Do you tell dementia patients the truth?

So when we hear about using therapeutic fibbing to lie to someone with dementia, it might seem cruel and wrong at first. But always sticking to the truth, especially about an emotional subject or something trivial, is more likely to cause your older adult pain, confusion, and distress.
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Do dementia patients know they have a problem?

Families often ask “are dementia patients aware of their condition?” In some cases, the short answer is no, they're not aware they have dementia or Alzheimer's.
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What should you not say to a dementia patient?

7 Things Not to Say to Someone with Dementia (and What to Say...
  • “You're wrong” ...
  • “Do you remember…?” ...
  • “They passed away.” ...
  • “I told you…” ...
  • “What do you want to eat?” ...
  • “Come, let's get your shoes on and get to the car, we need to go to the store for some groceries.” ...
  • “Her dementia is getting worse.”
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Should you tell dementia patients the truth about death?

If the person is in the early stages of dementia, it is usually a good idea to tell them about the death initially and see how they react to the news. This will give you an idea about what to do and whether to tell them again if they keep forgetting (see 'The person's past bereavements' below).
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Should we lie to dementia patients?

'Lies' (as in blatant untruths initiated by a carer or practitioner – as opposed to meeting a person with dementia in their reality) may only be used in extreme circumstances to avoid physical or psychological harm. Environmental lies should be avoided.
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When someone with dementia doesn't believe the truth, TRY THIS!



How much does a person with dementia understand?

As a caregiver, my experiences with many types of dementia suggest to me that people likely do understand their surroundings on some level, even if it may only be picking up on their caregiver's body language or mood.
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Why do dementia patients make up stories?

The person is likely to fight to keep up the façade of 'normality' and being in control. They might do things, such as making up a little story to fill the memory gap of someone or something they can't remember. Professionals label this gap filling as 'confabulation'.
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Should someone with dementia be told they have dementia?

It is recommended that a person with dementia be told of their diagnosis. However, a person has a right not to know their diagnosis if that is their clear and informed preference.
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Should I tell my mother she has dementia?

Although you may dread telling her, it might serve a form of relief for her to openly talk about her disease and the life issues she is facing. Additionally, withholding the truth about a diagnosis of Alzheimer's or dementia could lead to paranoia later and cause a breach of trust between your mom and yourself.
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How long can an 80 year old live with dementia?

Life expectancy is less if the person is diagnosed in their 80s or 90s. A few people with Alzheimer's live for longer, sometimes for 15 or even 20 years.
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Why do some dementia patients get mean?

Dementia patients who are mean and aggressive are most likely feeling fear, anger and embarrassment because they have been asked to use skills that they no longer have.
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How do you make a dementia patient happy?

Continue reading to find out some suggestions of activities to do with you loved ones living with dementia and Alzheimer's.
  1. Exercise and physical activity. ...
  2. Reminisce about their life. ...
  3. Engage them in their favourite activities. ...
  4. Cooking and baking. ...
  5. Animal therapy. ...
  6. Go out and about. ...
  7. Explore nature. ...
  8. Read their favourite book.
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Which is the most appropriate way to communicate with persons with dementia?

speak clearly and slowly, using short sentences. make eye contact with the person when they're talking or asking questions. give them time to respond, because they may feel pressured if you try to speed up their answers. encourage them to join in conversations with others, where possible.
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Do dementia patients do better at home?

Do Dementia Patients Do Better at Home? The biggest advantage of home care is that it allows elders to remain in their own homes for as long as possible. This option is far less disorienting for a dementia patient than a move to an assisted living facility, a memory care unit or a nursing home.
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When should a dementia patient go into care?

"Someone with dementia symptoms may forget where they've walked, and end up somewhere they don't recognize," Healy says. "When your loved ones are continually putting their physical safety at risk, it's time to consider memory care." 3. A decline in physical health.
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What are signs that dementia is getting worse?

increasing confusion or poor judgment. greater memory loss, including a loss of events in the more distant past. needing assistance with tasks, such as getting dressed, bathing, and grooming. significant personality and behavior changes, often caused by agitation and unfounded suspicion.
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How do you deal with delusional dementia?

See the doctor.
  1. Don't take offense. Listen to what is troubling the person, and try to understand that reality. ...
  2. Don't argue or try to convince. Allow the individual to express ideas. ...
  3. Offer a simple answer. ...
  4. Switch the focus to another activity. ...
  5. Duplicate any lost items. ...
  6. Share your experience with others.
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Why do dementia patients ask for their parents?

Security. Often, the person living with dementia calls out for her mom or dad because she's looking for the presence of a parent to provide security and reassurance in an unfamiliar setting. Think of the young child who wanders off in the store.
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How do you deal with an ungrateful elderly parent?

What to Do When Elderly Parents Refuse Help: 8 Communication Tips
  1. Understand their motivations. ...
  2. Accept the situation. ...
  3. Choose your battles. ...
  4. Don't beat yourself up. ...
  5. Treat your aging parents like adults. ...
  6. Ask them to do it for the kids (or grandkids) ...
  7. Find an outlet for your feelings. ...
  8. Include them in future plans.
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Is it ethical to lie to dementia patients?

Lying to someone who has dementia may be justified when it's necessary to promote wellbeing or prevent harm. Medical ethicists call this beneficence and non-maleficence. Beneficence involves the act of “doing good.” Non-maleficence, on the other hand, means to “do no harm.”
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What are the 6 stages of dementia?

Stages of Dementia
  • Stage 1: Independence. At first, people who have dementia want as little interference from their family and friends as possible. ...
  • Stage 2: Uncertainty. At some point, uncertainty will set in. ...
  • Stage 3: Follow the leader. ...
  • Stage 4: Clinginess, or clingy dementia. ...
  • Stage 5: Overnight care. ...
  • Stage 6: Fulltime care.
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How long do dementia patients live?

Studies suggest that, on average, someone will live around ten years following a dementia diagnosis. However, this can vary significantly between individuals, some people living for more than twenty years, so it's important to try not to focus on the figures and to make the very most of the time left.
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Can a person with dementia be manipulative?

In fact, a person with dementia may not realize they're lying. Manipulation is often the root behavior for trust, control, and security. Manipulative behavior can be used to fulfill one of these needs, and sometimes it's a cry for help.
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Do dementia patients have false memories?

False memories are common in dementia patients. They're also more common than you probably think among older people who don't have dementia. People with dementia are often said to forget recent events but remember the past. Caregivers can easily imagine their loved ones' memories as a lifetime's worth of photos.
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Do dementia patients understand what you are saying?

They may not understand what is being said to them and are less likely to be able to respond verbally as they may have limited or no speech. They may repeat the same phrase or sound, or may only be able to repeat a couple of words.
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