If you provide care for elderly loved ones with dementia, you most likely have witnessed their battle with memory loss and other cognitive limitations. It can be heart-wrenching to hear them forget family members and friends, fail to recall recent events, or talk about deceased loved ones who they believe are still alive.
You may be feeling helpless and discouraged, but there are strategies you can use to reduce stress, circumvent confusion, and maintain a healthy relationship with your aging loved one.
5 Ways to Cope with Dementia and Confusion
Dementia can cause your elderly loved ones to say outlandish things or become befuddled when out in public. You may feel embarrassed as they clumsily interact with neighbors, talk to store owners, or even chat with strangers.
Dealing with loved ones exhibiting dementia-related behavior, in private and public, can be disturbing. The following tips can help you manage tricky interactions caused by your senior’s illness:
Step into their reality
Seniors with dementia can find it hard to keep track of reality and memory or imagination. If you pull seniors with dementia into the “real world” by correcting them, you can sometimes cause more confusion, stress, fear, or even anger — which only worsens their symptoms.
Experts recommend, whenever possible, that you affirm and join your loved one’s reality. If your senior occasionally speaks as though they live in the past, keep the conversation going without correcting them as long as it is not causing them harm. For example, if your senior thinks it’s Saturday, but it’s Wednesday, there is no need to correct them – just let it go.
Use distractions and diversions
Experts encourage using situational distractions to help people with dementia stay calm and avoid worsening symptoms. For example, if telling your senior you are taking them for a medical checkup causes distress, you may tell them, instead, that you are going on a trip to the park and will stop for a doctor’s appointment on your way back.
You may also choose to distract your senior from topics that cause stress or if you find they are stuck repeating themselves. Changing the subject to the weather or asking them to assist with a simple task can help diffuse the situation. Assistance folding laundry or watering plants can help to shift their focus.
Some people may feel guilty about using therapeutic distractions or diversions, and that is perfectly normal. Just remember the goal is to make your loved one feel comfortable and find a balance that works for both of you.
Use brief explanations and gentle corrections
Sometimes, you may have to correct a confused senior. In situations like this, do so as gently and briefly as possible. Reduce confusion and other negative emotions by phrasing your corrections as suggestions. For example, you could say, “Why don’t we take a walk together?” instead of, “I can’t let you go out alone because you’ll get lost or fall.”
Be sure to use simple words and phrases that your loved one will recognize. Physical reminders, such as photographs, can also help gently reorient a senior with dementia when necessary.
Respond to feelings, not words
Ask yourself what emotion might be behind your loved one’s words. If they are lashing out, perhaps it’s because they are afraid. In this case, you can reassure them that everything is okay and perhaps offer them a hug or hold their hand. It is important to respond calmly at all times.
Take care of yourself
Although following these tips can help reduce stress for you and your senior, caring for a senior with dementia can still be very demanding. Remember that taking care of yourself is essential to avoid caregiver burnout. If you find yourself hurt by comments your senior has made, try to remind yourself they aren’t doing it on purpose.
If you need additional support in caring for your elderly loved one with Alzheimer’s disease, dementia, or memory loss problems, consider hiring a Visiting Angels caregiver. We have partnered with leading dementia specialists to develop a series of dementia care certification programs. Basic dementia care training is available to all Visiting Angels caregivers, and many home health aides are certified in advanced dementia care protocols. Our Visiting Angels care coordinators are available to discuss your loved one’s needs during a free care consultation. Contact us today!
