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Specialized Dementia
Care at Home
Dealing with dementia requires a shift in how we communicate and interact. Because the brain is processing information differently, our usual ways of correcting or reasoning with someone often lead to frustration or "outbursts.
1. The "Enter Their Reality" Rule
When a person with dementia is confused about the time or place
What to do:
Validate their feelings. If they want to go to work, say: "You’ve always been such a hard worker. Tell me about your favorite part of that job." This uses redirection to move them into a positive conversation.
3. Managing "Sundowning
2. Communication Techniques
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Simple Choices: Instead of asking "What do you want for lunch?" (which is too broad), ask "Would you like a ham sandwich or soup?"
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One Step at a time: Give instructions in single steps. Instead of "Let’s get ready for bed," try "Let's stand up," then "Let's walk to the bedroom," etc.
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Body Language: Always approach from the front so you don't startle them. Maintain eye level to show respect and reduce the feeling of being "managed.
4. Focus on Routine
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Keep meals, naps, and walks at the same time every day.
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A consistent schedule helps the brain feel "safe" even when memory is failing.
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Lighting: Turn on lights early to eliminate shadows, which can look like intruders or holes in the floor to a dementia patient.
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Quiet Time: Keep the environment calm during the late afternoon. Avoid loud TV or heavy activity.
5. Never Argue
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If the patient becomes angry or insists on something that isn't true, take the blame. * Example: "I’m so sorry, I must have forgotten the keys," rather than "I told you I don't have the keys!" This de-escalates the situation immediately.
Ready to find a safer path forward?
Contact us today to speak with a care coordinator about a personalized plan for your loved one