Two Falls and a Bed Alarm

Doug’s towering 6’7” frame and rich sports history gave him a natural strength and confidence that shaped his life. He carried himself with assurance, always ready to take on physical challenges with stamina and skill. Whether dominating on the basketball court, perfecting his golf swing, gliding across the water on skis, casting a fishing line, or throwing himself into construction projects, Doug thrived on hard work and achievement. Even the simple act of hauling boxes around the garage—often in pursuit of whatever specific thing I was searching for—became another way he showed both his physical prowess and his willingness to help.

Doug’s physical strength endured through two hip replacements, likely due to a combination of his athletic past and genetics. Remarkably, both surgeries took place after his dementia diagnosis, and each recovery was a testament to his resilience. Though dementia made it harder for him to shake off anesthesia and follow instructions, he was back on his feet with impressive agility in no time.

But dementia’s march has continued and late in the disease, it has taken so much—one of the saddest losses being language. I miss Doug’s voice in ways writing can’t capture. Now, it’s rare to hear more than two words strung together, and the silence where conversation once lived feels vast. The house is quiet, except for music occasionally playing in the background and barking from our dog Romeo at a passing neighbor. In those moments, when Romeo barks, I sometimes fill the stillness with an out loud made-up story about why the neighbor is in their yard. Romeo cocks his head and listens as if he understands.

For a long time, dementia’s grip on Doug’s physical strength was slow. He remained relatively strong, walking unassisted and getting out of bed and to the bathroom on his own at night. I always listened for his nighttime movements, ready to help when needed, believing I caught every time he stirred. But I was wrong.

The first fall happened recently, yanking me from deep sleep with a heavy thud and an unmistakable ugh. Heart pounding, I rushed to the bathroom and found Doug on the floor—shaken but, thankfully, unhurt. Squeezing into the cramped space beside him, I lowered myself to the floor, checking for injuries, asking if anything hurt, and watching his body language in place of the words he could no longer find. My eyes scanned for blood, for broken bones. Nothing.

He was rattled, so we sat there quietly for a while, letting the moment settle. When he finally began to shift, squirming as if ready to stand, I braced myself. With a deep breath and a grand heave-ho, I lifted, grateful that his upper body and legs still held strength despite everything. Together, we got him back on his feet.

The second fall came moments later. After a short walk back to the bedroom, Doug signaled that he still needed to use the bathroom, so I guided him back and positioned him to sit. But without warning, he fell straight back—planking as if he had forgotten how to sit—his head and upper back striking the wall behind the toilet.

I was stunned. I was helping him one moment, and the next, we were both on the floor. This time, I was the one who needed a moment to recover. Miraculously, we were uninjured. And once again, with effort and a deep breath, I got him back on his feet and, eventually, back to bed.

Sleep was out of reach after that—I was wide awake. So, in the stillness of the night, with Doug sleeping soundly, I ordered a bed alarm online, hoping it would do the trick and wake me in time to help him in the future. When it arrived and I set it up, I was surprised by how much better I slept with the alarm engaged. I hadn’t realized just how restless I’d been before—always keeping one ear open, always on alert.

In my naivety—or perhaps my inexperience, or maybe even wishful thinking—I hoped that the destructive effects of the disease, like falls, would somehow bypass us, that Doug’s strength and resilience would make him the exception. But now, I know better. Falls are common for people with dementia, caused by a range of factors that disrupt balance, coordination, and awareness. Preventing falls isn’t as simple as strength alone.

Eventually, dementia impacts the brain’s ability to control movement, leading to unsteady walking. It also hampers the ability to assess risks or judge distances, resulting in miscalculations and missteps. The brain’s visual information processing is impaired, making recognizing stairs, uneven surfaces, or even furniture difficult. Nighttime disorientation is another challenge—confusion in the dark, forgetting where he is, or becoming lost in familiar surroundings. All these things Doug struggles with.

The morning after the falls, Doug had no memory of them at all. Though he scraped his shin and scratched his backside, he wasn’t concerned. I, on the other hand, remember clearly and struggle to shake the growing anxiety over the toll dementia is taking on us. We have plenty of support and skilled caregivers, but none of that changes the painful reality—this disease is unyielding, and watching it strip away the strong, confident, dependable man I love is heartbreaking.

I can’t stop dementia’s relentless march, no matter how much I wish I could. But I can choose how I face it. A few things help: Prayer steadies my heart and fills me with peace. Exercise strengthens my body and clears my mind. Family and friends remind me of life’s many blessings and encourage me to keep going. And even amid struggle, Doug’s gentle, positive spirit remains a gift.

But more than anything, staying present makes the greatest difference—not projecting into an uncertain future or longing for what once was, but embracing each day one day at a time. When I do this, I find the strength to stay grounded, the hope to rise above discouragement, and the joy of simple moments—like Romeo cocking his head as I tell him about the neighbor.

Through it all, God’s grace sustains me. And for that, I am deeply thankful.

Karen