Co-operation and safety

It is necessary to get people's co-operation, whether you are helping them to move or just suggesting that they do so.

• Try to approach them in a calm, relaxed way, even if you are feeling very upset. You are far more likely to succeed if they do not feel anxious or rushed.
• Spend time explaining what you would like them to do, such as getting up from the chair or putting on a coat. Even if they cannot understand what you say, the sound of your voice and the expression on your face can help to reassure them.
• If necessary, you can break down the action into small steps, offering suitable encouragement such as, 'Now put your hand here.  That's right'.
• You may be able to find other ways of communicating such as by showing them an action or by gently guiding their movements.
• If the person does not want to move, it is often better to leave him a little while, if you can, and then try again. Forcing the person will only make things worse.

Safety

• If the person with dementia is moving about or if you are helping the person to move make sure the area is clear and safe.
• Loose rugs, slippery floors, electrical cords on the floor, wobbly furniture or things in the way are dangerous for someone who is confused and perhaps unsteady on his feet, and for the person supporting him.
• There is no need to be very neat and tidy, unless that is what the person is used to, but make sure that the floors or stairs where you walk are clear.
• Also make sure that neither of you wears slippery shoes.
• Take special care when you are feeling tired as that is when accidents are most likely to happen.

Tips

There are things that you can do to make it easier for the person with dementia to move and for you to help.  Ask an occupational therapist (OT) to visit and advise on the possibility of rails and other aids to help the person get in and out of the bath, on and off the toilet or around the house, or on walking aids, if these are suitable. The OT can also suggest ways of raising the height of a chair or bed, for example, or of rearranging the furniture to make it easier for you to help the person to move.