Why Your Uncle with Dementia Calls His Coat a “Shirt”
If you’ve noticed your uncle with dementia referring to his coat as a “shirt,” you’re not alone. This kind of mix-up is actually pretty common for people living with dementia.
Dementia affects the brain in ways that can make it hard to remember the right words for things. As the condition progresses, it becomes more difficult to recall specific terms, especially for items that are similar or related. Coats and shirts are both types of clothing worn on the upper body, so in your uncle’s mind, they might seem interchangeable.
This word confusion is part of a larger issue called aphasia, which is a language disorder that often comes along with dementia. People with aphasia might struggle to find the exact word they want, so they use a related word instead. It’s like their brain is playing a game of word association, but the connections aren’t always spot-on.
It’s important to remember that your uncle isn’t doing this on purpose. His brain is working with the information and abilities it has left. While it might be frustrating or sad to witness, try to be patient and understanding. Correcting him every time might just lead to more confusion or upset.
Instead, you could try gently clarifying what he means. For example, if he says, “Can you hand me my shirt?” while pointing at his coat, you could respond with, “Sure, here’s your warm coat.” This way, you’re acknowledging his request while also providing the correct word without making a big deal out of it.
Sometimes, people with dementia might use unexpected words because they’re remembering an old memory or association. Maybe your uncle had a favorite shirt that was similar to his coat, or perhaps he’s thinking of a time when he didn’t own many coats and shirts were his main outer layer.
As dementia progresses, communication can become more challenging. Your uncle might start using more general terms for things or describing items by their use rather than their name. He might call his coat a “warm thing” or refer to it as “the thing I wear outside.”
The most important thing is to keep communicating with your uncle, even if the words aren’t always right. Focus on the meaning behind what he’s trying to say rather than the specific words he uses. This approach can help maintain your connection and make him feel understood and valued.
Remember, dementia affects everyone differently. While word mix-ups are common, each person’s experience is unique. By staying patient, flexible, and compassionate, you can help your uncle navigate this challenging aspect of his condition.
