How do you manage a person with dementia who is refusing oral care

Managing oral care for someone with dementia can be challenging, especially when they resist or refuse it. Here are some practical tips to help make this process smoother and more effective.

First, it’s essential to understand that people with dementia may have difficulty recognizing or understanding the importance of oral hygiene. They might feel uncomfortable or threatened by the process, which can lead to resistance.

To start, **create a calm environment**. Ensure the room is quiet and free from distractions. Sometimes, the person might feel more at ease if they are in a familiar setting or if a trusted caregiver is present.

**Use gentle communication**. Speak softly and clearly, explaining what you are doing in simple terms. Avoid using complex sentences or instructions that might confuse them. It can also be helpful to involve them in the process by letting them hold the toothbrush or toothpaste, giving them a sense of control.

**Make it a routine**. Incorporate oral care into their daily routine, such as right after breakfast or before bedtime. Consistency can help them become more accustomed to the process.

**Choose the right tools**. Use a soft-bristled toothbrush and a fluoride toothpaste. If they have difficulty holding the toothbrush, consider using a toothbrush with a larger handle or one that is designed for people with limited dexterity.

**Be patient and flexible**. Some days might be better than others. If they are resistant, try again later when they might be more receptive. It’s also important to respect their boundaries and not force them if they are clearly uncomfortable.

**Consider professional help**. If the person continues to resist and oral hygiene becomes a significant issue, consult with a healthcare professional or a dentist who specializes in caring for people with dementia. They can provide additional guidance and support.

Lastly, **focus on their comfort and dignity**. Ensure that they feel safe and respected throughout the process. This can make a big difference in how they respond to oral care.

By following these steps and being understanding and patient, you can help manage oral care for someone with dementia more effectively.