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What Should You Not Say to Someone with Dementia?

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An adult child makes eye contact with their senior parent while talking to maintain a good line of communication.

Dementia affects communication, often making it difficult for individuals to express themselves and interpret what others say. Understanding what words and phrases to avoid is vital to fostering a supportive environment. Some things you should not say to someone with dementia include:

  • Don’t you remember?
  • I just told you that.
  • You’ve already asked me that.

Instead of saying these things or using this kind of language, the focus should be on communicating with empathy and understanding. In addition to what not to say, we’ve also provided some tips on how to communicate below. Your loved one’s caregivers can also typically offer insight on helpful ways to approach communicating with them.

Understanding Dementia & Communication Challenges

Dementia is not a single disease but a group of conditions affecting cognitive function. It often results from damage to brain cells, leading to a decline in memory, thinking, and reasoning skills. The loss of these abilities makes communication increasingly difficult for individuals with dementia, as they struggle to find words and understand conversations.

Individuals with dementia may face challenges such as forgetting words, repeating phrases, or losing their train of thought. They might have difficulty following conversations and become confused by complex sentences. This can lead to frustration for the individual and their caregivers, highlighting the need for patience and understanding in communication.

Impact on Interpersonal Relationships

Communication barriers can strain relationships between individuals with dementia and their loved ones. Misunderstandings or hurtful words, even if unintended, can create a sense of isolation and distress. By recognizing these challenges, caregivers can learn how to modify their approach, ensuring that their interactions are more meaningful and supportive.

Hurtful Language to Avoid

Navigating conversations with individuals with dementia requires sensitivity and awareness. While your intentions may be good, certain phrases can be perplexing or even upsetting to someone with cognitive difficulties.

For instance, asking questions like “Don’t you remember?” might seem like harmless inquiries, but they can inadvertently highlight memory loss, causing frustration and confusion.

Another common phrase to avoid is “I just told you that.” Repeatedly pointing out memory lapses can lead to feelings of inadequacy and diminish self-esteem. This kind of reminder not only emphasizes the challenges they face but may also create anxiety or reluctance to engage in further communication. 

Phrases like “You’ve already asked me that” also fall into this category. While it may seem natural to point out repetitions, doing so could make the individual feel embarrassed or self-conscious. The goal should be to create a safe space for open communication without judgment or frustration.

Awareness of these common language pitfalls helps our interactions remain supportive and encouraging.

An adult child makes physical contact and smiles reassuringly at their senior parent to encourage conversation.

Empathy & Effective Communication Strategies

Here are a few key things to consider when improving communication with a loved one experiencing dementia.

Communicating with Empathy

Empathy plays a crucial role in effective communication with individuals living with dementia. It involves understanding the emotions underlying their words and responding with kindness and patience. By putting oneself in their shoes, caregivers can better appreciate their experiences, leading to more compassionate interactions.

Slow Speech, Eye Contact, & Patience

When communicating with someone with dementia, it’s important to speak slowly and clearly, using simple words and short sentences. Maintain eye contact to show attentiveness, and use gestures to support your words. Allow extra time for responses and avoid interrupting, as this can disrupt their train of thought.

Encouraging Non-Verbal Communication

Non-verbal communication, such as facial expressions and body language, can be just as important as spoken words. Smiling, nodding, and offering a gentle touch can convey warmth and reassurance. Encouraging non-verbal cues from the individual can also help them communicate more effectively when words fail.

What to Say Instead

Instead of just focusing on what we shouldn’t say, let’s explore a couple of things to say instead

Instead of asking, “Do you remember?” try saying, “Tell me about this.” This approach shifts focus from memory recall to sharing experiences. If someone repeats a story, acknowledge it with a positive response, like “That sounds wonderful,” rather than pointing out repetition.

Use phrases that validate the individual’s feelings, such as “I understand how you feel” or “It’s okay, take your time.” These expressions of support can help individuals feel more comfortable and valued, reducing anxiety and fostering better communication.

Encourage engagement by asking open-ended questions that don’t rely heavily on memory, like “What do you think about this?” or “How does this make you feel?” This facilitates conversation and empowers the individual to express their thoughts and emotions.

Get the Support You & Your Loved One Need

Effective communication is a powerful tool in dementia care, fostering understanding and connection. By being mindful of our words, we can create a more supportive environment for individuals with dementia, enhancing their quality of life. Remember, every interaction is an opportunity to make a positive impact.

We understand this can be easier said than done, especially when you’re used to communicating with your loved one in a certain way. Call our team at Fleming Farms Senior Living today. We’re happy to discuss how to improve communication between you and your loved one and show you how our community can create an environment of empathy and understanding to support your loved one.

Written by
Bridge Senior Living

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Bridge Senior Living
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