
  
MEMORY LOSS

BROKEN
FAMILY SYSTEM	
  
and a	
  
Can lead to …	
  
CONFLICT	
  
TRAGEDY	
  
and 	
  
The Story of…………
Sara Blitch Sirmans
Born November 29, 1915
Charles Blitch (my Dad)
Bedford Blitch
Sara Blitch
Raised by a single mother,
Tallulah Everett Blitch
(my Grandmother)
Sara has two brothers-
Sara with her
brother and sister-
in-law
Sara loves the beach!
datingSara ...
NOT	
  
SURE	
  
Sara meets Hagan
Sara 
Everett Blitch
Virginia
Everett Blitch
Sara and Hagan enjoy over 50 years of marriage in 
Albany, Georgia
	
  
	
  
MY SISTER AND I TAKE THE TRAIN FROM
SAVANNAH TO ALBANY EVERY SUMMER 
DURING THE 
1960’S
… My new husband joins me
to check on Aunt Sara and
Uncle Hagan
in Albany, Georgia	
  
1993
Our friendly visit
becomes a CRISIS
Uncle Hagan is in a
COMA 	
  
My Dad arrives 
to be with his sister 
during her time of need 

I return home to Palm Beach
Within a day of 
arriving back home … 
my Dad calls to tell me 
he must return home 
IMMEDIATELY,
as my mother is NOT
answering the phone

(She struggles with anxiety  depression)
I must RETURN to Albany, as
Hagan is still in a coma and ...
	
  
… Decisions MUST be made
My Aunt is clearly in a state of
CONFUSION or the early stages of
ALZHEIMER’S

No other family members are available to help
I’m not …
   PREPARED 
… for this responsibility!
However, I had to be the one
to make the decision to have
the ventilator removed from
Uncle Hagan. 	
  
As
Uncle Hagan
Passes,
I Assure Him, I’ll Do My Best
To Care For Sara
Until She Joins Him.
In the midst of chaos, take time for peace.
Funeral plans begin and 
my Aunt says to the funeral
director, “she’s a decorator”, and
has me select the casket.	
  
1994
Sara and my 
grandmother 
loved gardening.
They both grew
Heritage Roses.


Gardening is a
beneficial activity
during the early
stages dementia.
Weekly calls and
yearly visits, begin 
between Sara and I……. 
	
  
UNTIL 1997 WHEN…..
AWARENESS
ANXIETY

•  During my visits the memory
loss begins to reveal itself

•  I have a new baby

•  Phone calls from Albany
becoming more frequent

•  Discussions with friends,
church, lawyer, adult
protection services and local
police
Being with nature becomes critical when you are
living in a assisted or skilled nursing facility!
More and more phone calls ... 
“Sara needs your help!”

I continue to try and enlist my
family for an INTERVENTION

The timing NEVER seems to be
right for them.
1998
DENIAL	
  
•  I begin family conversations, questions
and the push for a plan

•  Denial and the recurring request to
“Wait … Sara is OK for now”

•  It is inevitable, that I will have to move
her out of her beloved home.
1999
The Final
Phone
Call for
Help	
  
A member of Sara’s church 
called and said 
with a FIRM voice … 


2000
“You do not know me,
however, your aunt has
become dependent on me.

I would advise that you enlist
the help of a sibling and
bring her near your family.”
The Final Decision
•  A neighbor calls frantically to say
that men have been entering her
house daily.
•  The bank calls to let me know
Sara withdraws large sums of cash
daily.
2001
Breath Pray Breath
In January, 
I move Aunt Sara from Albany, Georgia
to an assisted living facility 
in my home town of 
Jupiter, Florida
Aunt Sara with Frances (my daughter)
The first Assisted Living Facility: 
Courtyard Gardens Jupiter, Florida
2001	
  
Days Turn To Weeks And 
The Years Run Together


PSYCHIATRIST	
  
POLICE
NEUROLOGIST	
  
LAWYERs	
  
VIOLENT BEHAVIOR	
  
EMERGENCY ROOMS	
  
BAKER ACTED	
  
LAW SUITES	
  
PSYCHIATRIC HOSPITAL	
  
COURT ROOMS	
  
JUDGES
LOCKED UNIT	
  
GUARDIANSHIP	
  
SOCIAL WORKER	
  
YOU MUST FIND PLACES OF ORDER 
AND TRANQUILITY …Thank you Mr. Morikami
And There Is 
Something Called

CAREGIVERS
DEMENTIA
IT A 36 HOUR DAY
The	
  bible”	
  for	
  families	
  caring	
  for	
  people	
  with	
  Alzheimer	
  disease,	
  	
  
offering	
  comfort	
  and	
  support	
  to	
  millions	
  worldwide.	
  
Really Is
THE	
  BOOK	
  recommended	
  by	
  the	
  woman	
  (96years	
  old)	
  that	
  	
  	
  	
  
Aunt	
  Sara	
  was	
  depending	
  on.	
  	
  
the whole family was hit by a train.

Going through a dark tunnel of
despair and anguish. I was told to
bring Sara home and that my actions
were “cruel”. 
(They just did not understand.)
The	
  grief	
  I	
  felt,	
  because	
  of	
  the	
  acLons	
  by	
  my	
  siblings	
  	
  parents,	
  was	
  as	
  
though	
  ….	
  	
  
COLOR MAKES YOU HAPPY AT ALL AGES.
Bright colors are especially important for the
elderly with dementia.
A SARA AND SARA SELFIE
Sara enjoyed music and entertaining.
Sara still enjoys music.
TYBEEBEACH
Sara enjoying the beach.
Sara is still enjoying the ocean!
Sara is still enjoying correspondence.
Letters and cards kept in her pink pocket-book.
Sara spends time daily reading her 
Georgia State College Year Books.
GETTING OUT OF THE “INSTITUTION” AND INTO
NATURE IS MANDATORY!
Morikami Gardens is wonderful place to take a loved one…
”on wheels” young or old.
THERE IS ALWAYS HOPE, LIGHT AND BEAUTY.
	
  
The support system during 
the past 14 years!

ST MARK’S EPISCOPAL CHURCH  SCHOOL 

Jane Antill 
NORTHERN TRUST

Rebecca Doane 
DOANE  DOANE, P.A.

Gwynne Du Bose’
DU BOSE CARE MANAGEMENT

LOURDES MC KEEN SKILLED CARE
HIRING A PROFESSIONAL GERIATRIC CARE MANAGER CAN GREATLY
REDUCE STRESS, SAVE TIME, AND OFFER KNOWLEDGABLE 
ADVICE IN ADVANCE AND DURING THE CARE.
Attorneys at Law
North palm Beach, Florida


www.doaneanddoane.com
	
  
	
  
	
  
	
  
Northern Trust Bank
NORTH PALM BEACH, FL 33408
www.northerntrust.com
ST Mark’s Episcopal Church  School
Palm Beach Gardens, Florida
www.stmarkspbg.com
	
  
DU BOSE CARE MANAGEMENT

www.dubosecares.com
Lourdes	
  Noreen	
  McKeen	
  
West	
  Palm	
  Beach,	
  Florida	
  
	
  
	
  
	
  
www.lourdesmckeen.org	
  

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Sara Sirmans "A Caregivers Journey" (1)

  • 1. Aunt Sara LIVING IN THE MOMENT Memories of the Past Gifts of the Present By Sara Fattori
  • 2. I hope my story will prevent others from experiencing heart breaking family conflict.   In case of memory loss, who would you like to be IN CHARGE of YOUR LIFE?
  • 3. In 2002, thirty two percent of persons with moderate or severe MEMORY LOSS were age 85 or older.
  • 4. Individuals 85 years and older, are one of the fastest growing segments of our population.
  • 5. In 2002, $103 Billion was spent on Nursing Home Care.
  • 7. Unless, preparations and planning are made in ADVANCE with the guidance from a … §  Trust Attorney §  Geriatric Care Manager §  Long Term Care Insurance Provider AND a Financial Institution. . . .  
  • 9. Can lead to …   CONFLICT   TRAGEDY   and  
  • 11. Sara Blitch Sirmans Born November 29, 1915
  • 12. Charles Blitch (my Dad) Bedford Blitch Sara Blitch Raised by a single mother, Tallulah Everett Blitch (my Grandmother) Sara has two brothers-
  • 13. Sara with her brother and sister- in-law
  • 14. Sara loves the beach!
  • 16. Sara meets Hagan Sara Everett Blitch Virginia Everett Blitch
  • 17. Sara and Hagan enjoy over 50 years of marriage in Albany, Georgia     MY SISTER AND I TAKE THE TRAIN FROM SAVANNAH TO ALBANY EVERY SUMMER DURING THE 1960’S
  • 18. … My new husband joins me to check on Aunt Sara and Uncle Hagan in Albany, Georgia   1993
  • 20. Uncle Hagan is in a COMA  
  • 21. My Dad arrives to be with his sister during her time of need I return home to Palm Beach
  • 22. Within a day of arriving back home … my Dad calls to tell me he must return home IMMEDIATELY,
  • 23. as my mother is NOT answering the phone (She struggles with anxiety depression)
  • 24. I must RETURN to Albany, as Hagan is still in a coma and ...  
  • 26. My Aunt is clearly in a state of CONFUSION or the early stages of ALZHEIMER’S No other family members are available to help
  • 27. I’m not … PREPARED … for this responsibility!
  • 28. However, I had to be the one to make the decision to have the ventilator removed from Uncle Hagan.  
  • 29. As Uncle Hagan Passes, I Assure Him, I’ll Do My Best To Care For Sara Until She Joins Him.
  • 30. In the midst of chaos, take time for peace.
  • 31. Funeral plans begin and my Aunt says to the funeral director, “she’s a decorator”, and has me select the casket.  
  • 32. 1994 Sara and my grandmother loved gardening. They both grew Heritage Roses. Gardening is a beneficial activity during the early stages dementia. Weekly calls and yearly visits, begin between Sara and I…….  
  • 34. AWARENESS ANXIETY •  During my visits the memory loss begins to reveal itself •  I have a new baby •  Phone calls from Albany becoming more frequent •  Discussions with friends, church, lawyer, adult protection services and local police
  • 35. Being with nature becomes critical when you are living in a assisted or skilled nursing facility!
  • 36. More and more phone calls ... “Sara needs your help!” I continue to try and enlist my family for an INTERVENTION The timing NEVER seems to be right for them. 1998
  • 37. DENIAL   •  I begin family conversations, questions and the push for a plan •  Denial and the recurring request to “Wait … Sara is OK for now” •  It is inevitable, that I will have to move her out of her beloved home. 1999
  • 39. A member of Sara’s church called and said with a FIRM voice … 2000
  • 40. “You do not know me, however, your aunt has become dependent on me. I would advise that you enlist the help of a sibling and bring her near your family.”
  • 41. The Final Decision •  A neighbor calls frantically to say that men have been entering her house daily. •  The bank calls to let me know Sara withdraws large sums of cash daily.
  • 42. 2001 Breath Pray Breath In January, I move Aunt Sara from Albany, Georgia to an assisted living facility in my home town of Jupiter, Florida
  • 43. Aunt Sara with Frances (my daughter) The first Assisted Living Facility: Courtyard Gardens Jupiter, Florida 2001  
  • 44. Days Turn To Weeks And The Years Run Together PSYCHIATRIST   POLICE NEUROLOGIST   LAWYERs   VIOLENT BEHAVIOR   EMERGENCY ROOMS   BAKER ACTED   LAW SUITES   PSYCHIATRIC HOSPITAL   COURT ROOMS   JUDGES LOCKED UNIT   GUARDIANSHIP   SOCIAL WORKER  
  • 45. YOU MUST FIND PLACES OF ORDER AND TRANQUILITY …Thank you Mr. Morikami
  • 46. And There Is Something Called CAREGIVERS DEMENTIA
  • 47. IT A 36 HOUR DAY The  bible”  for  families  caring  for  people  with  Alzheimer  disease,     offering  comfort  and  support  to  millions  worldwide.   Really Is THE  BOOK  recommended  by  the  woman  (96years  old)  that         Aunt  Sara  was  depending  on.    
  • 48. the whole family was hit by a train. Going through a dark tunnel of despair and anguish. I was told to bring Sara home and that my actions were “cruel”. (They just did not understand.) The  grief  I  felt,  because  of  the  acLons  by  my  siblings    parents,  was  as   though  ….    
  • 49. COLOR MAKES YOU HAPPY AT ALL AGES. Bright colors are especially important for the elderly with dementia.
  • 50. A SARA AND SARA SELFIE
  • 51. Sara enjoyed music and entertaining. Sara still enjoys music.
  • 53. Sara is still enjoying the ocean!
  • 54.
  • 55. Sara is still enjoying correspondence. Letters and cards kept in her pink pocket-book.
  • 56. Sara spends time daily reading her Georgia State College Year Books.
  • 57. GETTING OUT OF THE “INSTITUTION” AND INTO NATURE IS MANDATORY! Morikami Gardens is wonderful place to take a loved one… ”on wheels” young or old.
  • 58.
  • 59.
  • 60. THERE IS ALWAYS HOPE, LIGHT AND BEAUTY.  
  • 61. The support system during the past 14 years! ST MARK’S EPISCOPAL CHURCH SCHOOL Jane Antill NORTHERN TRUST Rebecca Doane DOANE DOANE, P.A. Gwynne Du Bose’ DU BOSE CARE MANAGEMENT LOURDES MC KEEN SKILLED CARE
  • 62. HIRING A PROFESSIONAL GERIATRIC CARE MANAGER CAN GREATLY REDUCE STRESS, SAVE TIME, AND OFFER KNOWLEDGABLE ADVICE IN ADVANCE AND DURING THE CARE.
  • 63. Attorneys at Law North palm Beach, Florida www.doaneanddoane.com        
  • 64. Northern Trust Bank NORTH PALM BEACH, FL 33408 www.northerntrust.com
  • 65. ST Mark’s Episcopal Church School Palm Beach Gardens, Florida www.stmarkspbg.com  
  • 66. DU BOSE CARE MANAGEMENT www.dubosecares.com
  • 67. Lourdes  Noreen  McKeen   West  Palm  Beach,  Florida         www.lourdesmckeen.org