General Tips

General Tips for Communicating with Someone Living with Dementia

General Tips for Communicating with Someone Living with Dementia

Practical guidance to make conversations easier, more respectful, and more effective.

General tips for communicating

  • Choose a good place to talk: quiet, well-lit, and free from background noise (TV/radio off).
  • Gain their full attention before you start.
  • Be at the same eye level — avoid standing over them.
  • Sit close without invading personal space.
  • Keep your body language open and relaxed.
  • Allow enough time and remain calm.
  • Prepare key points you want to cover.
  • Pick a time of day when communication is easier (e.g., mornings for some people).
  • Avoid times when they’re hungry, tired, or in pain.
Calm living room setup ready for a conversation

The way you speak matters

  • Speak clearly and calmly, slightly slower than usual.
  • Pause between sentences to give time to process and respond — silences are okay.
  • Use short, simple sentences.
  • Don’t raise your voice or speak sharply.
  • Use a conversational style — avoid rapid-fire questions.
  • Never speak in a condescending way.
  • Be patient and respectful.
  • If misunderstandings happen, a shared laugh can ease pressure — but never laugh at the person.
  • Always include them in any conversation happening in their presence to support identity and reduce isolation.

What you say is important

  • Avoid too many or overly complicated questions.
  • Offer choices, but not too many — introduce one idea at a time.
  • Ask one question at a time; when possible, use yes/no questions or clear alternatives:
    • “Would you like to go for a walk?”
    • “Would you like water or orange juice?”
  • Break information into smaller chunks.
  • If not understood, rephrase rather than repeat.
  • Prefer short, regular conversations over long, infrequent ones.
  • If they say something you know isn’t true, look for the meaning behind it rather than contradicting:
    • e.g., wanting to “pick the children up from school” may reflect a desire to feel useful or involved.
    • Consider meaningful, engaging activities to meet that underlying need.
Two people talking kindly and attentively

Specific advice for coping with restrictions due to Coronavirus

1. Have a routine

A familiar daily routine builds purpose, reduces anxiety, and makes time indoors easier.

  • Agree a simple daily schedule and place it somewhere visible.
  • Make a “To-Do” list for long-postponed tasks.
  • Keep tasks simple and manageable; focus on one thing at a time.
  • Break activities into clear, small steps.

2. Keep active

Even with restrictions, staying active supports independence and wellbeing. Small, regular activity makes a difference.

Be physically active (indoors or outdoors as appropriate):

  • Try micro-activities during daily routines: heel raises while the kettle boils, sit-to-stands during TV adverts, bicep curls with tins while waiting for the microwave.
  • Encourage involvement in food prep, cooking, and household tasks.
  • Dance to favourite music.
  • Explore seated activity ideas.
  • Go for a walk together if permitted and safe to do so, keeping distance from people outside your household.
  • Gardening: weeding, planting seeds, and watching them grow.

Be mentally active — choose activities based on interests and preferences:

  • Reading (books, magazines, newspapers) or listening to audiobooks.
  • Jigsaws, puzzles, word games.
  • Listening to music or favourite radio programmes.
  • Watching favourite films or TV shows.
  • Using game or creativity apps.
  • Knitting or crocheting.

Be socially active — stay connected:

  • Brief chats with neighbours from the door, window, or garden (following current guidance).
  • Keep in touch by phone, post, text, email, or video call (e.g., Skype, WhatsApp, Zoom).
  • Schedule a regular daily check-in time to look forward to.
  • Join supportive online communities.
Family connecting via video call

3. Follow good hygiene

Help prevent spread by keeping hands and respiratory hygiene front of mind:

  • Wash hands often with soap and water; if unavailable, use hand sanitiser or antibacterial wipes.
  • Cough or sneeze into a tissue (or your elbow if no tissue) — never your hands.
  • Bin used tissues immediately.
  • Avoid touching your face.

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