How to Enhance the Physical Environment for a Person With Dementia

Caring for someone who is experiencing dementia is a demanding task. Some studies show that enhanced and enriched physical environments can help slow cognitive decline and ease agitation. Although irreversible factors usually cause dementia, a safe and stimulating environment can be a crucial part of overall well-being. Information about caring for an individual experiencing dementia can be confusing, as some safety suggestions may also limit access to stimulating activities.

Instructions

• 1

  Eliminate clutter and remove unsafe obstacles to provide a safe and stable home environment. Evaluate whether the home is too loud and chaotic; for example, turn off the TV unless someone is watching a specific program. Do not rush or force demands on the individual with dementia, but provide patient and calm guidance instead.

• 2

  Post a large and bold calendar or schedule on the wall. Keep it clear and simple, but list daily routines, appointments, visitors or therapy. Even simple notations, such as what is for lunch, could be helpful information.

• 3

  Bring more music into the environment. When verbal memory fades, patients can often recognize musical pieces and remember past associations through music. Choose music that is also soothing and calming. Keep records, CDs or a radio within reach, or turn it on during the day.

• 4

  Take the individual experiencing dementia for a daily walk outdoors. Walking is usually relaxing and a way to observe the surrounding environment. According to the National Institute of Health, some preliminary studies have shown a reduction in cognitive decline with exercise. Make sure that the individual with dementia walks with a caregiver to remain safe.

• 5

  Continue with all current leisure activities that are safe. An enhanced physical environment should include access to favorite crafts, gardening supplies, games, books, musical instruments and even pets.

• 6

  Provide transportation and access to social activities. Dementia-related Alzheimer's and stroke support groups meet in most communities. Seek local groups through bulletin boards, newspapers, hospitals or the Alzheimer's association. Don't forget about churches, as they may offer support as well. Another opportunity is social dancing, as it has been found to benefit cognitive function.

• 7

  Keep a plant or pet fish nearby for the individual to care for. A sense of responsibility can help the patient's mood and alleviate boredom.

• 8

  Pull out old family photo albums, and keep them accessible. Hang favorite family pictures on the wall, or help the individual make a scrapbook.