『Connect, Don’t Correct: Handling Repetitive Questions and Behaviors in Dementia』のカバーアート

Connect, Don’t Correct: Handling Repetitive Questions and Behaviors in Dementia

Connect, Don’t Correct: Handling Repetitive Questions and Behaviors in Dementia

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About this episode“I want to go home.”“Someone stole my purse.”“I don’t want to take a shower.”For families caring for someone living with dementia, the same questions, concerns, or behaviors may surface again and again. The instinct to explain, correct, or reason with someone is understandable—but it can often increase frustration for everyone involved.In this episode of The Care Conversations Podcast, Dr. Jeff LaFond and Ashleigh Davis, Administrator at Magnolia House by Physician Care Homes, discuss a different approach:Connect before you correct.They explore how caregivers can respond to repetitive questions, anxiety, resistance to care, and changes in behavior with greater empathy while also looking for the physical or medical issues that may be hiding underneath the behavior.In this conversation“I want to go home” may mean something deeperWhen someone with dementia says they need to go home, simply responding, “But you are home,” may not help.Ashleigh explains why “home” may represent safety, familiarity, or comfort rather than a literal address—and why validating that feeling can be more effective than trying to prove the person wrong.Behavior is communicationA sudden increase in agitation or repetitive behavior may be a clue that something else is happening.Jeff and Ashleigh discuss possible contributors such as:* Pain* Infection* Constipation* Medication effects* Hunger or thirst* Fatigue* An uncomfortable environment* Even something as simple as an object irritating someone’s foot inside a shoeThe lesson: when behavior changes, caregivers may need to become detectives.Timing mattersThe episode also explores why time of day can make a major difference.Fatigue and “sundowning” may worsen confusion or resistance later in the day. A task like showering may go much better when it matches the person’s lifelong routine rather than the caregiver’s schedule.Validate first, then redirectIf someone believes an item has been stolen, dismissing the concern may increase anxiety.Instead, caregivers can acknowledge the concern, offer to help look for the item, and use the interaction to build trust.As Ashleigh explains, the person may not remember exactly what you said—but they may remember how you made them feel.Key takeaways* Connect, don’t correct.You do not have to bring someone with dementia back into your version of reality in every moment.* Behavior often communicates an unmet need.Look for pain, illness, fatigue, discomfort, changes in routine, or environmental triggers.* Know what is normal for your loved one.A sudden increase in confusion, agitation, or repetitive behavior may warrant a call to their medical professional.* Work with lifelong habits instead of against them.Familiar routines can reduce resistance and anxiety.* Validation builds trust.That trust may make other parts of caregiving—such as medication, bathing, and daily care—easier.* Caregivers need grace too.Frustration is normal. The goal is not perfection, but learning how to respond more intentionally.Watch the videoPrefer watching rather than listening?Watch the full episode on the Physician Care Homes YouTube channel:About the hostsDr. Jeff LaFond is a gastroenterologist, healthcare leader, and co-founder of Physician Care Homes.Ashleigh Davis is the Administrator at Magnolia House by Physician Care Homes and has more than 13 years of experience in senior living, including recreation therapy and assisted-living administration.Stay connectedFollow Physician Care Homes on Facebook, YouTube, and LinkedIn.Subscribe to The Care Conversations Podcast and our newsletter for practical guidance on dementia, caregiving, memory care, assisted living, and aging:physiciancarehomes.comA note for familiesThis podcast is intended for general educational purposes and does not replace individualized medical advice. If you notice an acute or significant change in behavior, confusion, pain, or function, contact the person’s healthcare professional.Help another caregiverIf this episode helped you think differently about a difficult caregiving moment, please share it with someone who may need to hear it.Thanks for reading ! Subscribe to The Care Conversations Podcast for free to receive new posts like this one! This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit physiciancarehomes.substack.com
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