Book: Later Stages Symptoms

When a person is at the end stage of dementia it may appear that they have completely withdrawn from our world and communication is difficult. At this stage it is worth considering alternative forms of stimulation to make a connection.

Smell: The sense of smell is very powerful. Scents and smells can create a link and bring back reassuring memories of times gone by (for example, the aroma of baked bread or flowers). Having these close by can produce a reaction and a connection.

Touch: Holding hands, stroking a person’s face or arms, or brushing their hair can be soothing and be pivotal in making a connection. A woman may like the feel of a silk scarf on her neck. Men might like a wet shave.

Vision:  A family photograph or a picture of a favourite view can produce a reaction. Detailed notes written on the back of photos can help Carers prompt memories.

Music: Playing or humming favourite tunes can bring back happy memories. Music can lead to finger or foot tapping, a smile, perhaps a tear. Poetry, prayers and sayings/proverbs may also produce interaction.

Singing: Often people with dementia who stopped speaking a long time ago can sing along to a familiar tune, remembering the words.

Dancing and movement: Depending on their mobility, the person with dementia may connect through dancing. Perhaps they will get up and move around or put their arms in a familiar dance hold or move their feet to the rhythm of the music.

Art: Connections can be made through art by the simple sensory act of holding a brush or pencil and scribbling, painting or drawing on paper.

 (If you are interested in more details, read Creative arts in the Keeping active and occupied section on the web site of Social Care Institute for Excellence)