3 WAYS TO RESPOND WHEN SOMEONE WITH ALZHEIMER’S SAYS I WANT TO GO HOME

This article is from Daily Caring- click here to go to the article on their website

Hearing someone say “I want to go home” over and over again is something Alzheimer’s and dementia caregivers often deal with.

It’s especially frustrating to hear when they’re already home.

But when someone has dementia, it simply doesn’t work to use logic to explain that they’re already home or that they can’t go back to a previous home.

Instead, it’s more helpful to respond in a way that comforts and calms your older adult.

We explain why someone would keep asking to go home and share 3 kind, soothing ways to respond that help them let go of the idea.

Why someone with dementia asks to go home

Alzheimer’s and dementia damage the brain and cause a person to experience the world in different ways.

So, what we hear as “I want to go home” is often a request for comfort rather than literally asking to go somewhere.

The kindest thing to do is to meet them where they are, focus on comfort and reassurance, and respond to the emotions behind their request. The goal is to reduce your older adult’s anxiety or fear so they can let go of the idea.

Helping them to calm down also gives you a chance to check if discomfort, pain, or a physical need is causing this behavior.

3 kind, calming ways to respond to “I want to go home”

These suggestions will put you on the right track, but it’s a good idea to get creative and come up with responses that are tailored for your older adult’s history, personality, and preferences.

1. Reassure and comfort​ to validate their needs
Sometimes saying “I want to go home” is how your older adult tells you they’re tense, anxious, scared, or in need of extra comfort.

By responding in a calm and positive manner, you’ll validate their needs and feelings. This helps them feel understood and supported.

Approach your older adult with a calm, soothing, and relaxed manner. If you remain calm, it often helps them calm down too.

If they like hugs, this is a good time for one. Others may prefer gentle touching or stroking on their arm or shoulder or simply having you sit with them.

Another way of giving extra comfort and reassurance is to give them a soothing blanket, therapy doll, or stuffed animal.

2. Avoid reasoning and explanations
Trying to use reason and logic isn’t recommended when someone has a brain disease. It will only make them more insistent, agitated, and upset.

Don’t try to explain that they’re in their own home, assisted living is now their home, or they moved in with you 3 years ago.

They won’t be able to process that information and will feel like you’re not listening, you don’t care, or that you’re stopping them from doing something that’s important to them.

3. Validate, redirect, and distract
Being able to redirect and distract is an effective dementia care technique. It’s a skill that improves with practice, so don’t feel discouraged if the first few attempts don’t work perfectly.

First, agree and validate
Agree by saying something like “Ok, we’ll go soon.” or “That’s a good idea. We’ll go as soon as I clean up these dishes.” This calms the situation because you’re not telling them they’re wrong.

Next, redirect and distract
After agreeing, subtly redirect their attention. This redirection should lead into pleasant and distracting activities that take their minds away from wanting to go home.

For example, you could gently take their elbow while saying “Ok, we’ll go soon” and walk down the hall together to a big window or to the kitchen. Point out some of the beautiful birds and flowers outside or offer a snack or drink they like. Later, casually shift to another activity that’s part of their daily routine.

Another example is saying “Ok, let’s get your sweater so you won’t be cold when we go outside.” Then, while you’re both walking to get the sweater and chatting about something pleasant, stop for a cup of tea or get involved in an activity they enjoy.

Or, ask them to tell you about their home. After a while, guide the conversation to a neutral topic.

Asking about their home validates their feelings, encourages them to share positive memories, and distracts them from their original goal of going home. Open questions that encourage them to share their thoughts work well.

For example:

• Your home sounds lovely, tell me more about it.
• What’s the first thing you’re going to do when you get home?
• What is your favorite room of the house?