We know that those with dementia cannot process information for decision making. This inability to make complex decisions is known as loss of executive function. Executive function is the ability to remember, plan, organize and carry out tasks. It also acts as a filter and prioritizes and sorts tasks and thoughts as well as controls impulses.
If you have ever been associated with someone with dementia who no longer can understand multiple directions that seem simple to you, you are seeing the loss of executive function. As the disease progresses, this ability to perform multiple tasks lessens to the point of understanding only one directive at a time. For instance, the person with dementia cannot be told to “go to the living room, by taking a left and walking down the hall to the second door on the right”. This is a set of instructions that require the brain to sort and systemize the information. This is often one of the earlier losses from dementia.
To help improve communication with those who have dementia, simplify the directions to one instruction at a time. For instance, "we are going to the living room walk here” while pointing to the hallway ahead. While accompanying the individual tell them when to turn right and left using hand gestures as well as verbal cues. Using more than one sensory direction helps the individual find their way. You are using verbal, visual and physical directions for improved compliance.
Do not get frustrated and angry at the person with dementia. Their brain is diseased, and they are not resistant. Their brain can no longer process information like it once did. They need your patience and instructions may need to be repeated more than once for them to understand.
The person with dementia is not resistant and uncooperative. They are demonstrating the dysfunction of their disease. If you are struggling to understand what's happening with your loved one, please ask your healthcare professional or contact us for more advice.