Dementia

Why Does Someone With Dementia Try to Go to Work?

Why Does Someone With Dementia Try to Go to Work?

Carlyn Lenfestey Dementia, Dementia and Behaviors
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

A New Podcast for Dementia Caregivers: Introducing Navigating Dementia

Carlyn Lenfestey 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

They Told Me Everything: A Memorial Day Reflection From a Physical Therapist

Carlyn Lenfestey Dementia
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...
When Simple Decisions Stop Feeling Simple: How Dementia Affects Problem Solving

When Simple Decisions Stop Feeling Simple: How Dementia Affects Problem Solving

Carlyn Lenfestey Dementia
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

When Familiar Tasks Fall Apart: How Dementia Affects Sequencing and Everyday Activities

Carlyn Lenfestey Dementia
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 Don’t Land: How Language Changes in Dementia Affect Behavior and Daily Function

Carlyn Lenfestey Dementia
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

Why Someone With Dementia Repeats the Same Question

Carlyn Lenfestey Dementia
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 They’re Not Listening

Carlyn Lenfestey Dementia
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...
ABOUT THE AUTHOR
Carlyn Lenfestey, PT, MPT, CDP, CADDCT, is a licensed physical therapist with 25 years of clinical experience and 15 years specializing in dementia care. She is the founder of A Better Way: Dementia Care Solutions, LLC, the creator of the Wheel of Function Framework™, and the host of the podcast, Navigating Dementia.

DISCLAIMER
The information provided in this blog is for educational purposes only and should not be considered medical advice. Always consult with a doctor or a licensed physical therapist before starting any new exercise routine, using assistive devices, or following the recommendations mentioned. Every individual's needs are different, and professional guidance is essential to ensure safety and appropriateness of care.

Meet Carlyn Lenfestey

Carlyn is a dedicated physical therapist with over 20 years of experience, holding a Bachelor’s degree in Health Sciences and a Master’s degree in Physical Therapy from the University of New England. For more than a decade, she has been a Certified Dementia Care Practitioner and Trainer. Her journey into dementia care began when her grandfather was diagnosed, and she watched her grandmother take on the role of caregiver. Over the years, as her remaining three grandparents were also diagnosed, Carlyn developed a deep commitment to helping caregivers.

Having cared for countless patients with dementia, Carlyn understands the struggles both personal and professional caregivers face. She has provided training and support to both groups, ensuring that caregivers are knowledgeable, equipped, and empowered. Driven by the belief that people with dementia deserve lives filled with joy and purpose, Carlyn is passionate about creating a better way to care for and support both individuals with dementia and those who care for them.


Photo of Carlyn Lenfestey