10 Effective Strategies for Dementia Patients Who Refuse Care

Caring for a family member with dementia, particularly when they reject the assistance they require, can be an overwhelming experience. It’s emotionally demanding, compounded by the complex reasons behind their resistance. Yet, armed with compassionate approaches and the expertise offered by mental health therapists at Samvedna Care, navigating these hurdles becomes more manageable for elderly care after a dementia diagnosis. In this discussion, we’ll explore actionable measures to tackle refusal of care while delving deeper into its root causes, equipping caregivers with valuable insights for this challenging journey.

Let’s understand why a person with dementia may refuse care: 

Dementia brings cognitive decline, making it difficult for patients to recognize caregivers or understand their needs. Loss of independence is another factor; accepting care can feel like surrendering freedom. Moreover, confusion and physical discomfort add to their resistance.

1. Cognitive Decline: As dementia progresses, elderly with dementia diagnosis may not recognize their caregivers or understand why they need help.

2. Loss of Independence: Accepting care often means acknowledging a loss of freedom, which can deeply distress them.

3. Confusion: The symptoms of dementia, such as memory loss and disorientation, can make new experiences and people seem scary.

4. Physical Discomfort: Pain or discomfort that the patient may not be able to articulate can lead to resistance.

Here are 10 best strategies to help overcome resistance:

1. Build Trust and Rapport: 

Building a trusting relationship is the main ingredient of effective care. Spend quality time with your loved one with a dementia diagnosis, engaging in activities they love doing. This builds a sense of familiarity and safety. 

2. Simplify Communication: 

Use simple, clear language and maintain eye contact to help your loved one understand you better. Avoid complex instructions; instead, break tasks into smaller, manageable steps. Patience and repeating instructions calmly can help in reducing their frustration.

3. Routine and Familiarity: 

Routine provides a sense of stability and predictability, which is especially comforting for dementia patients. For example, they can include familiar objects and activities into their daily schedule, such as listening to their favorite music or involving themselves in familiar household chores.

4. Respect their Independence: 

Whenever possible, allow the elderly with dementia to make choices. This can be as simple as choosing their clothes or what to eat. Providing options rather than making decisions for them can help maintain a sense of control and dignity.

5. Encouragement: 

Praise and positive reinforcement can go a long way. Acknowledge their cooperation and effort, as this can boost their confidence and willingness to accept help.

6. Modify the Environment: 

Caregivers should create a calm, safe, and comfortable environment for the elderly with a dementia diagnosis. Remove potential hazards and minimize noise and clutter, which can be overwhelming for someone with dementia. 

7. Patience: 

While caring for a loved one with dementia, caregivers should remember that flexibility is crucial. Remember, what works one day may not work the next, so be prepared to adapt. Patience and persistence are essential in managing challenging situations.

8. Non-Pharmacological Interventions: 

Engage your loved one with dementia in activities that are both therapeutic and enjoyable. Stimulating exercises and therapies like art, music and reminiscence therapy have benefits in reducing agitation and promoting emotional well-being. Engaging in such activities can also strengthen the bond between the caregiver and the patient.

9. Seek Professional Advice: 

Sometimes, professional intervention is necessary. Consult with healthcare professionals who specializes in dementia care, such as Samvedna Care offers dementia diagnosis and elderly care services, providing expert advice tailored to your loved one’s condition.

10. Psychoeducation: 

Understanding dementia and its progression can help in managing the symptoms. Organization like Samvedna Care offers caregiver counselling and support groups for caregivers, providing valuable insights.Caring for a dementia patient who refuses help is undoubtedly challenging, but with empathy, patience, and the right strategies, it is possible to overcome this resistance. Building trust, maintaining clear communication and involving professionals like Samvedna Care can significantly enhance the quality of life for both the patient and the caregiver. Samvedna Care’s services are designed to support both dementia patients and their caregivers. From early-stage dementia diagnosis to ongoing elderly care, Samvedna Care’s approach ensures that each individual receives personalized care as per their abilities.