Communicating with Persons with Dementia

Communicating with Persons with Dementia

  • Start a conversation in a positive way.
  • Be on their level – eye to eye.
  • Build trust by stating your name and why you are there: “Mrs. Jones, I am Linda. I’m here to play cards with you today.”
  • Be clear.
  • Don’t hurry: speak slowly and quietly and give them time to respond.
  • Use short sentences – one at a time.
  • Repeat and rephrase as necessary. “Shall we go for a walk?” “Would you like to go outside?”
  • Use nouns instead of pronouns: “I am going to call Joan.”
  • Avoid open-ended questions: “What do you want to eat?”
  • Give choices, but not too many! “Would you like ice cream or Jell-O?”
  • Don’t use clichés – they may take it literally: “Let’s hop into bed now.”
  • Use commonly-understood motions: wave good-bye when saying it.
  • Communicate positive emotions.
  • Let them think they are helping you. “Will you help me with the
    Valentine’s Day decorations? I would like that.”
  • Be calm and quiet – touch gently.
  • Use praise and humor – they can read your mood by actions, tone of voice etc. even when they can’t understand the words.
  • Pay attention.
  • Watch their body language to interpret their comfort level with touching, activity, etc.
  • Listen to them – they may use the wrong words but know what they are
    talking about, or may use several words to explain: “I need a thing for
    water.”
  • Let them show you or lead you to what they are talking about.

What to Do When a Person is Agitated

  • Redirect attention.
  • Downplay situation.
  • Don’t push them.
  • Let them stay in a familiar space.
  • Stay at arm’s length.
  • Keep door locked.

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