8 Daily Life Challenges for Someone With Dementia

An elderly woman with dementia sitting at a table engaged in a puzzle activity with two caregivers, illustrating daily life challenges for individuals with dementia.

Living with dementia presents numerous challenges that affect daily life. From memory loss, struggling with communication and constant confusion, to difficulty in performing routine tasks, spatial disorientation, withdrawal from social activities and emotional changes – every aspect of their existence can be affected.

Understanding these challenges is crucial to provide support, empathy, and a dignified living experience for individuals with this condition.

In this article, we will talk about the ten most common daily challenges for someone with dementia and provide practical tips on how to overcome them.

8 Most Critical Challenges for Someone With Dementia

1. Difficulty in Remembring Details

Individuals with dementia often struggle with memory difficulties as their cognitive decline progresses. This can make it challenging for them to recall recent events, names, or even to perform tasks that were once familiar to them. As a result, they may require a lot of support and assistance from their loved ones or caregivers to carry out their daily activities. It is important to be patient and understanding with individuals with dementia as they navigate through these challenges, and to offer them the necessary resources to help them live their lives to the fullest extent possible.

Difficulty in Remembring Details 1

To help them cope with these challenges, incorporating visual cues can be an effective strategy. By placing labels on frequently used objects or using photographs, it can make it easier for individuals with dementia to recall memories. In addition to this, maintaining a structured schedule can also be beneficial. By having a routine in place, it can provide a sense of familiarity and help with memory retention.

2. Communication Difficulties

Dementia is a disease that not only affects memory but also communication abilities. As the disease progresses, individuals may find it challenging to express themselves verbally or non-verbally. This can make it difficult for them to convey their thoughts, emotions, and needs to others. They may also struggle to understand what others are saying, leading to a breakdown in communication. Such communication barriers can lead to frustration, isolation, and further cognitive decline. Therefore, it is important to provide support, patience, and understanding to individuals living with dementia to help them maintain their communication abilities for as long as possible.

When communicating with dementia patients, it is important to be mindful of their cognitive and verbal limitations. To enhance communication, it is vital to maintain eye contact and speak slowly, using simple language and short sentences. Employing visual aids, such as pointing or using gestures, can also facilitate understanding. Additionally, using familiar and concrete examples can help dementia patients comprehend and remember information better. It is also helpful to avoid distractions and speak in a calm and reassuring tone to create a comfortable environment for communication. By following these strategies, you can improve communication difficulties for dementia patients and help them feel more connected and understood.

3. Anxiety and Agitation

Anxiety and agitation are common symptoms that often accompany dementia. These symptoms usually arise from the confusion and disorientation that individuals with dementia may experience due to the loss of cognitive abilities. The inability to remember people, places, and things can be frustrating and stressful for dementia patients, leading to increased anxiety and agitation. Additionally, other factors such as changes in routine, unfamiliar surroundings, and sensory overload can also contribute to these feelings of stress and anxiety.

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Creating a calm and soothing environment can help minimize these symptoms and provide a sense of comfort and security to individuals with dementia.

Reducing noise levels, providing familiar objects, and engaging in relaxation techniques can all contribute to a peaceful atmosphere. It is crucial for caregivers to offer emotional support and reassurance to mitigate anxiety or agitation, ensuring the well-being of those with dementia.

4. Loss of Independence

Dementia gradually erodes an individual’s independence, posing significant challenges to maintaining a sense of self and autonomy. For example, the patient might have to rely on basic things like taking medicines on time or other activities that they might not recall on time.

However, promoting independence while ensuring safety is possible. Simplifying tasks into manageable steps can enhance an individual’s ability to complete them on their own. Using assistive technologies, such as reminder apps or wearable devices, can facilitate daily activities and provide a sense of control. Moreover, involving individuals with dementia in decision-making processes helps preserve their dignity and fosters a feeling of empowerment.

5. Disorientation and Confusion

Disorientation and confusion can be a symptom of a number of medical conditions, including dementia, delirium, and anxiety. For individuals with dementia, confusion and disorientation are often a daily reality. This can make it difficult for them to navigate their surroundings and complete daily tasks.

One way to help mitigate this is by establishing a familiar environment that is structured and organized. This can include things like keeping furniture in the same place, using consistent color schemes, and labeling items in the home.

By creating a sense of familiarity and structure, individuals with dementia may feel more grounded and less disoriented.

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Providing memory aids, such as labelled drawers or calendars, can enable greater orientation. Caregivers play an essential role in offering reassurance, calmly guiding individuals during moments of confusion, and redirecting attention when necessary.

6. Sleep Disturbances

Sleep disturbances are prevalent among individuals with dementia, and they can disrupt daily routines and contribute to increased confusion or irritability. Establishing a consistent sleep schedule and creating a comfortable sleeping environment are beneficial.

Sleep disturbances can have a significant impact on the quality of life of dementia patients and their caregivers. They can lead to:

Daytime fatigue: This can make it difficult for dementia patients to participate in activities of daily living and can increase the risk of falls and other accidents.

Increased agitation and aggression: Sleep disturbances can make dementia patients more agitated and aggressive, which can be a challenge for caregivers to manage.

Cognitive decline: Sleep disturbances can worsen cognitive decline and accelerate the progression of dementia.

Increased risk of death: Some studies have shown that sleep disturbances are associated with an increased risk of death in dementia patients.

Encouraging regular physical activity during the day and limiting daytime napping can help regulate sleep patterns. Caregivers should also be attentive to sleep disturbances and, if necessary, seek medical advice to ensure overall well-being.

7. Behavioral Changes

Behavioral changes often occur as dementia progresses, and these changes can be confusing and difficult for both individuals with dementia and their caregivers. Dementia patients may have trouble finding the right words, using the wrong words, or making up new words. They may also have difficulty understanding what others are saying. Also, they may become withdrawn, apathetic, or irritable and experience mood swings, anxiety, or depression.

Implementing strategies such as redirecting attention or validating emotions can help minimize challenging behaviors. Fostering a calm and supportive environment, free from judgment, enhances overall well-being and maintains positive relationships. If possible, try to provide them with opportunities to socialize. This may help them feel better.

8. Lacking Effective Decision-Making Ability

This is among the most important challenges for someone with dementia. Dementia patients demonstrate challenges in decision-making due to cognitive impairments that affect their ability to process information and make sound judgments. These impairments stem from changes in the brain, such as the deterioration of neural connections and the accumulation of abnormal protein deposits, which contribute to a decline in cognitive function.

The impact of dementia on decision-making can be multifaceted. Memory deficits can hinder the patient’s ability to recall relevant information when considering choices. Attention and executive function deficits can lead to difficulties in focusing on pertinent details and planning the steps necessary for effective decision-making.

Lacking Effective Decision-Making Ability - challenges for someone with dementia

Furthermore, dementia often affects a person’s capacity for reasoning and understanding complex concepts, making it difficult for them to weigh the pros and cons of different options. Additionally, changes in behavior and personality associated with dementia can further complicate decision-making processes by influencing emotions, impulse control, and overall judgment.


There are several challenges for someone with dementia in their daily life from sleep disturbances to difficulties in making decisions. Understanding and navigating daily life challenges for individuals with dementia is vital to ensuring their well-being and dignity. By implementing practical strategies, such as using visual cues, enhancing communication, and promoting independence, individuals with dementia can lead more fulfilling lives. Moreover, caregivers must prioritize their own self-care and seek support when needed. Raising awareness within the community will foster empathy, and understanding, and ultimately contribute to a more inclusive society for those living with dementia.

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Cherie Voise

Cherie Voise

Cherie Voise, inspired by personal experiences and driven by her role as an advocate, founded Voise Foundation to improve the lives of those with dementia. As the foundation's key content creator and blog author, she draws on her deep understanding of the disease, advocating for respect, dignity, and creative therapy avenues such as VST Music© and other programs. Cherie's heartfelt writings, fueled by empathy, resonate with readers, offering insight and stirring action. Become a part of this journey and together with Cherie, let's make a meaningful impact in the world of dementia care.