7 Tips to Work With Seniors Living With Dementia

When you care for a senior who depends on you, every day brings new experiences and challenges—especially when dementia is involved. While it isn’t always easy, there’s beauty to be found in what your loved one can still do and share with you.

1) Acknowledge Their Reality

One of the most important things you can do when supporting someone with Alzheimer’s or dementia is to accept their reality, even if it’s different from yours. If your loved one says something that seems untrue or confusing, remember—it’s real for them. Building trust begins with meeting them where they are.

By validating their feelings and perceptions, you help them feel safe and understood. At Nursing-Angels Inc., our caregivers receive in-depth training on this approach, focusing on honoring each individual’s experience while preserving their independence and dignity.

2) Use the “Yes, and…” Approach

This communication tip, borrowed from improv theater, works wonders with seniors living with dementia. There isn’t a perfect script, but the idea is to keep the conversation going by building on what they say.

For example, if your loved one says, “I want to go home,” try responding with, “I understand. What do you miss most about home?” Instead of correcting or stopping the conversation, gently steer it forward. This not only helps you learn more about their emotions and needs, but also builds trust and rapport.

3) Offer Choices

Whenever possible, give your loved one options instead of doing everything for them. Simple choices, like picking between two shirts or selecting a favorite meal, empower seniors and help maintain their independence.

Offering choices—without overwhelming them—shows respect for their preferences and encourages engagement in their daily routines. At Nursing-Angels Inc., we strive to create an environment where seniors can make decisions about their own care.

4) Bring Positivity With You

Your attitude can set the tone for the entire day. When caring for someone with dementia or Alzheimer’s, bring positive energy into the room—leave stress or negativity outside whenever possible. Take a moment to check in with yourself before each visit.

A positive outlook is contagious, and your loved one is likely to reflect the energy you bring. By starting each day with kindness and patience, you help create a more peaceful and joyful environment for both of you.

5) Break Tasks Into Steps

Everyday activities—like tying shoes—can be overwhelming for someone with dementia unless broken down into small, clear steps. Think of each task as a simple recipe, guiding your loved one through each part at a comfortable pace.

Hold the shoe tongue up
Slide one foot in all the way
Repeat with the other foot
Put the tongues down
Make “bunny ears” with the laces
Cross and tie the laces
Check that they’re not too tight
Repeat for the other shoe

Even if your loved one can’t complete every step, involving them in the process fosters a sense of accomplishment. Let them choose their shoes or participate in ways that feel meaningful to them.

6) Engage Their Mind

Dementia can affect memory and concentration, but staying mentally and physically engaged can help preserve these abilities for as long as possible. Try sensory activities—exploring objects with different colors, textures, or scents—or revisit favorite hobbies like gardening or listening to music.

Our caregivers at Nursing-Angels Inc. enjoy spending time outdoors with clients, encouraging gentle activity and sparking interest through new experiences. These moments of connection and stimulation can be deeply rewarding for everyone involved.

7) Watch for Medication Side Effects

Many older adults take several medications, and those for Alzheimer’s or dementia can sometimes cause unwanted side effects. It’s important to stay aware and watch for any changes when new medications are introduced.

Dizziness
Headaches
Constipation
Fatigue
Increased blood pressure

If you notice any new or concerning symptoms, let a healthcare provider know right away. Being observant helps ensure your loved one’s safety and comfort.

Tying It All Together

Choosing to care for someone living with dementia is a profound and generous act, whether you’re a family member, friend, neighbor, or professional caregiver. While the journey can be challenging, it’s also filled with opportunities to see and honor the whole person behind the diagnosis.

By using these tips and maintaining patience and empathy, you help your loved one maintain dignity, independence, and connection. And if you ever need support, a break, or someone to check in, the team at Nursing-Angels Inc. is always here to help.