Should a carer tell a dementia sufferer about the things that are skewing their thinking and perception?

When caring for a person with dementia, navigating conversations about their distorted thinking and perception can be delicate. Here are some considerations regarding whether a carer should address these issues:

1. Focus on Reality Orientation:

• It’s often beneficial to gently redirect or orient the person to reality rather than directly confront their misperceptions. For example, if they believe someone is an intruder, it may help to reassure them about their safety rather than discussing their misinterpretation directly.

2. Assess Their Emotional State:

• If a person is anxious or upset, addressing skewed thinking may escalate their distress. In such situations, focusing on calming techniques or providing comfort is usually more effective.

3. Validation:

• Instead of correcting their perceptions outright, validate their feelings. For instance, if they express fear or confusion, acknowledge their feelings and provide reassurance without arguing.

4. Choose the Right Approach:

• If they are open to discussion about their thoughts, you might guide them gently. However, it’s crucial to gauge their responsiveness and avoid any approach that may lead to frustration or distress.

5. Creating a Safe Environment:

• The goal should be to foster a supportive and safe environment. If their beliefs cause them distress or lead to unsafe situations, discussing these perceptions may be more appropriate.

6. Professional Guidance:

• Consulting with healthcare professionals, such as a doctor or a psychologist, can provide strategies tailored to the individual’s condition and needs. They may also offer insight into communication techniques that can be effective.

7. Remember the Individual:

• Every individual with dementia is different. What works for one person may not work for another. Tailoring your approach based on their history, personality, and current state is essential.

In summary, while it may be necessary to address skewed perceptions in some contexts, sensitivity and careful consideration are vital. The priority should remain on the emotional well-being and safety of the person with dementia.

No wonder why carers can crack up