Nana Nana

In Bertone's illustrated children's book, a young boy navigates his increasingly complex but loving relationship with his grandmother, who has Alzheimer's disease. Nate loves his Nana, but lately he's noticed "something going on with her mind." She begins acting oddly: attempting to read a book upside down, for instance, or forgetting that it's his birthday party and not hers. As she becomes more preoccupied with "imaginary friends" that Nate can't see, he becomes increasingly upset that she doesn't play with him the way she used to: "Sometimes my Nana goes far away, traveling, in her mind. But, where? It's hard to say! To Italy, outer space, or back to 1952. When Nana's not here, I don't know what to do." Although other people, including Papa (Nate's grandfather), tend to argue with her when she gets in those moods, Nate tries his hardest to be understanding. As he wonders if she'll be around to see him get older, she reassures him that her love will remain forever, "though I may forget your name and your face." Bertone tells the story in verse, with only one or two sentences per page. Claridades' cartoon illustrations feature wide-eyed characters and pops of color that perfectly encapsulate the story's shifting moods. When Nana talks to people who aren't present, for example, the illustrator shades the ghosts of her past in a solid color to differentiate them from reality. The book skillfully blends hard facts and feelings, mentioning Alzheimer's disease symptoms, such as mood swings, while also demonstrating Nate's patience and adoration. The lack of parental figures in the book seems like a missed opportunity for the story to clearly explain to Nate, and young readers, what's happening with Nana. By and large, though, the book manages to convey the reality of the disease to kids in an approachable way that encourages discussion. The book ends with resources for "Understanding aging, dementia, and Alzheimer's." A bittersweet tale for kids that deftly illustrates the conflicting emotions that can occur when a loved one is struggling with dementia. Copyright (c) Kirkus Reviews, used with permission.