Managing Repetitive Actions Understanding Dementia “I look after my mother once a week to give my father a break. But when he isn’t around she asks where he is every two minutes. This used to wind me up so I would ignore her - but that made it worse. Now I know this is her way of saying she is worried when my father isn’t around. I reassure her he will be back soon and we do jigsaws together which is fun and calming for both of us.” Why does it happen? Repeating actions and questions is very common among people with dementia. This is because they have lost part or most of their memory so they are unable to remember things.
What are some examples? • Asking the same questions over and over again. • Moving tongue in and out. • Tapping. • Rubbing hands together. • Getting stuck at one step of a task and repeating it. What causes it? • Memory loss. • Worry or concern such as being separated from a loved one. • Boredom. • Wanting to eat, drink or go to the toilet. • Side-effect of medication.
How can I cope with it? Try to work out what is causing it. • Reassure them and meet their need if possible (such as taking them to the toilet). • Respond to the emotion instead of the question. They may just need reassurance and support. What else can I do? Communicate gently & clearly • Use short, simple sentences. • Speak in a calm voice. • Give them your full attention. • Try a gentle touch when speaking does not help, such as holding their hands, a hug or shoulder massage. • Do not interrupt the repetitive movement as this may annoy them. • Allow plenty of time for them to do their tasks without rushing.
Distract them Chit chat with them or keep them busy with activities. Remove triggers & add memory aids • Remove items that trigger the same questions. • Put up a large clock and calendar if they always ask the time or date. When should i tell a doctor or nurse? Tell a doctor or nurse if your loved one keeps sticking their tongue out. This may be a sign of a medical or medication problem.
Yishun Health is a network of medical institutions and health facilities of the National Healthcare Group. Admiralty Medical Centre • (65) 6807 8000 • www.admiraltymedicalcentre.com.sg Khoo Teck Puat Hospital • (65) 6555 8000 • www.ktph.com.sg Yishun Community Hospital • (65) 6807 8800 • www.yishuncommunityhospital.com.sg The information is correct at the time of printing and subject to revision without further notice.
GRM.IE.08.0517