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How to Act Around People with Dementia: A Friendly Guide

Writer's picture: Neurology AssociatesNeurology Associates
A man diagnosed with Dementia happily watches photographs with his grand daughter.

Living with Dementia profoundly affects not only those diagnosed but also their family and friends who care for them. Providing meaningful support can feel overwhelming at times, but small, thoughtful actions can make a world of difference. 


In this guide, we’ll explore practical ways to offer compassion, understanding, and connection to those navigating life with Dementia.


Knowing the Signs of Dementia


When someone develops Dementia, they experience various changes in their cognitive abilities and behavior. Understanding these changes helps us provide better support and maintain stronger connections. Some common signs include:


  • Difficulty keeping track of time and place, often leading to confusion about daily schedules

  • Struggling to recognize familiar faces, including close family members

  • Finding previously simple daily tasks challenging and overwhelming

  • Experiencing unexpected mood changes throughout the day

  • Repeating questions or stories, often without realizing it

  • Showing increased anxiety, especially in unfamiliar situations


Tips on How to Act Around People with Dementia


Creating the Right Environment


The environment plays a crucial role in supporting someone with dementia. Creating a comfortable, familiar space can help reduce anxiety and improve communication. Before starting any interaction, consider these important factors:


  • Choose a quiet, peaceful space without unnecessary distractions

  • Ensure the room has proper lighting to prevent confusion from shadows

  • Turn off background noise like TVs or radios that might interfere with focus

  • Schedule interactions during their most alert times, typically in the morning

  • Position yourself where they can easily see your face and expressions



Starting Meaningful Conversations


Engaging in conversation with someone who has dementia requires thoughtfulness and preparation. The key is to focus on topics that connect with their long-term memories and bring joy. Here are some conversation starters that often work well:


  • Share stories about their childhood and ask about their favorite memories

  • Discuss hobbies they enjoyed throughout their life

  • Explore family traditions and stories that have been passed down

  • Talk about their career achievements and memorable work experiences

  • Reminisce about places they've lived or traveled to

  • Listen to and discuss music from their younger years


Simple Tips for Better Communication


Effective communication forms the foundation for supporting someone with dementia. When engaging in conversation, start with these essential principles: speak slowly and clearly, using short, simple sentences. Always address them by their preferred name to maintain familiarity and respect.


To make your interactions more successful:


  • Give them plenty of time to process information and respond

  • Focus on one topic at a time to avoid overwhelming them

  • Avoid arguing or correcting mistakes, as this can cause distress

  • Pay attention to their non-verbal cues and body language

  • Show patience and understanding when they need to pause or repeat themselves


Body Language and Non-verbal Communication


Physical presence and non-verbal cues often communicate more than words. Understanding and using appropriate body language can significantly improve your interactions:


  • Maintain gentle eye contact to show engagement

  • Position yourself at or slightly below their eye level

  • Use warm, natural smiles and friendly facial expressions

  • Keep your movements slow and predictable

  • Offer reassuring touches when appropriate, like a gentle handhold

  • Pay attention to their facial expressions and body position for signs of fatigue or distress


Managing Challenging Behaviors


Difficult behaviors are often expressions of unmet needs or confusion. Learning to respond effectively can help reduce stress for everyone involved:


  • Stay calm and avoid showing frustration

  • Try to identify triggers for challenging behaviors

  • Redirect attention to pleasant activities when agitation occurs

  • Keep a log of when difficult behaviors happen to identify patterns

  • Consider whether physical discomfort or environmental factors might be causing distress


Safety and Home Adaptation


Creating a safe living environment is crucial for someone with dementia. Consider these important practical modifications and safety measures:


  • Install handrails in bathrooms and hallways

  • Remove trip hazards like loose rugs and electrical cords

  • Use clear labels with pictures for important items and rooms

  • Install safety locks on dangerous items and areas

  • Ensure good lighting throughout the house, especially at night

  • Consider motion sensors or door alarms if wandering is a concern


Contact Us for Specialized Help


Supporting someone with dementia takes patience and understanding. While it can be challenging, staying connected makes a real difference in their life and yours.


Need help? Contact us at Neurology Associates today to schedule your visit at our clinics in Chandler or Mesa, Arizona; or you can also conveniently schedule a teleconsultation with us. Our team is ready to guide you with expertise and compassion whether it be for Dementia, Alzheimer’s Disease, Parkinson’s Disease, or other Neurological disorders. 


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