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Daily care · Pillar

The Dog Who Stayed

Everything else she was responsible for was being taken away from her, one thing at a time. Luke was the one job nobody could argue she was unfit for.

Key takeaways

  • We adopted Luke after the diagnosis, not before. We went to the pound looking for something specific: young, lap-sized, a companion.
  • What he gave her was a responsibility, not company. Treats and meals. At a point when every other responsibility she had was being quietly removed, this was one nobody took away.
  • The walks were half of it. They got us out of the house, which is a caregiving problem as much as a health one.
  • He came to memory care on every visit. She lit up for him after she had stopped understanding that he had ever been her dog.
  • He never needed her to remember him. That is the part a person cannot manage and an animal does without effort.
  • This is one family's experience. The research says the reliable benefit is mood, not behavior control — see the companion piece before making a decision on the strength of this one.

Why we got him

Because I knew she liked having a dog nearby, and because our old dog had died. It was that ordinary.

We had an older dog for years, and he passed. The house was quieter than it needed to be, and Lori had already been diagnosed by then.

I knew she liked having a dog close. Not doing anything in particular — just in the room, on the sofa, near her feet. So we went to the pound.

We were not looking for a therapy animal and I had read nothing about animal-assisted anything. We were looking for a young dog, lap-sized, a companion. That was the entire brief.

We came home with Luke, a chihuahua–dachshund mix, the kind people call a chiweenie. Small enough to sit on her, young enough to have years in him.

I want to be accurate about the order of things, because it matters for anyone weighing this up. The diagnosis came first. We adopted into a house that already knew what was coming. That is a different decision from having a dog already, and it is a different decision again from getting a puppy on the assumption that things will hold steady.

What he actually did

He gave her something to look after. That sounds small and it was the entire point.

The thing that goes first is not memory. It is jurisdiction.

One at a time, quietly and usually with love, the things a person is responsible for get moved to somebody else. The driving. The bank. The stove. The appointments. Nobody announces it and each individual handover is reasonable, and the cumulative effect is that a competent adult is gradually left with nothing that is hers to do.

Luke was a job that came back every few hours and could not be reassigned. He needed his treats. He needed his meals. He would sit and look at her until one or the other happened, and she was the one who dealt with it.

That is a small thing to write down and it was not a small thing to watch. It was the only remaining item on a list that had been getting shorter for years.

That last one is worth sitting with if you are the person doing the caring. Almost everything you do in a day is prompting somebody. An animal prompts them instead, and the relationship stays what it was.

The walks

They were as much for me as for her, and that is not a confession — it is the point.

A small dog has to go out. So we went out, most days, the three of us.

Caregiving shrinks a house down around you. You stop going anywhere because everywhere is complicated, and then the not-going becomes its own problem, for both people. There is a version of those years where we left the house only for appointments.

The dog made it non-negotiable and gave it a reason that had nothing to do with her illness. We were not going for a walk for her health, or to get some air, or because I had read that it helps. We were walking the dog.

When she went into memory care

He could not come with her. So he came with me, every single visit.

When I placed Lori, Luke stayed with me. For a few months he was at home on his own more than he was used to, and I was somewhere else, doing the thing you do after placement, which is not resting.

I took him to every visit.

The facility was fine about it, as most are — it is worth asking rather than assuming, and the answer is more often yes than families expect. We would sit with her, and when the room got heavy we would take him out and walk him around the courtyard, which gave us all something to do that was not a conversation.

She was delighted to see him. Every time.

Toward the end she did not know that he had ever been her dog. That connection was gone. What did not go was that a small warm animal climbed into her lap and stayed there, and that her face changed when he did.

This is the thing I would most want another family to know. He did not need her to remember him. He had no expectation she was failing to meet. Every person who walked into that room, including me, carried some version of a hope that she would know us. He carried nothing. He just got in her lap.

What I would tell someone considering it

Be honest about which of the two of you it is for, and be honest about the work. Both answers can be fine.

This worked. I would do it again. And I have written the companion pieces precisely because it does not follow that it will work for you.

Luke is with my mother now — the one who made Lori the fidget blanket. He is getting on, and he is still the same happy little companion, just for her instead.

Frequently asked questions

Should we get a dog after a dementia diagnosis?
Sometimes, and it depends far more on who will do the work than on whether the person would enjoy it. The benefit that shows up in research is mood rather than behavior control. The main risk is falls, which is why size, temperament and the person's steadiness matter more than breed.
What kind of dog is best for someone with dementia?
Small enough not to be a trip hazard, old enough to be past the destructive stage, and calm. An adult rescue animal that is already house-trained and settled is usually a far better fit than a puppy, which is a decade-long commitment arriving in a household whose capacity is decreasing.
Can you bring a dog to visit someone in memory care?
Often yes, and it is worth asking rather than assuming. Many facilities allow well-behaved visiting pets, sometimes with proof of vaccination. Courtyards and outdoor areas are usually the easiest place to do it and give everyone something to do besides sit and talk.
Will they still recognize the pet in later stages?
Not necessarily, and it matters less than families expect. Someone may stop understanding that an animal was ever theirs while still responding warmly to it being there. The animal makes no demand to be recognized, which is what makes those visits easier than visits from people.
What happens to the pet when the person goes into care?
Somebody else has to take it, because most memory care facilities will not house a resident's pet. Deciding who, in advance and in writing, is the single most useful piece of planning — otherwise it is settled in the same week as the placement, which is the worst week to settle anything.
Is it selfish to get a pet partly for yourself as the caregiver?
No. Caregiving contracts a household down to appointments and management, and an animal that requires walking is one of the few things that reliably gets a person outside for a reason unrelated to illness. A benefit to the caregiver is a benefit to the person being cared for.

You shouldn't be carrying this by yourself.

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Sources

  1. Chen S, et al. "Effects of animal-assisted therapy on patients with dementia: A systematic review and meta-analysis of randomized controlled trials." *Psychiatry Research*, 2022.
  2. Watt JA, et al. "Comparative efficacy of non-pharmacological interventions on agitation in people with dementia: a systematic review and Bayesian network meta-analysis." *International Journal of Nursing Studies*, 2020.
  3. Stevens JA, Teh S, Haileyesus T. "Dogs and cats as environmental fall hazards." *Journal of Safety Research*, 2010.
Peer support and education, not medical or veterinary advice. This is one family's experience and is not a recommendation — the decision to bring an animal into a household affected by dementia depends on mobility, falls risk and who is available to do the caring.