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Introduction

If you’re reading this guide, you’re probably already in the early stages of what may be the most difficult journey of your life. It’s a journey that may be relatively short or may last several years. Either way, as someone caring for a person with ALS, the trip will be trying.

The purpose of this guide is to help smooth the rough road and allow you to experience the profound joys that are still very possible along the way. Because, while caring for a person with ALS is a real chore, it also has its rewards, both emotional and spiritual.

Our hope is that you’ll be better able to recognize and enjoy those rewards with the help and direction you receive through this publication and the other sources of assistance it offers. This guide isn’t meant to be all-encompassing; there are simply too many topics and too many details involved in ALS care to cover them all here. Rather, When a Loved One Has ALS should serve as an overview that gives you a broad picture of what lies ahead, a sampling of ways to overcome problems and a resource to help you find additional help when you need it. You’re not the first person to be in this situation and, unfortunately, you won’t be the last. But, since caring for a loved one with a debilitating disease is nothing new, you have the valuable experiences of others to draw upon.

For simplicity, we’ve referred to the person with ALS as "he" throughout, although the information in this guide is relevant regardless of the gender of the patient or the caregiver.

One key thing to remember, not only while reading this guide but throughout your caregiving experience, is that you’re not in this alone. Since ALS is one of the more than 40 neuromuscular diseases in MDA’s program, you have an organization with more than 50 years of experience to back you up. The Association has spent more than $160 million on ALS services and research. That translates into help and hope for people with ALS and their loved ones. We stand ready to assist you, with the most comprehensive ALS services of any nonprofit agency in the country, and we continue to lead the world in sponsoring ALS research.

This guide is a continuation of that history of caring about and offering help to ALS families. We recognize that ALS doesn’t just attack the person with the disease. It has a profound impact on everyone who cares about him, especially the primary caregiver. That’s why this guide doesn’t focus solely on caring for the patient. It also addresses your needs as a caregiver.

So, as you make your way down the path you’ve chosen out of love and compassion for another, remember to love and care for yourself as well. And never forget that, on this journey, you never have to walk alone.

NOTE ON THE SECOND EDITION

The first edition of When a Loved One Has ALS, published in 1997, was made possible by a grant from the pharmaceutical company Cephalon. MDA was also assisted in preparing the first edition by the late Vicki Appel, BSN, then coordinator of the Ronny & Linda Finger MDA/ALS Center at Baylor College of Medicine in Houston.

The second and revised second editions reflect new findings in ALS research and updated lists of resources.


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