How to Address Resistance to Care in Dementia

**How to Address Resistance to Care in Dementia**

Caring for someone with dementia often involves navigating resistance to daily care, such as bathing, eating, or taking medication. This resistance usually stems from fear, confusion, or physical discomfort rather than defiance. Here’s how to respond compassionately and effectively:

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### 1. **Keep Routines Familiar**
Stick to the person’s usual schedule for meals, bedtime, and activities. Sudden changes can feel threatening[1]. Introduce new caregivers gradually—let them observe first or assist with neutral tasks like folding laundry before handling personal care[1].

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### 2. **Stay Calm and Patient**
If agitation arises:
– **Lower your voice**: Speak softly and slowly[2].
– **Give space**: Step back slightly to avoid overwhelming them[2].
– **Redirect attention**: Offer a favorite photo, snack, or simple activity like sorting socks[2].

Avoid arguing or correcting mistakes—focus on reassurance over accuracy[2].

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### 3. **Check for Hidden Discomfort**
Resistance might signal pain (e.g., arthritis), infections (UTIs are common), hunger/thirst, or medication side effects[2][5]. Note when symptoms worsen and share details with their doctor for adjustments[2][5].

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### 4. **Simplify Tasks**
Break activities into small steps: *“Let’s wash your hands first”* instead of *“Time for a bath.”* Use visual cues like holding up a toothbrush rather than giving verbal instructions alone[1][3]. If they refuse clothing changes, try laying out two similar outfits so they feel in control[1][3].

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### 5. **Incorporate Gentle Movement**
Light exercise reduces restlessness: seated leg lifts while watching TV or folding towels together improves strength and mood over time[5][3] (aim for 10-minute sessions twice daily). For better results, pair this with short walks if possible—physical activity supports brain health by boosting blood flow and reducing stress hormones like cortisol [4][5]. Always adjust intensity based on their energy levels; even standing briefly counts as progress! [5]

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### 6. **Collaborate With Professionals**
Share specific patterns (*“She resists showers after breakfast”*) with doctors/therapists who can suggest tailored strategies—like switching bathing times or using no-rinse cleansers during difficult days [2][3] . Non-drug approaches should always come first; medications are a last resort due to risks like dizziness/falls [2] . Support groups also provide practical tips while reducing caregiver burnout [3] .

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By prioritizing comfort over control , you create an environment where care feels less like a battle —and more like teamwork rooted in dignity . Small adjustments often yield the biggest breakthroughs !