Mary Jo has been contacted by her maternal grandmother and asked to come and visit so that they can talk about her grandmother’s concerns about her second husband, Alex.

Mary Jo has been contacted by her maternal grandmother and asked to come and visit so that they can talk about her grandmother’s concerns about her second husband, Alex. Mary Jo is a little apprehensive as Grandma has asked her at this stage not to mention anything to her mother or to her two older brothers and their wives. [David, 33 years old, is the elder of Mary Jo’s two brothers; his wife is Maria; they have two children: Jimmy, six years old, and Thomas, four years old. Barry, the younger brother, is married to Anna; both are 30 and they have only one child, Leah, three years old. Sadly Anna miscarried last year but they are optimistic about having more children
Dementia: the case of Alex

Mary Jo has been contacted by her maternal grandmother and asked to

come and visit so that they can talk about her grandmother’s concerns

about her second husband, Alex.

Mary Jo is a little apprehensive as Grandma has asked her at this stage not

to mention anything to her mother or to her two older brothers and their

wives.

[David, 33 years old, is the elder of Mary Jo’s two brothers; his wife is

Maria; they have two children: Jimmy, six years old, and Thomas, four

years old. Barry, the younger brother, is married to Anna; both are 30 and

they have only one child, Leah, three years old. Sadly Anna miscarried last

year but they are optimistic about having more children.]

Mary Jo is also aware that her own mother has not really accepted her

mother’s (Grandma’s) decision to marry Alex, a Mediterranean man, 12

years ago now, and eight years after her grandfather had died suddenly due

to an aortic aneurism. Mary Jo has always liked Alex as he is a jovial person

who clearly loves and respects her grandmother, often buying her jewellery

and other presents and very often fresh flowers. Mary Jo assumed that her

mum was grieving for her own father and that that got in the way of her

accepting her mother’s second marriage. Mary Jo’s mother had emphasised

how different the personalities of the two men were and explained that as

an only child she had always been her father’s ‘princess’. These thoughts

and more were going through Mary Jo’s mind as she travelled by train to

her grandmother’s home to stay overnight. She knew something was wrong

because Grandma had said, ‘You will understand because you are a nurse.’

Mary Jo was concerned that Alex’s ‘memory problems’ were getting worse

and was worried about how she could best help her grandmother.

Grandma met Mary Jo at the door; she was wearing a brace on her left arm

and clearly sporting a healing right ‘black eye’. Mary Jo couldn’t contain

herself and started quizzing her grandmother about what had happened.

Had Alex hit her? This was no good; how could she live with domestic

violence? Something had to be done! Mary Jo stopped when she realised

that her grandmother was just sitting softly weeping while she had gone on

and on.