Book review: Living in the Moment by Elizabeth Landsverk, MD and Heather Millar

Living in the Moment is a concise and practical guide for families navigating the challenges of dementia, written by Elizabeth Landsverk, MD, a specialist in geriatric medicine, and Heather Millar. The book stands out for its clear explanations, actionable advice, and compassionate approach to care.

The book opens with practical home tests to help families recognize early signs of dementia, such as drawing a clock, naming animals, and solving simple math problems. It then provides an accessible overview of what dementia is, its causes, and how different parts of the brain are affected. The authors cover various types of dementia—including Alzheimer's, vascular, alcoholic, Lewy body, and frontal dementia—explaining their unique features and progression.

One of the most valuable sections is the discussion on "Goals of Care." Unlike many other books on dementia, Living in the Moment emphasizes the importance of defining the purpose of medical treatment for each individual. The authors encourage families to regularly ask, "What are the priorities? What makes life worth living for your loved one? How can we best support them?" This chapter guides readers to consider whether the goal is a cure, comfort, maintaining independence, or preserving function as long as possible. It also provides practical questions to help families and care teams align on what matters most, making it easier to structure care plans that reflect the elder’s wishes and quality of life.

This thoughtful approach to care planning is rarely addressed in other dementia resources, making this book especially helpful for those seeking guidance beyond medical facts and symptom management.

Additional Highlights

• Diagnosis and Testing: The book explains the process of getting a formal diagnosis, including strategies for communicating with newly diagnosed individuals and their families, and outlines the various tests used to assess cognitive function.

• Treatment and Standard of Care: It covers the basics of medical management, including blood sugar, cholesterol, diet, exercise, and medications, with practical advice tailored for older adults.

• Behavioral Challenges: The authors offer compassionate strategies for managing behavioral symptoms, emphasizing that behavior is communication and unmet needs often underlie agitation or confusion.

• Daily Living: There are useful tips for bathing, dressing, eating, toileting, and dental care, as well as advice for hospital stays and working with therapists.

• Support and Legal Matters: The book provides guidance on finding help, introducing caregivers, exploring care alternatives, and handling legal and financial matters, including assessing capacity and planning for the future.

Living in the Moment is an invaluable resource for families and caregivers. Its practical advice, clear explanations, and unique focus on the goals of care make it stand out among dementia guides. The book’s compassionate tone and actionable strategies empower readers to make informed decisions and provide meaningful support to their loved ones.

Highly recommended, especially for those seeking guidance on care planning and quality of life for people living with dementia.