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Simplifying Activities for Dementia Care


An older man and lady smiling and playing a stacking game with coloured wooden blocks
Simple activities can be fun

Your role is vital in ensuring residents remain engaged, active, and mentally stimulated.

However, when working with residents who have dementia, there’s a delicate balance between creating activities that are enriching and those that are overwhelming. One of the most common pitfalls in dementia care is overcomplicating activities, which can lead to confusion and frustration for residents.

Let me help you navigate this challenge by offering some practical advice on how to simplify activities, and thereby enhancing the experience for those with dementia.


Dementia affects memory, cognitive function, and the ability to process information. What may seem like a straightforward task to a person without dementia can quickly become overwhelming for someone with the condition. Complex instructions, multiple steps, or unfamiliar tasks can cause anxiety, leading residents to withdraw or respond negatively.


For example, a creative session involving multiple stages, such as cutting, gluing, and painting, might confuse a resident who struggles to remember the steps or understand the end goal. The result is not just a failure to complete the activity but also potential feelings of inadequacy and frustration.


Residents who become confused when an activity has too many steps, or if the instructions are unclear, can become anxious or frustrated. Repeated failure in activities can significantly affect a resident's self-esteem. They might start to believe they are incapable, which can exacerbate feelings of isolation and depression. This can lead to them being less likely to engage in future activities.


To create a positive and fulfilling experience for residents with dementia, simplicity is key.


Choose activities that residents are likely to recognise from their past. Familiarity can provide comfort and reduce the cognitive load required to participate. For example, instead of introducing a new game, consider using a simplified version of a game they might have played previously.


If an activity involves multiple steps, break it down into smaller, manageable parts. Offer one instruction at a time and give residents plenty of time to complete each step before moving on. This approach reduces the chances of overwhelming them and allows for a more relaxed pace.


Use both visual and verbal cues. Visual aids, such as pictures or demonstrations, can help residents understand what is expected of them. Pair these with clear, concise verbal instructions. For example, instead of saying, "Let's make a collage," you might say, "Let's start by choosing a picture to glue onto the paper."


Activities that stimulate the senses, such as music, tactile objects, or aromatherapy, can be more effective than those that require complex cognitive processes. For instance, a simple activity like folding soft fabrics or sorting objects by colour can be soothing and engaging without being cognitively demanding.


Recognise that not all residents will be able to participate in the same way. Some may only be able to observe, while others might engage more fully. The goal is to make the activity inclusive, so that everyone feels involved at their own comfort level.


Be aware of cognitive changes and continuously assess how residents are responding to activities. If you notice any signs of confusion or frustration, be ready to adapt the activity on the spot. Sometimes, this might mean simplifying it further or switching to a different, more accessible task.


By simplifying activities and focusing on familiarity, sensory engagement, and clear instructions, you can create a more positive and fulfilling environment for your residents. Remember, the goal is not to challenge but to engage, comfort, and bring joy. Through thoughtful planning and a flexible approach, you can enhance the quality of life for those in your care, making each day a little brighter and more meaningful.


When you take the time to keep activities simple, you’re not just accommodating the limitations of dementia, you’re respecting the dignity and wellbeing of the residents you care for.


This month ins Alzheimer's Month, please take a look at some of my other blogs about dementia.





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