Dealing with Dementia: Interacting and Communicating with Elders

Caring for someone, a loved one perhaps, with dementia poses many challenges for families and caregivers. Conditions such as Alzheimer and related diseases and people with dementia, in general, have a progressive biological brain disorder

Dealing with Dementia: Interacting and Communication with Elders | My Delta Care

It would make it more difficult, in time, for them to remember things, communicate with others, and take care of themselves

Additionally, dementia can cause mood swings in a person and even changes a person’s ability, personality, and behavior.

What are the 7 stages of dementia and how to deal with each stage

Dealing with people with dementia starts with understanding its stages. The progression of types of dementia (in Alzheimer) is divided into seven stages per the ‘Global Deterioration Scale (GDS)‘ of primary degenerative dementia made by Dr Riesberg and his team.

Stage 1: No cognitive decline

There are no signs in dementia patients. They function well and are mentally healthy. People without a diagnosis yet are considered in this stage. They have no symptoms, memory loss, problems in behavior, or anything else that indicate dementia.

Stage 2: Very mild cognitive decline

In this stage, people with dementia like Alzheimer begin to experience forgetfulness associated with growing old. They might forget where they left their car keys or their wallet. Family members or even doctor tend to miss these symptoms.

Stage 3: Mild cognitive decline

Also known as mild cognitive decline (MCI), mild cognitive deterioration starts to manifest. Here, people may begin to notice mental decline signs as their loved one experiences increased forgetfulness, speech problems, and difficulty focusing on daily tasks. A caregiver must try hard to recognise the signs of this stage for early diagnosis, intervention, and support.

Stage 4: Moderate cognitive decline

People in stage four may deny that they are no longer able to recall or have other symptoms. As socialisation may become progressively more difficult, they may try to withdraw from family and friends. In dealing with dementia, a healthcare provider should observe a cognitive decline in an interview with the patient to determine the needed support.

Stage 5: Moderately severe cognitive decline

Usually lasting 4 years, a person with dementia this stage needs assistance to complete everyday life activities. In this stage, symptoms and signs of dementia will be very easy to detect: short-term memory will be lost and pronounced confusion and forgetfulness throughout daily living activities. Dealing with them means being more attentive to what they might be missing.

Stage 6: Severe cognitive decline

Otherwise known as Middle Dementia, stage six indicates a period in which a person requires considerable assistance to carry out day-to-day activities. They may not remember recent events and forget the names of close friends or family members.

Stage 7: Very severe cognitive decline

This final part of dementia would include very severe cognitive decline and lasts around 2 years. A person can no longer speak or communicate and may use assistance with most activities, including walking. Throughout this stage, caregivers will focus mostly on providing comfort, home and life quality. Care possibilities may exceed what you feel you can provide at home since round-the-clock care will be necessary.

What should you not say to someone with dementia?

Sometimes, we need to take care of what we say to people with dementia. Looking out for what you say shows support to the person with dementia or Alzheimer s disease. They will show you understand the situation and try to take time out of your life to help them.

What should you not say to someone with dementia Dealing With Dementia | My Delta Care

'Remember when …?'

While it is common to jog the memory of somebody living with dementia, these kinds of questions are often reminders of lost memories. This can be a maddening or painful experience. No evidence training the brain in this way may help someone hold on to memories. That's not to say you should keep away from talking about the past, but it's better to start the conversation and let the person join in.

'They died years ago'

One of the most common aspects of the later stages of dementia is the individual forgetting a death that took place a long time ago. As painful as it may be to hear that they've forgotten something, reminding someone with dementia about a loved one's death will often be traumatic.

'Do you recognise me?'

It can be troubling when somebody with dementia can't recognise you, but remember that the feeling is most likely mutual. Asking a person if they know who you are may make them feel guilty if they don't know, or offended if they do recognise you.

'What did you do this morning?'

Open-ended questions like this one could stress a person with dementia. Your question needs to be simple, preferably answerable by yes or no.

How do you calm down someone with dementia?


Older adults with dementia will experience anxiety and aggression at different points in their disease. These behaviors are prompted by many factors, which include changes in the environment, an illness or a simple bad day. Here are a few things to use as an example to help calm them.

You may need complementary therapies to help you in caring for your senior loved one with dementia. Emerald Terrace located near Kenman Reserve and Edenvale Manor on Sterling Dr street offer dementia support through therapies. Find important information in our website or call to make sure you get the peace of mind when taking care of your senior family member.


Dealing with dementia is no joke, especially if it’s someone you care for. Sometimes you will want all the help you can get to provide the care needs of those with Alzheimer s disease

Don’t let yourself be stressed and instead ask for support, a caregiver, even tips or someone to talk to about the person’s changes in behavior with dementia. Something as important as the health of someone you like should keep motivating you to find, get, or ask for as much help and tips as you can find.

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