When someone with dementia insists that a person is waiting for them, it often stems from confusion or anxiety, making them restless or upset. The key is to stay calm yourself and gently guide them without arguing or correcting their belief, as this can heighten distress.
First, approach with a soft, reassuring voice and match their emotional tone. Sit close, make eye contact, and acknowledge what they say to validate their feelings. For example, respond with, “I see you’re worried about that person waiting. Let’s make sure everything is okay together.” This builds trust without confrontation, as recommended by caregiving experts at https://www.anthemeap.com/reliance-inc/emotional-wellness/communication/articles/going-to-the-hospital-tips-for-dementia-caregivers.
Next, reduce any overstimulation in the room. Turn off the TV, silence phones, and dim bright lights if possible. Background noise can worsen confusion, so create a quiet space. Offer a comforting touch like holding their hand or a gentle shoulder pat, which provides security. Distract gently by suggesting a snack, drink, or favorite activity, such as looking at old photos or listening to soothing music. These steps help shift focus and ease agitation, drawing from tips on managing dementia-related anxiety in unfamiliar or stressful situations from the same source.
If they repeat the concern, patiently repeat your reassurance without rushing. Avoid topics that might upset them further, like time or schedules. Slow your movements and speech to match their pace. Sometimes, playing along lightly works, such as saying, “We’ll check on that person soon after we relax a bit.” This de-escalates without dismissing their reality.
Watch for signs of hidden pain, like grimacing or fidgeting, which can mimic agitation. Comfort with familiar rituals, such as humming a favorite song or reminiscing about happy times. Your calm presence absorbs into theirs, helping them settle.
In cases of high agitation, medical advice from emergency protocols emphasizes verbal techniques first: be honest yet nonconfrontational, express concern, and use a soothing tone before considering any medications, per guidelines at https://wikem.org/wiki/Agitated_or_combative_patient. Always prioritize non-drug methods for dementia patients to avoid risks.
Take breaks for yourself by stepping away briefly or deep breathing to stay patient. Consistency in these approaches over time builds familiarity and reduces episodes.
Sources
https://www.anthemeap.com/reliance-inc/emotional-wellness/communication/articles/going-to-the-hospital-tips-for-dementia-caregivers
https://wikem.org/wiki/Agitated_or_combative_patient
