Why Does Someone With Dementia Try to Go to Work?
My grandfather Steve spent years getting dressed every morning for a store that had burned down before I was born. Everyone around him, including me, called it confusion. It took most of my career working with dementia caregivers and their families before I understood he wasn’t confused. He knew exactly where he was going.
Read more...A New Podcast for Dementia Caregivers: Introducing Navigating Dementia
Navigating Dementia is a new podcast for dementia caregivers, families, and professionals living the daily reality of dementia care. Hosted by physical therapist and dementia care specialist Carlyn Lenfestey, each episode uses the Wheel of Function Framework to help you understand what a behavior is really telling you, before you decide what to do about it. The trailer is live now.
Read more...They Told Me Everything: A Memorial Day Reflection From a Physical Therapist
In 11 years at the Maine Veterans’ Home, physical therapist Carlyn Lenfestey witnessed something that still catches her off guard: veterans who could not tell her what year it was could describe the color of the water at Omaha Beach at first light. This Memorial Day, she writes about the neuroscience behind why emotional memories often outlast dementia, and what that understanding means for everyone who cares for someone living with it.
Read more...Alzheimer’s Speaks Podcast: Why Dementia Behaviors Make Sense Once You Understand the Brain
If you’re caring for someone with dementia, you’ve likely had this thought:“This just doesn’t make any sense.”Maybe they’re asking the same question over and over.Maybe they’re refusing care they clearly need
Read more...When Simple Decisions Stop Feeling Simple: How Dementia Affects Problem Solving
Everyday decisions like choosing clothes, cleaning up a spill, or figuring out the next step in a task rely on the brain’s ability to solve problems. In dementia, these executive brain functions can change, making even simple situations feel confusing or overwhelming. In this post, we break down why problem solving becomes difficult and how caregivers can reduce frustration by supporting the brain differently.
Read more...When Familiar Tasks Fall Apart: How Dementia Affects Sequencing and Everyday Activities
Why can someone understand what you’re saying but still struggle to finish a familiar task?In dementia care, the challenge is not always memory or hearing instructions. Sometimes the brain has trouble organizing the steps that come next.This is called sequencing.Sequencing is the brain’s ability to arrange actions in the correct order. When it weakens, everyday activities like dressing, brushing teeth, or making a simple meal can suddenly feel confusing.The knowledge of the task may still be there.But the order of steps is not.Understanding how sequencing changes in dementia can help caregivers shift their approach. Small adjustments, like simplifying routines or offering one step at a time, can make daily tasks feel more manageable for both of you.In this article, we look at why sequencing changes happen and how caregivers can support everyday activities in a calmer, more supportive way.
Read more...When Words Don’t Land: How Language Changes in Dementia Affect Behavior and Daily Function
When words stop working the way they used to, it can feel confusing, frustrating, and even lonely. Language changes in dementia affect more than conversation. They impact movement, behavior, emotion, and daily function. In this post, we explore how slowed processing and language breakdown show up in real life and what simple shifts can protect dignity and connection.
Read more...Why Someone With Dementia Repeats the Same Question
When someone with dementia repeats the same question, it can feel exhausting and deeply disconnecting. But repetition is usually about short-term memory storage, not effort or stubbornness. Understanding why it happens can help you respond in ways that protect connection and reduce frustration.
Read more...When It Feels Like They’re Not Listening
When it feels like someone with dementia isn’t listening, it can feel personal and frustrating. But what if the issue isn’t unwillingness, but attention overload? In this post, we break down why someone with dementia doesn’t listen or pay attention and how understanding attention can help you respond with more calm and confidence.
Read more...Dementia and Movement: Why Standing and Walking Become Harder and What Actually Helps
When dementia affects movement, everyday tasks like standing up or walking can suddenly feel harder. This post explores why fear and fatigue show up first, and how caregivers can support safer, calmer movement without taking away dignity or independence.
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