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How To Talk To A Parent With Dementia

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Updated May 2021 – If you are finding it difficult to talk to a parent or loved one who suffers from dementia, these following 7 tips may help.

8 tips for how to talk to your loved one with dementia:

  1. Approach conversations gently and calmly.
  2. Be as direct as possible (i.e, use names instead of pronouns).
  3. Avoid using baby talk.
  4. Use body language to help convey your feelings and thoughts.
  5. You may have to tell or go along with a lie.
  6. Get rid of environmental distractions.
  7. If they are bi-lingual, it can help to speak in their native language.
  8. Be understanding and supportive of their limitations.

Having a parent or loved one with dementia can be stressful and overwhelming for them and for you.

After all, it can be heartbreaking to watch your parents struggle with the signs of dementia such as memory loss, difficulty with problem solving and familiar tasks, confusion and much more.

Of course, some dementia patients do become non-verbal, especially in the late stage of their disease. Oftentimes this requires family caregivers to learn new communication strategies.

They must be more demonstrative with their facial expressions and body language and, of course, must be more patient when trying to communicate.

It takes a little time for friends and family members to get used to the new communication skills needed when talking to a loved one with dementia, but it’s worth it in the long run.

If your loved one is having trouble understanding what you are saying, these communication ips should help.

1. Use a Calm and Gentle Voice

Focus on keeping a calm and gentle voice whenever you’re speaking to your loved one with dementia. Avoid raising your voice, no matter how angry or frustrated either of you becomes during a conversation.

As much as you don’t want to talk down to your parent, you will need to change how you speak to them and your tone of voice. After all, the way you talk to somebody is just as important as what you’re saying to them.

Keep in mind that they have memory problems – they most likely will not remember your conversation, so don’t expect them to.

You might also want to take a little time to yourself to cool off when you sense that you’re getting frustrated. Don’t be shy about seeking out support groups or respite care. It helps no one if you are burned out.

Most importantly, remember that this is out of your control. No amount of anger or reminding your parent of a fact will help the situation.

2. Be Direct

Be very specific in the words that you use.

When speaking to someone with dementia, avoid using pronouns and vague terms such as “she went to the park” or “it’s over there”. Instead replace them with “Diane went to the park” and “the fork you need is on the counter top next to the toaster.”

Dementia can make it very difficult for your elderly parent to follow conversations the way they once did. They might become a little distracted or lose the plot in the middle of the story.

They may even keep asking you questions while you are speaking. This often happens because they have lost track of your story – even if you’ve only been speaking for a minute.

That’s why it’s more important now than ever that when you talk to a parent with dementia that you speak with simple words. Give them your full attention, use short sentences and speak quite clearly.

  • Don’t tell long stories or ask long questions – your loved one might not be able to follow them.
  • Avoid details such as what someone wore or ate. If the detail is not important – don’t mention it.
  • Don’t ask open-ended questions. Instead, ask short and precise questions.
  • Make short and precise statements.
  • Avoid pronouns. If you are speaking about your sister Diane, keep saying the name Diane instead of “she” or “her”.
  • Make eye contact and face them as you speak.
  • Avoid questions where there are too many decisions for someone with cognitive issues to follow. Instead give them a choice of two. (i.e., instead of “what would you like for lunch?” ask “would you like a tuna sandwich or chicken soup for lunch?”)

A few tricks I learned as an Occupational Therapist was…

  • When speaking to an elderly loved one with dementia, it’s a good idea to spend 80% to 90% of the conversation on THEM – on what THEY want to talk about versus what you want to talk about. This not only gives your loved one some control but allows them to talk about what they know. In other words – LISTEN to them more than TALK to them.
  • Keep your voice calm even if your mom or dad begin yelling or over-reacting. Hard to do sometimes, I know, but very important.
  • Rephrase your question/comment in different ways instead of repeating it. I have witnessed so many adult children repeating the same words over and over and over again wanting desperately for their parent to understand them when the truth is, that just was not ever going to happen.
  • Redirect their attention to something else if the current conversation seems to distress them.
  • It’s worth repeating – LISTEN to them more than TALK to them.

3. Don’t Talk Down to Them

Respect that your elderly parents are still adults.

Even though you are now your parent’s caregiver, that doesn’t mean that you should be speaking down to them in any shape or form.

Speaking to your mom or dad as if they’re a child can be quite embarrassing and degrading for your parent.

They might not understand everything that you’re saying, but they’re still an adult and are trying their best to hold a conversation with you.

4. Consider Your Body Language

Even if your loved one with dementia may not understand your words, they may understand your body language.

Humans communicate with words, but nonverbal cues and body language are perhaps just as important.

When it comes to communication, the belief is that 55% of communication is body language, 38% is the tone of voice, and 7% is the actual words.

awareseniorcare.com

Even if your loved one with dementia may not entirely understand what you’re saying, they might be able to read your body language and pick up on what’s going on.

Focus on how you’re carrying and expressing yourself during conversations.

If you’re happy when telling a story or asking a question, be sure to smile or laugh when it’s appropriate. If you want to comfort your parent try a gentle touch by holding their hand or giving them a hug.

Physical contact can be very important for a person with dementia – depending of course on that particular person.

It might also help to use nonverbal communication, such as gesturing and pointing draw their attention to something you’re talking about. This can be a powerful tool to help your parent to associate what you’re talking about with a physical object.

Again, keep direct eye contact with them. Face to face communications are usually the best way to keep a conversation going with someone who suffers from dementia.

5. Therapeutic Fibbing

Telling an outright lie or going along with a lie is something that many caregivers of older adults with dementia often have to do.

“Therapeutic fibbing is lying, or bending the truth, in order to avoid increased agitation from a person with dementia.”

iona.org

The intention behind the act of lying to someone with dementia is often to avoid upsetting that person with reality which oftentimes causes unnecessary distress.

Paying close attention to the memories someone with dementia is talking about instead of correcting any untruths can help everyone involved.

6. Get Rid of Distractions

Along with dementia comes a struggle to maintain focus amidst environmental distractions.

In fact, it might be impossible for your mom or dad to focus 100% when you’re talking to them.

That’s why you want to make sure to get rid of all types of audio and visual distractions if an important conversation needs to be had with your elderly loved one.

That can be anything, from turning off the television or radio to going to a private room where there are fewer people.

Give them the chance to focus on you and exactly what you’re saying if it’s really important.

But remember that there’s only so much you can do to draw your parent’s attention and focus.

Also keep in mind that they will have good days and bad days, so don’t assume that turning off the television is all your loved one needs to focus on what you’re saying.

Leave conversations for a new day if they can wait.

7. Speak In Their Native Language

The Alzheimer’s Association reports that, depending on the stage of dementia, older people may revert back to using the language they grew up speaking.

For example, my mother was born in Italy and grew up speaking Italian. She learned to speak Spanish when we lived in Venezuela and then she learned English when we moved to the United States. If she had been diagnosed with Alzheimer’s disease or dementia, she might easily have forgotten how to speak English and possibly Spanish as the disease progressed and revert back to Italian.

If this is true of your parent and you speak the language of their childhood, doing so can be a great way to overcome communication problems.

8. Be Supportive

Supporting your loved one is the most important thing you can do to help them through this difficult time.

A loss of memory and slowed thinking can be quite embarrassing, so the last thing you want to do is to point these issues out. Instead, praise the skills that they can do.

Another way to be supportive is by placing less stress on the details.

In other words, it’s okay if your loved one doesn’t remember all the minor details of an event or a person or if they have trouble understanding even the simplest things. Constantly trying to correct them will not only be embarrassing for them but also frustrating on your part.

Be thankful for the good times and conversations that you do have with them. Try to be open to any conversations they’re willing to have and simply enjoy the fact that you are communicating.

A dementia diagnosis can be quite frustrating – both for people with dementia and their adult children and family.

After all, it can be a little overwhelming to take over as your parent’s caregiver. That’s especially the case when your parent struggles with memory difficulties or seemingly simple daily functions like bathing and cooking.

It’s natural to get angry, but it’s important to mindfully manage what you do with it. One reason is that people who have dementia are sensitive to your moods. If they feel afraid of you, for instance, that could have a negative impact on the caregiving and care-receiving relationship that is ideally rooted in trust.

iona.org

It might take a long time, but it’s important that you work on controlling your frustration and anger.

You need to understand that most tasks will be a little more difficult for your loved one from this point on.

Focus on the positive aspects of your relationship and learn to lower your expectations for what your parent can do for themselves.

But, remember that this is also extremely frustrating for them.

Once independent, your parent now has to depend on their own child to make it through the day. There’s a significant loss of freedom, and your parent might even be reluctant to accept your help.

Make sure you’re staying calm and understand that your parent isn’t purposely doing or not doing anything to inconvenience you.

Some Resources For You

Here are some links to some books that may be helpful for you and your loved one.

When Reasoning No Longer Works: A Practical Guide for Caregivers Dealing with Dementia & Alzheimer’s Care

Dancing with Elephants: Mindfulness Training For Those Living With Dementia, Chronic Illness or an Aging Brain

Where the Light Gets In: Losing My Mother Only to Find Her Again

Conclusion

When your parent or loved one receives a diagnosis of dementia, your family relationship will change forever. You have to be willing to change how you communicate with your parent as they cope with this new diagnosis.

The most important thing you can do for yourself and your loved one is to be as calm and direct as possible and avoid getting frustrated when your parent becomes confused.

Remember, this condition is out of your their control, and it’s important that you’re supportive during this tough time.

Sources

Frequently Asked Questions About Talking To A Parent With Dementia

What’s the difference between dementia and Alzheimer’s?

Alzheimer’s is a specific, degenerative disease of the brain. Dementia, on the other hand, is a general term for a group of symptoms. There are many types of dementia and a number of conditions that cause them.

How do you tell your mom she has dementia?

The best way to talk to a parent about their dementia diagnosis is to be direct, but loving and reassuring. You can tell your mom that she’s been diagnosed with memory loss, but that you’re there to support and help her. Depending on your parent’s situation, you might even consider using the words “dementia” or “Alzheimer’s” if they apply.

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