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How to Care for a Loved One With Dementia: 5 Expert Tips
The details of Gene Hackman’s final days may never be known. But officials in Santa Fe, N.M., said on Friday that it appeared that Mr. Hackman, who had advanced Alzheimer’s as well as heart disease, had spent about a week alone after his wife, who was his caregiver, died at home of a rare viral infection.
Mr. Hackman, 95, may have been among the most famous movie stars of the 20th century, but his circumstances point toward a common challenge, according to experts in dementia and family caregiving. Like Mr. Hackman, about seven million Americans have Alzheimer’s, a type of dementia, and their family members, like his wife, Betsy Arakawa, 65, often help care for them as the disease progresses.
Laura N. Gitlin, a behavioral scientist at Drexel University who researches ways to support caregivers, said that when a patient is diagnosed with dementia, their loved ones rarely receive all the information they need.
“No one really explains to the family what the course of the disease may look like, how to prepare,” she said. “No one checks in on the caregiver.”
Knowing how to prepare for this situation can help improve the quality of life for not only patients, as they adjust to life with the disease, but also those who become devoted to their needs. Here are five tips to consider if you become a caregiver for a loved one with dementia.
Stay social.
People with dementia may feel uncomfortable or anxious around faces they don’t recognize, and stigma can lead some families to retreat from social life. But becoming reclusive can worsen the disease, said Dr. Helen Kales, a geriatric psychiatrist at the University of California, Davis. Isolation can accelerate cognitive decline and even puts caregivers at a higher risk for developing dementia themselves.
Dr. Kales therefore recommends that patients and their loved ones keep attending social events and trying new things. A couple she worked with started square dancing when one partner was in the early stages of dementia.
“If there are sort of fresh eyes for a situation and respite, that benefits everybody,” she said.
Set up a caregiving team.
Many primary caregivers feel reluctant to impose, and other family and friends may not know how to help, Dr. Gitlin said. To address this, she suggests holding a meeting and assigning roles. For example, a sibling might plan to call every morning or evening to check in. If the family member with dementia doesn’t answer, they could request a wellness check.
Nancy Goode, executive director of the Margaret Jo Hogg Alzheimer’s Outreach Center in Albany, Ga., which provides adult day care services and support for caregivers, said she tells caregivers to have at least five people they can call for help in an emergency or to regularly help. This could be a friend who might agree to visit every Wednesday for a few hours so the caregiver can run errands.
Seek help from an expert.
When a family member receives a dementia diagnosis, it’s difficult to foresee how the patient’s needs will change as the disease progresses, Dr. Gitlin said. So she recommends caregivers meet with an expert, like a geriatric social worker or a geriatric nurse practitioner, who can evaluate the safety of the patient’s home and how much support will be needed.
That sort of advice doesn’t just come along with the diagnosis, she said, so families have to seek it out and pay for it.
“It seems simple,” she said, “but nobody is given the knowledge and skills that are needed.”
Consider technology that can help monitor your loved one.
In-home cameras and motion sensors can help relatives who live far away check on family members with dementia. For example, a device can be affixed to a refrigerator that sounds an alarm if the door isn’t opened for a long time; another can be worn by patients and send an alert if they fall. It’s important to discuss privacy concerns and data security when considering such tools, which are becoming more advanced and widely available, Dr. Gitlin said.
“We don’t want to make this all about bells and whistles,” Dr. Kales said, “but I do think that we want to use technology as an adjunct to help people as they go on this journey.”
Take care of yourself.
The demands of providing for someone with dementia can be so consuming that many caregivers neglect their own health, Ms. Goode said.
“They’re just worn out,” she said. “They’re just totally exhausted.”
Ms. Goode said caregivers often take on all the responsibilities of helping their patients, and encourages them to ask for help so they can make time for their own medical appointments, rest and wellness.
“If you’re not healthy,” Ms. Goode said, “you can’t take care of them.”
News
San Francisco Film Patrons Are Found Dead on Side of Highway
Three San Francisco couples set out Monday for their annual road trip to Ashland, Ore., for the town’s famous Shakespeare festival. They drove separately and planned to meet at 6:30 p.m. on the terrace of their favorite Japanese restaurant there.
They had booked a table for six, but only four showed up for dinner.
Judith and Wylie Sheldon were found dead in their running car on the side of the road to Oregon, shocking their friends and family and leaving a hole in San Francisco’s arts and film world.
Ms. Sheldon, 84, was the daughter of William Wyler — who won three Oscars for best director — and chaired the board of the San Francisco Silent Film Festival. Mr. Sheldon, 86, was a prominent lawyer.
David Smith, who had befriended the couple more than 40 years ago, said in an interview that he and the others at the dinner table had grown nervous as time ticked on and their friends did not answer repeated calls to their cellphones. They learned they had not checked into their hotel either.
The friends eventually learned from one of the couple’s sons that the California Highway Patrol had found the couple at 5:46 p.m., both dead inside their running Jeep Compass. It was parked on the side of Interstate 5, north of Redding, Calif., more than 100 miles from their destination, the authorities said. Ms. Sheldon was driving, while Mr. Sheldon was in the passenger seat, according to the authorities.
The Redding area on Monday was under an extreme heat warning issued by the National Weather Service. Temperatures reached 109 degrees, according to the Weather Service.
Mr. Smith said he learned from the son that the couple had been found without any water or other liquids in the car. The fan was on high, but the air conditioning was not working, meaning they might have been blasted with hot air, Mr. Smith said. The windows were rolled down. The car had plenty of gas, and there were no signs of mechanical failure or foul play, Mr. Smith said the son told him.
“They didn’t crash. They stopped. They both just died there,” Mr. Smith said. “The entire thing is so bizarre. We’re still in a state of shock.”
The circumstances and cause of the couple’s death is under investigation but “appears to be medically related,” the Highway Patrol said in a statement.
Whether the heat contributed to the couple’s death “may be determined” by an autopsy, a spokesman for the Shasta County Sheriff’s Office said, adding that one had not been scheduled yet and could take several weeks to complete.
“We’ll just have to see,” the spokesman, Tim Mapes, said.
The Sheldons met at Stanford University and had two sons. They lived in a large home in San Francisco’s upscale Pacific Heights neighborhood that had views of the bay from the front and a garden out back.
They hosted many parties there on behalf of the San Francisco Silent Film Festival and sometimes let revelers pose for photos with Mr. Wyler’s Oscar statuettes. Ms. Sheldon fell in love with silent movies after first seeing those created by her father — before his better known blockbusters like “Ben-Hur” and “Roman Holiday” — only about 30 years ago, said Anita Monga, artistic director of the festival.
Stacey Wisnia, the festival’s executive director, said the couple was generous, delightful and unassuming.
Back in Ashland, Ore., Mr. Smith said the four remaining friends had distracted themselves from their grief by attending plays, including “A Midsummer Night’s Dream” and “Come From Away.” They were able to give away their friends’ tickets.
Ms. Monga had last seen Ms. Sheldon just last month at the film festival, which was held at the newly remade Castro Theater.
“This is such a shock,” Ms. Monga said of the deaths. “Also because it’s still a mystery.”
News
Luigi Mangione’s lawyers withdraw plans for psychiatric defense
Luigi Mangione appears for a pretrial hearing at Manhattan Criminal Court in New York, June 17, 2026.
Angelina Katsanis/AP
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Angelina Katsanis/AP
New York — In a dramatic reversal, Luigi Mangione’s legal team on Thursday backed away from a plan to use a psychiatric defense when his case goes to trial in state court in September. Mangione has pleaded not guilty to murdering health insurance CEO Brian Thompson in 2024 on a Manhattan street.
At a hearing only a day earlier before state Judge Gregory Carro, Mangione’s attorneys confirmed that Mangione had been undergoing psychiatric evaluation. They signaled that his defense would be based at least in part on the argument that Mangione was experiencing “extreme emotional disturbance.”

But in a one-line letter sent to Carro on Thursday, Mangione’s team said that “at this time” they no longer intend to introduce psychiatric evidence during the trial. It’s unclear what sparked the shift. Mangione’s team didn’t respond to NPR’s request for comment.
Former Manhattan prosecutor and legal analyst Gary Galperin told NPR it was a “stunning reversal” for Mangione to withdraw from the psychiatric defense. “One can only speculate at this point as to the reasons,” he said.
“What remains, of course, at this point is the question of what defense they will pursue at trial,” he added.
This maneuver came after Carro ordered Mangione’s attorneys to quickly share psychiatric information with prosecutors.
“They need to know what the malady is that this defendant suffers and how that triggered extreme emotional distress,” he said, during Wednesday’s hearing. “I’m not going to let you surprise people on the eve of trial. Get it done.”
Assistant Manhattan District Attorney Joel Seidemann repeatedly complained that Mangione’s team was “stonewalling” the prosecution by withholding medical information about his psychiatric state. “We have gotten nothing,” Seidemann said.
Mangione’s lead attorney Karen Friedman Agnifilo denied her team was delaying the court process or improperly withholding information.
But legal analyst Richard Schoenstein says by withdrawing the psychiatric defense, Mangione’s team “is avoiding the court deadline to produce its psychiatric evidence.”
According to Schoenstein, this latest move “does not entirely foreclose” Mangione’s team from returning to some form of psychiatric argument during the trial, but he added that such a defense would now be far more difficult.
Mangione’s case has drawn worldwide attention. Legal experts say the 28-eight-year old has drawn an unusual level of public support because of his criticism of the health insurance industry. Thompson, a father of two, was CEO of UnitedHealthcare at the time of his murder.
During Wednesday’s hearing, Carro also indicated that a tranche of court documents would be made public that apparently relate to Mangione’s potential psychiatric defense. On Thursday, Carro reversed course.
In a signed order, he said that because Mangione will no longer present psychiatric evidence, “the court’s previous order sealing certain transcripts, emails, and documents, remains in effect.”
Mangione’s state trial is scheduled to begin in early September, with a federal trial expected to take place later.
News
Inside Trump’s Touring Exhibition of American Heroes
The museums, designed by conservative nonprofits and Trump appointees, tell the story of early America, from colonization to revolution. The one exhibition looking beyond the early years is the “Wall of American Heroes.” It is a list of 51 people, chosen to illustrate 250 years of American history.
A White House spokesman said they were “individuals who shaped this nation’s history, culture and spirit across generations.”
The people pictured on this national honor roll — and the people left out — help illustrate what this administration sees as the highlights of American history.
Amid the administration’s efforts to reshape the nation’s relationship with its past, Trump appointees heavily weighted the list toward a single era of American history — and a few specific kinds of hero.
The other exhibitions in the Freedom Trucks were crafted by a pair of conservative nonprofits, PragerU and Hillsdale College. But the “Wall of American Heroes” was created by Freedom 250, a nonprofit effort whose leaders were chosen by President Trump and that was created to lead the planning of celebrations of the nation’s 250th birthday, overshadowing a bipartisan congressional commission.
A spokeswoman for Freedom 250 said Mr. Trump was not directly involved in the selection of those featured.
But the list clearly tracks Mr. Trump’s own lifetime and the heroes of the conservative political movement.
The wall’s tilt toward heroes of the baby boomer generation, for instance, extends beyond Hollywood stars and musicians. Of the four religious leaders on the list, two — Archbishop Fulton Sheen and the Rev. Billy Graham — also appeared on TV regularly in the 1950s and 1960s. The only painter on the list is Norman Rockwell, known for his idealized depictions of American life in that period.
By contrast, there is only a handful of figures from the first decades of American independence.
“That’s a disservice, if your intention is to present the last 250 years,” said Sarah Weicksel, the executive director of the American Historical Association. “Because all of the people on this list are building on the work and struggles and progress that was made by the people in the 150 years prior.”
The “Wall of American Heroes” was inspired by a similar display in a traveling museum created by the State of Virginia. But Virginia’s display celebrates little-known historical figures.
Mr. Trump’s, by and large, celebrates people who are already well-known — and, often, people who were famous in their own time. For example, it praises P.T. Barnum, a circus impresario who used hoaxes and freak shows to draw crowds. The wall calls him an “icon of American sensationalism.”
The spokeswoman for Freedom 250 said that many of the names on the wall were drawn from a list of 250 people that Mr. Trump wants to include in a “Garden of American Heroes” in Washington.
The spokeswoman declined to say what criteria were used to narrow down the list.
The only president whose name appears on the wall — not on the list of heroes, but alongside his quotation — is Mr. Trump himself.
Explore the Wall of Heroes
Navigate the display by dragging from side to side.
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