CVIndependent

Sun10252020

Last updateMon, 24 Aug 2020 12pm

Occasionally, you meet someone who seems to have been destined to do the work they do—someone who not only is good at their job, but who also loves doing it.

Dierdre Wieringa—better known as Dee—is one of those people.

Wieringa, 60, a Palm Desert resident for the past seven years, serves as administrator/executive director of Caleo Bay Alzheimer’s Special Care Center, a residence facility in La Quinta dedicated to serving those coping with a form of dementia. Built in 2013, Caleo Bay is designed to provide comfort and security to those who can no longer be cared for by family or who can no longer live independently. It includes 24/7 nursing staff, motion sensors in each room to ensure no guest is left on their own, and specialized training for staff to deliver “patient-centered care” with attention to building relationships with clients. 

“The layout is designed to provide a sense of security and continuity,” says Wieringa, “so that no guest ever feels disoriented. As they move freely about, they find continuity in living rooms, dining rooms and activity rooms no matter which corridor they’re in. They never feel like they’re lost.”

Each guest room has a collage of pictures posted outside the door, including a current photo, and pictures from their past supplied by family and friends.

“Guests can find themselves in the pictures as they often see themselves, somewhere in the past,” says Wieringa. “It’s also a great way for us to recognize who they are and what their past history is, so we can better relate to them on any given day.”

The facility also has display cases with artifacts from past decades—from World War II memorabilia to wedding mementos to an old typewriter—because these are things with which those with memory issues can relate.

Wieringa was born in Johannesburg, South Africa. She met Ben, her husband of 30 years, and had three children before moving to the United States in 1996.

“We wanted a better life for ourselves and our family,” she recalls. “Ben was offered a chance to work here, so we decided to make the move.”

Wieringa’s educational background was in public relations. Her first job was in property acquisition, then she did paralegal work, and finally she opted to be a stay-at-home mom while her sons and daughter grew up. Once in San Diego, Dee, whose daughter had just gotten married, “wanted to be out there doing things.”

A senior living facility was being built nearby. It was an unfamiliar concept to her—she doesn’t remember any such approach to senior living in South Africa—but she asked if they had any jobs available.

“They hired me as the assisted-living director and then I became executive director,” she says. “Eventually, I was offered the chance to manage the desert facility of Segovia, a high-end independent and assisted-living country club environment.  So, Ben and I came to the desert in 2009.”

Wieringa also served as executive director and administrator at Stonewall Gardens Assisted Living in Palm Springs before moving into her current position at Caleo Bay.

“We strive to find the lighter side of Alzheimer’s,” says Wieringa. “Our staff training includes teaching how changes can cause frustration or turmoil in people who need a sense of stability and continuity. People with dementia often act out or lash out with agitation when they get confused or are faced with the unknown. There are communication skills, like diversion, that can really make a difference to those whose short-term memory is so fleeting. You have to live in their reality and realize that every day is different. I believe in ‘meaningful moments,’ and the staff is trained to facilitate that philosophy. We celebrate something each day, no matter how small, for each resident.”

Caleo Bay also utilizes volunteers from church groups and students, as well as animal therapy, music and dance. Wieringa is also involved in other volunteer activities on her own: She runs a Parkinson’s disease support group and participates in the Dementia-Friendly Café (which I help organize), held monthly for the past two years. 

There are several different types of senior living facilities: independent living; assisted-living, where guests need some help with daily activities; and memory-care facilities dedicated to supporting those in various stages of dementia-related illness.

“The problem,” says Wieringa, “is that people aren’t prepared for the cost of long-term care. Medicare doesn’t cover it, and even skilled nursing facilities limit how many Medicaid beds are set aside. Families always ask, ‘What happens when Mom or Dad runs out of money?’ There is no good answer. Unless the younger generation invests in long-term care insurance (which often include caps on expenditures), especially with dementia diagnoses rapidly increasing and people living so much longer, the baby boomers and millennials are going to be faced with an impossible situation. Even if Medicare did cover long-term care, the cost would certainly break the bank.

“Families often are the only recourse, and they don’t realize that … many caregivers die before the person they’re caring for. Plus, there are so many dysfunctional families or people with nobody to care for them. Whenever a guest dies, even in the middle of the night, I make sure I’m there. I saw them come in through the front door, and I see that they leave the same way.”

With a high-stress job, what keeps Wieringa going? “You can’t teach passion. I love my job. It just makes me feel good to know I’m really helping others and making a difference. There are a lot of lonely old people out there with no one to turn to. One person can make a difference. Working with dementia is hard, but a moment of making people feel good about themselves makes me feel as if what I do was meant to be.”

How many of us can truly say that?

Anita Rufus is also known as “The Lovable Liberal,” and her radio show airs Sundays at noon on KNews Radio 94.3 FM. Email her at This email address is being protected from spambots. You need JavaScript enabled to view it.. Know Your Neighbors appears every other Wednesday.

Published in Know Your Neighbors

The concept of “dementia cafés”—places where people, who all too often feel isolated and socially separated from their communities, can come together to relax and enjoy good company—has evolved and spread from Australia to England to Holland to Japan to San Francisco to Seattle to Santa Fe. It’s estimated that there are currently about 200 such cafés throughout the United States, designed to address the social implications of a dementia diagnosis on individuals, families, friends and caregivers.

Starting anything new is always a gamble, so as one of the founders of the Coachella Valley’s first Dementia-Friendly Café, I am proud to announce that the café is beginning its third year of operation this month.

At the first café, we thought we’d be lucky to have 15 to 20 people; 52 showed up. Clearly, there was a need.

Dementia cafés are not support groups or seminars or daycare. There are no presentations or literature, and no commercial promotions are allowed. It’s simply a place where people can meet others with similar experiences and concerns, and a place where everyone understands the need to just relax and enjoy being out in public without fear or embarrassment. The café is for spouses who need a break from their daily routine, or people who have been diagnosed but are still vibrant and independent, or friends who want to support other friends who are concerned about going out alone.

Too often, those with dementia (and their closest loved ones) tend to sever social connections at a time when they are needed most. There are lots of online sources for information as well as local organizations that offer support groups or counseling, but the café offers a chance to leave the disease at the door and just enjoy an afternoon with others who are happy to be able to do the same. 

According to Palm Desert resident Lynne Bailey, “Socialization opportunities diminish with the disease—for the one with the disease and the caretaker, also. The café is a welcoming place and gives our loved one with Alzheimer’s an opportunity to socialize without explaining, without judgment.” 

One of the first challenges of the founding group was figuring out where to hold the café. Palm Desert resident Dee Wieringa, administrator at Caleo Bay Alzheimer's Special Care Center, worked with management at P.F. Chang’s China Bistro at The River in Rancho Mirage to establish a safe, social atmosphere, where people can come together in a relaxed environment. “So many people feel isolated,” says Wieringa. “There’s so much satisfaction in seeing them come out and socialize.”

We were amazed that some local restaurants with suitable space—and far from busy on a Wednesday afternoon—said our “clientele” wouldn’t be appropriate for their establishment. That kind of attitude was exactly why we decided to call it the Dementia-Friendly Café instead of using a euphemistic name. We were committed to finding ways to destigmatize the word “dementia,” since we all remembered how recently people would only whisper the word “cancer.”

Many of those who attend are dealing with Parkinson’s disease. One is Karen Kramer, a resident of Sun City Palm Desert. “We love coming to the dementia café,” she says. “We meet our Parkinson’s group there as a social event, and it is truly a lift.”

All too often, caregivers get into a routine that becomes self-perpetuating. One founder is Rupert Macnee of Rancho Mirage: “My role with the café was to greet folks and to circulate, bringing people together. The experience went a long way in helping me, along with my sister, to effectively manage our father’s care.

“I became much more understanding of his flights of fancy. I learned to accommodate his dreams and perceptions, without blocking them, or trying to make him ‘normal.’ My expectations of how I expected him to behave changed. I knew that to allay his fears was a No. 1 priority.”

Dementia in its many forms is an ever-increasing reality for many families. With that in mind, Dr. Soo Borson, another member of our original group, is beginning a Memory Café in Palm Springs in conjunction with Temple Isaiah. The first gathering is scheduled for Tuesday, Oct. 25, from 3 to 5 p.m.  Snacks, beverages and music will be offered. Everyone is welcome at no charge.

Meanwhile, the original Dementia-Friendly Café, held on the third Wednesday of each month from 3 to 5 p.m., is entering its third year at P.F. Chang’s. There is no cost to attend. Participants can order drinks or food from the happy-hour menu with separate checks, but no purchase is necessary.

I don’t really believe in horoscopes, although I read them every day. As I began this column, I read mine, which said: “Relationships are not simply about getting your needs met; they are about the profound impact that you have on others and how you are, in turn, affected by their stories.” That has been true for me these past two years as I have greeted everyone who has come to the Dementia-Friendly Café each month. 

Please feel free to join us as we move into our third year.

Anita Rufus is also known as “The Lovable Liberal,” and her radio show airs Sundays at noon on KNews Radio 94.3 FM. Email her at This email address is being protected from spambots. You need JavaScript enabled to view it.. Know Your Neighbors appears every other Wednesday.

Published in Know Your Neighbors

How do you start up something new? No matter how worthy the cause, you need individuals who see a need and are willing to volunteer a substantial amount of time to satisfy that need.

A local coalition has cropped up committed to creating a “Dementia-Friendly Coachella Valley,” composed of individuals who represent local nonprofit organizations, those diagnosed with or caring for someone with a dementia-related disease (like Alzheimer’s), medical professionals and interested citizens.

The DF-CV group recently sponsored the first Dementia-Friendly Café as a way to expand awareness that those living with a diagnosis of a dementia-related disease are still able to enjoy life, socialize and be in a public setting without fear. They wanted to create a “safe space” in which people could come together for a purely social event.

What is a safe space? To me, it’s a place where one can be truly oneself, relaxed and able to be fully expressive without fear of ridicule, judgment, embarrassment or stigmatization based on sex, race, ethnicity, orientation, religion, age, physical disability or any other arbitrary characteristic.

Cathy Greenblat, author of Love, Loss, and Laughter—Seeing Alzheimer’s Differently, was the catalyst for the coalition after the exhibit in Palm Desert of her remarkable photographs of patients with dementia-related diseases in state-of-the-art treatment facilities.

Dee Wieringa, executive director of the new Stonewall Gardens in Palm Springs, made the arrangements for the café with Albert Morales, manager at PF Chang's China Bistro at The River. Morales was enthusiastic about the idea.

“Our company is always telling us to get involved with our community,” he said.

A dining room at the restaurant would be set aside from 3:30 to 5:30 p.m. Those attending could order off the menu if they chose to, get drinks at the bar, or just socialize with others who could relate.

Rupert Macnee, a filmmaker who lives in Rancho Mirage, did the first draft of a flier. With minimal tweaking, it was ready to distribute online, at hospital rounds and on counters and bulletin boards at businesses and organizations throughout the Coachella Valley.

Pat Kaplan, of Palm Desert, one of the honorary co-chairs of the 15th annual Alzheimer’s Association Walk to End Alzheimer’s, came up with the idea of coalition participants wearing purple ribbons, typically an Alzheimer’s disease symbol, so those attending the café would know whom to ask if they had questions or concerns. She greeted attendees warmly, and generally acted as the unofficial hostess.

Other coalition participants who worked the room included Anne Gimbel, regional director of the Alzheimer’s Association; John Wisor, of Palm Springs; Kae Hammond, executive director of the Dementia Help Center and the author of a definitive book, Pathways: A Guidebook for Dementia and Alzheimer’s Family Caregivers (if you need answers and guidance, this is THE book); Soo Borson, a geriatric psychiatrist; and yours truly, who prints nicely and thus did the name tags.

The expectation was that if we could turn out 15 to 20 people on our first outing, that would be a good start. We wanted to learn what the community needs—and what the community will respond to—when it comes to the potentially touchy subject of dementia. Imagine our surprise when more than 50 people showed up! The staff at Chang’s brought in extra tables, added another waitperson, and generally made it a good experience. People were sitting with others they didn’t already know, making new acquaintances, sharing stories and laughing. There was a lot of laughing.

Two women who attended came alone, without their husbands who are living with dementia-related diagnoses. The wives, being sensitive to what their husbands might require, wanted to make sure it would be a safe space. They were thrilled and plan to bring their husbands to the next café. Other attendees included people from all over the valley, ranging in age from their 40s to their 80s—daughters and sons, caregivers, spouses and live-in partners, gay and straight, long-time and new desert residents. It was a noisy, fun, purely social couple of hours with good food, good company and the comfort of a safe space. One attendee described it as “warm and fuzzy.”

The next Dementia-Friendly Café is scheduled for Wednesday, Dec. 3, from 3:30 to 5:30 p.m. at Chang’s. Morales is eagerly looking forward to making everyone comfortable, and the coalition members are planning to spread the word far and wide.

How do you start something new? You come together with people who know how to get things done—people who genuinely care about the issue you’re addressing, people who make time in busy schedules, people who are your neighbors. When’s the last time you got involved in something new?

Anita Rufus is also known as "The Lovable Liberal," and her radio show airs Sundays from 11 a.m. to 1 p.m. on KNews Radio 94.3 FM. Email her at This email address is being protected from spambots. You need JavaScript enabled to view it..

Published in Know Your Neighbors