Author Archives: Joy Johnston

Joy Johnston's avatar

About Joy Johnston

Joy Johnston is an experienced digital journalist and award-winning author. The Reluctant Caregiver, her collection of essays on caregiving, received a gold medal at the 2018 Independent Publisher Book Awards. She received the 2015 Rick Bragg Prize for Nonfiction from the Atlanta Writers Club. Her father’s death from Alzheimer’s complications in 2011 inspired “The Memories Project” blog, which was featured on NPR. She is an Alzheimer's awareness and caregiver advocate.

Happy Halloween

I’ve been out of the country to attend and speak at News Reach Con, a conference for those in the news SEO industry. In Germany where I was, celebrating Halloween is growing some in popularity but not to the same level as in the US. As I’ve written many times on this blog, I’ve always enjoyed Halloween and have mostly fond memories of celebrating the holiday as a child. Halloween also makes me think of how my father took on a neighborhood bully who had been mean to me at a community gathering, which I write about in The Reluctant Caregiver.

While at the conference, one of the speakers, Louisa Frahm, was wearing a fabulous “Elvira Mistress of the Dark” dress. We chatted about growing up with Elvira and how as children, the racy innuendos flew right over our heads as we just enjoyed the costumes and silly movies. I credit Elvira with inspiring my love of cheesy B-horror movies, something that I continue to enjoy to this day.

Zoom in to see Louisa’s fabulous Elvira dress! Photo by Markus Mielek.

I hope your Halloween brings more treats than tricks.

Halloween animation generated by Google Flow AI with Veo.

Leave a comment

Filed under Memories

Be mindful of fall risks this fall season

A few years ago around this time of the year, I fell hard at the park while walking my dog. It knocked the wind out of me, something I hadn’t experienced since I was a child. The shock of the fall caused me to drop the dog leash but fortunately my rescue dog didn’t take off. After catching my breath and assessing any injuries (fortunately nothing broken or sprained) I was able to slowly make it home. For the next week I was bruised and sore. I was fortunate this was a minor incident, but it was a reminder that falls can happen at any time and can cause more significant injuries.

I was reminded of how falls can be deadly this past week. Ace Frehley of the legendary rock band KISS died after suffering a fall in his home. He was only 74.

Falls can lead to all sorts of health issues from the obvious broken bones that may require surgical repair and a lengthy rehabilitation period to less obvious injuries like internal bleeding and concussions. My mother suffered a fractured shoulder after a fall in the home and it never did heal properly, limiting he ability to raise that arm. My father suffered multiple falls at the memory care center. Falls can be sneaky because internal injuries are not always immediately apparent. It’s important to monitor for any emerging symptoms and changes in mental health status in the days after a fall.

This time of year can be a wonderful time to walk and be out in nature. The temperatures are more moderate and the leaves are turning gorgeous colors. But once those leaves fall to the ground along with other tree debris (we get a lot of hard balls that litter the ground below the tree canopy in my neighborhood) it can create a risky walking surface. Depending upon what shoes I’m wearing I either stomp on these hard balls or try to scoot them out of the way to avoid walking over them. I’ve had a few close calls over the years when walking around the neighborhood during the fall season.

For caregivers of elders or anyone with mobility challenges, just be extra mindful during this time of year. I think it gets less attention that winter, where snowy and icy surfaces are well known for being dangerous conditions. Try to keep the outdoor paths around your home clear of leaves and other fallen debris. Make sure your loved one is wearing sturdy shoes. Guide them through leaf-covered walkways carefully. Remember that after a rain, slick leaves can present an extra slipping hazard.

With a little extra preparation, the autumn season can be enjoyed safely by the young and old alike.

Image generated by Google Gemini.

Leave a comment

Filed under Awareness & Activism, Memories

‘Presence over perfection’ excellent advice from a dementia caregiver

A recent post on the Alzheimer’s Association website offers a message for those who may feel like they are struggling as a dementia caregiver.

Gemma O’Donnell, whose father has Alzheimer’s, is also a registered nurse, educator, researcher, and dementia care advocate. The disease has had an impact on her life both personally and professionally, O’Donnell said.

“The heart of caregiving is not perfection, but presence. What has stayed with me is how much the small moments matter—sharing a laugh, holding a hand, or simply sitting together when words are no longer possible.”

– Gemma O’Donnell, Desert Southwest Chapter volunteer

She shared another tip for a common issue that dementia caregivers experience, and one that my mother struggled with in caring for my father. “Over time, I learned that joining someone in their reality brings far more peace and connection,” O’Donnell said.

I also loved her quote encouraging caregivers to seek support: “Asking for help is an act of love, not failure.” I totally agree and that is why I created Respite Care Share. Don’t ignore the signs of caregiver burnout.

Image generated by Google Gemini.

Leave a comment

Filed under Awareness & Activism

Uber adds ‘senior accounts’ to support rides for older people

I’ve written many times on this blog about the importance of helping older people maintain their independence as long as possible. Transportation is one of the most critical elements for independence. Uber is adding a service that will allow families to coordinate rideshare services with their older family members. Previously, Uber launched Uber Caregiver as part of its Uber Health initiatives.

My parents were fortunate that even though they lived in a small mountain town, there was a county shuttle service that served low-income and older people. It was door to door service, meaning my parents could get to doctor’s appointments and the grocery store as well as go to the movie theatre and dine at a restaurant. However, the shuttle service was always on the county government chopping block, because of the cost and lack of profitability along with ignorance of some of the county officials. “Why can’t we just buy them all a car,” one particularly dense councilmember said during a meeting.

There are many reasons why older people stop driving. In my mother’s case, she never learned to drive, which is not uncommon for older women. In my father’s case, his dementia made driving dangerous. Other common medical conditions like vision issues can also lead to a loss of driving ability.

One of the main issues when people no longer have access to reliable transportation is isolation. Older people may be cut off from opportunities to socialize on a regular basis. Their ability to access healthy food may be limited. And those with a lack of transportation options may delay doctor’s appointments.

The Uber senior accounts have the following features:

  • A simplified app interface.
  • Family members can track trips and call drivers, as well as ride safety features.
  • The ability to add Medicare Advantage cards to pay for eligible medical trips.

There are other community-based programs that offer similar transportation services, but Uber’s service area has a much wider reach, meaning those who are not served by those smaller companies may be able to take advantage of this new feature.

Image created by Google Gemini.

Leave a comment

Filed under Awareness & Activism

Football memories with Dad

Today the NFL played a game in Dublin, Ireland. It made me think about my childhood and watching football with my father. Of course, being from Northern Ireland, my father’s first passion was soccer, which he continued to enjoy watching throughout my childhood. He was fond of listening to the Spanish simulcast, even though Dad didn’t understand Spanish, because of the enthusiasm of the announcer. It may have been Andrés Cantor, because I remember the famous “gooooooal!” call and how my Dad loved to try and mimic it.

The first sport I learned from my father was baseball. We would watch Dodgers games and Dad would remind me that the team was once located in Brooklyn, where he once lived. The timing of the team’s move from East to West Coast was right around the time my father arrived in the US, so I doubt he got to see the team play in Brooklyn but he no doubt learned the team’s lore during his time in the Big Apple.

We did watch American football as well. I mostly remember watching college football with my dad when I was a teenager. Of course my Dad rooted for the Notre Dame Fighting Irish. Being a teenager, I would choose the opposing team. I remember watching the Colorado-Notre Dame Orange Bowl rivalry, and how it was one of those rare bonding moments with my dad during my adolescence, as were often like passing ships in the night with his work schedule and my school and work schedule.

I also remember watching NFL games with my father. One specific memory is Super Bowl XXV. I’m pretty sure my father was cheering on the Buffalo Bills because of their quarterback Jim Kelly. Dad tended to support anyone with an Irish name. I remember the “wide right” missed kick by Scott Norwood, which cost the Bills the championship and began a heartbreaking string of Super Bowl losses for the team.

I think Dad would have liked seeing a NFL game being played in Ireland. And I think he would have approved of a Steelers win, a team owned by the Rooney family with ties to Ireland.

Image created by Google Gemini.

3 Comments

Filed under Memories

Marking World Alzheimer’s Day

Today is World Alzheimer’s Day. This year will mark 14 years since my father’s death from complications of this terrible disease. There has been a great deal of promising research and the development of a few medications that may help slow the progress of the disease in some people, but pinpointing the exact cause of Alzheimer’s and a cure remain elusive.

While I appreciate all of the tireless work of researchers, scientists, and the Alzheimer’s advocacy organizations, I’m not that hopeful that a cure or even an effective treatment will be discovered in my lifetime. More likely, the treatments that are on the market now may be improved upon, delaying disease progression and preserving cognitive functioning for longer. Now that I’m in my 50s, with one copy of the APOE4 gene and the disease prolific on both sides of my family tree, I have to be realistic about my risk and do what I can to reduce that risk and plan financially and logistically for any future care needs.

I would love nothing more than to be proven wrong.

Here are resources from the Alzheimer’s Association to keep you up to date on the latest statistics on how Alzheimer’s impacts the US and recommendations on what we can do to protect brain health.

Image created by Google Gemini.

Leave a comment

Filed under Awareness & Activism

A visit to New Orleans

I attended a conference last week in New Orleans. As I’ve written about in the past, the city holds special meaning for me because my father lived there briefly as a young man. It was a pit stop between his initial years as a new immigrant in New York City, and on his way to Los Angeles, where he would spend the bulk of his life.

My father worked at The Roosevelt Hotel in New Orleans, which still exists. Any time I’m in New Orleans, I make sure to stop by The Roosevelt and have a drink to toast Dad at the Sazerac Bar. I was chatting with the bartender and he said he’d heard so many similar stories over the years, especially relatives of those who performed at the hotel’s legendary music venue, the Blue Room.

Taking in the sights and sounds of NOLA, I wonder about the culture shock Dad must have experienced upon arriving to this eccentric and vibrant city as an immigrant from Northern Ireland, after living in one of America’s other iconic cities, New York City. He didn’t stay in New Orleans long, but he did help with the planning of the St. Patrick’s Day Parade while he was there. What a thrilling experience that must have been!

Leave a comment

Filed under Memories

When routine care becomes a challenge, dementia training can help

Haircuts are a routine personal care task that many of us take for granted. Some of us may even enjoy a visit to the hair salon. But for those with dementia, what was once part of the grooming care routine may become a challenge. In this blog post from When Dementia Knocks, Elaine M. Eshbaugh, PhD explains why a visit to the barber shop or salon can be uncomfortable for those with dementia.

She also offers tips for family caregivers on how to make a haircut a less stressful event for all involved.

I love the idea mentioned in the blog of offering dementia training to barber shops and salons. I hope such training expands because with just a bit of awareness, we can all better accommodate those with dementia in our daily routine.

Image created by Google Gemini.

4 Comments

Filed under Awareness & Activism

A busy summer for Alzheimer’s research insights

There has been a lot of research on Alzheimer’s and dementia that has been released over the summer. I wrote about the POINTER study, which found that lifestyle interventions can have a positive impact on cognitive health.

A team from the Alzheimer’s Prevention Registry attended the 2025 Alzheimer’s Association International Conference in Toronto in July, where the POINTER findings were discussed among other promising research. The team shared their top takeaways from the conference.

One development that I’m excited about is blood biomarkers, which may facilitate the Alzheimer’s diagnostic process. Blood tests that can be performed on existing medical equipment and reduce the need for expensive and time-consuming PET scans could catch the disease in earlier stages, when current treatments on the market work the best.

Speaking of treatments, some researchers are taking seriously the increased risk of brain bleeds in the latest crop of Alzheimer’s drugs. Scientists are focusing on new technology that could deliver lower doses of drugs that can safely cross the blood-brain barrier. I’ve written about Leqembi, which has seen slow uptake despite being fully approved by the FDA. One of the concerning factors about the drug is the increased risk of brain swelling and bleeding. While the Alzheimer’s community is desperate for new and effective treatments, serious side effects shouldn’t be overlooked.

There’s also new research looking at the role of the immune system and gut microbiome in regards to Alzheimer’s risk. I will definitely be following developments in this area, as I believe that Alzheimer’s and other dementias are not merely brain diseases and require a holistic treatment approach.

Illustration created by Google Gemini.

Leave a comment

Filed under Awareness & Activism

You’re invited to the AlzAuthors Film Festival 2025

To celebrate their 10th anniversary, AlzAuthors is proud to announce the launch of their inaugural Film Festival. The best news is that it is virtual, meaning you can view the selected films from the comfort of your own home.

The AlzAuthors Film Festival will run from September to December. Each month, a new film will be showcased, and there will be a live Q&A with the filmmakers.

Register for the AlzAuthors Film Festival.

Here are the films that have been selected for the festival:

September

  • Planet A by Mary Crescenzo
  • No Country for Old People by Susie Singer Carter [I watched the entire documentary series and it was powerful and moving. Highly recommend.]

October

  • Lousy: Love in the Time of Dementia by Frank Silverstein

November

  • Wine, Women and Dementia by Kitty Norton [I loved this film and project, check out my review.]

December

  • The Present by C. Nathan Brown

Check out the blog post on AlzAuthors for the full details and registration form. Hope you will be able to attend, these are films that deserve to be seen by a wide audience.

Leave a comment

Filed under Awareness & Activism