Everything depends on how you enter the room and connect with the person with dementia. Therefore, it’s crucial to pay considerable attention to this interaction. But how exactly do you do this without coming across as threatening? Understand that the person with dementia may not remember who you are.
Predictability offers a sense of security for those experiencing disorientation in time, space, and among people.
◉ Clearly state your actions and follow through
◉ Verbally express your ongoing actions
◉ Move calmly, avoiding sudden movements. Never pull a wheelchair backward without prior announcement and eye contact
◉ Control the level of sensory stimuli
◉ Establish a structured routine, such as consistent daily rituals for waking up and bedtime. Consult with the person with dementia or family members to identify what they find important or enjoyable
◉ Create a familiar environment with items that evoke a sense of comfort and recognition
◉ Describe what they can SEE, HEAR, SAY, MOVE, and SENSE sensorially.
Example: “Jamina, we’re about to bake a chocolate cake. Look, the flour and eggs are already on the table, and Jonas is here with the milk. The scent of chocolate is delightful. Would you like to taste a bit now?”
Individuals with dementia often struggle to articulate their feelings. Their nonverbal cues—facial expressions, physical restlessness, or outbursts—reveal their emotions. Help them connect with their feelings by verbalizing their actions. Mirror their words or behavior when they begin to lose touch with reality.
Importantly, express the emotion they are grappling with.
Example: “Chrisje, you seem quite anxious, tugging at your scarf. It seems uncomfortable. Is your scarf not sitting right? Would you like it adjusted around your neck differently? …”
Understanding the complexities of dementia and the myriad challenges it presents isn’t easy for individuals affected. Consequently, many feel the need to share their experiences with a (informal) caregiver. Be a trusted confidant and engage in genuine conversations.
Those with dementia experience frequent forgetfulness and struggle with comprehension. It’s vital to preserve their dignity and minimize any potential embarrassment.
Here are some tips:
◉ Phrase questions in a non-confrontational manner.
◉ Avoid inquiries about factual knowledge or recent history.
◉ Embed information within your questions, such as ‘I heard you had scrambled eggs this morning. Did you enjoy them?’
◉ Refrain from debating and allow the person with dementia to maintain their own reality