Understanding Dementia: What Do People With Dementia Think About?

If you have a loved one with memory issues, you may wonder, “What do dementia people with dementia think about?” Understanding what people with dementia or Alzheimer’s disease think about can help caregivers provide better support as the dementia progresses. Here’s a closer look at the thoughts and feelings commonly experienced by those with dementia.

How Dementia Affects One’s Thoughts

• People with dementia often experience short-term memory loss, leading to repetitive questions and a need for constant reminders. However, long-term memories from their past, such as childhood and significant life events, often remain clear and provide comfort and a sense of identity.
• As dementia progresses, people frequently feel anxious, fearful, and frustrated. Delusions or false beliefs are common, affecting their perception of reality and causing significant emotional turmoil.
• Despite cognitive impairments, many people with dementia crave social interaction and strive to maintain their sense of self. 
• Effective caregiving involves establishing routines, creating a safe environment, simplifying communication, and providing memory aids. Encouraging physical activity, fostering social interaction, and ensuring proper nutrition are also vital. Ensure hearing aids are functioning correctly. Additionally, implementing reminiscence therapy and adapting daily tasks to the patient’s ability level can help with dementia symptoms.

What Do People With Dementia Think About?

Short-term memory loss is one of the most common symptoms of dementia. People with dementia might forget a recent conversation with a family member, misplace items, or struggle recognizing familiar faces. This can result in repetitive questions and a reliance on family members and caregivers for constant reminders and reassurance.

Here’s what your loved one may be thinking about as their disease progresses.

Memories of long ago

Many people with dementia often dwell on long-term memories from their past, which tend to remain clearer than recent events. They may frequently recall their childhood, significant life events, or past relationships. This nostalgia can be a source of comfort. 

Anxious or fearful thoughts

The progression of dementia can make a person feel anxious and fearful. A person with dementia may feel unsettled by their cognitive decline and the increasing difficulty in performing daily tasks. The uncertainty of their condition often leads to heightened stress and a sense of vulnerability.

Delusional thoughts

People with dementia often experience delusions or false beliefs, which can significantly impact their perception of reality and daily life. These delusions might involve believing that their home is not their own, that a deceased loved one is still alive, or that they are in danger from non-existent threats. They may hear things that confuse them. Such false beliefs can stem from memory loss, confusion, and the brain’s attempt to make sense of fragmented information. 

Angry thoughts

Dementia affects cognitive functions, and can create an experience of frustration and anger. The inability to communicate effectively or complete once-simple tasks can be deeply upsetting. 

Need for connection 

Despite cognitive challenges, many people with dementia crave social interaction and connection. They value time spent with family and friends and benefit from meaningful conversations, even if their ability to participate fully is diminished. 

Their personal identity

People with dementia often think about their sense of self and strive to maintain their identity. They may hold onto personal preferences, routines, and habits that define who they are. 

How Caregivers Can Help People With Dementia as it Progresses

Here are some ways to cope with the behavioral symptoms that come with dementia. Get more help by visiting the Alzheimer’s Association website. 

• Establish routines: Maintain a consistent daily schedule to provide stability and reduce confusion.
• Create a safe environment: Remove hazards, install handrails, and use safety locks to prevent accidents and ensure safety.
• Simplify communication: Use clear, simple language and speak slowly. Break down tasks into smaller steps.
• Provide memory aids: Use labels, calendars, and reminders to help patients navigate daily activities.
• Encourage physical activity: Promote regular exercise to improve physical health and mood.
• Foster social interaction: Facilitate visits with family and friends to combat loneliness and maintain social connections. If necessary, purchase a hearing aid to ensure your loved one can participate in the conversation.
• Engage in stimulating activities: Introduce puzzles, music, art, and meaningful activities to keep the mind active.
• Ensure proper nutrition: Offer balanced, easy-to-eat meals and monitor dietary intake to ensure adequate nutrition.
• Manage medications: Keep track of medications and ensure they are taken as prescribed.
• Monitor health conditions: Regularly check for other health issues and address them promptly. Remember, some medical conditions, such as chronic kidney disease, can cause confusion and memory problems. 
• Provide emotional support: Offer reassurance, patience, and understanding to help manage anxiety and fear.
• Implement reminiscence therapy: Encourage discussions about the person’s past to foster a sense of identity and comfort.
• Adapt activities of daily living: Modify tasks like dressing and bathing to the patient’s ability level, assisting as needed.
• Create a calm atmosphere: Reduce noise, clutter, and overstimulation to create a soothing environment.

Seek Professional Help & Plan For Future Care

By implementing these strategies, caregivers can better support dementia patients, helping to maintain their quality of life as symptoms progress. When it’s time for more support, contact the professionals at Mira Vie communities. We offer specialized care for people with dementia — and respite care. 

Contact a member of our staff today to schedule a consultation and tour. We are here for you!