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Dementia
Alzheimer's

Why Do People with Dementia Stare?

John Trevey on May 31, 2024
The Benefits of Meditation for Those Living With Dementia
Table of Contents
  1. 8 Reasons People with Dementia Stare at Others or Into Space
    • Staring as a Possible Sign of Dementia
    • What should you do if someone with dementia is staring?

If you’ve ever visited a loved one in a memory care facility, you’ve probably noticed a resident or two staring off into space. Perhaps your loved one or another resident has stared at you and you weren’t sure why.

Being stared at is uncomfortable. It’s a social faux pas. But in the same way we offer grace to toddlers who stare at strangers, we have to offer grace to those who are living with dementia. Most likely, there is a reason behind the stare and once you know what that reason is, you can forgive the seemingly rude behavior and work to engage this person in a meaningful way.

Bader House Thank you Card from Maury, daughter of patient P. Lawson

8 Reasons People with Dementia Stare at Others or Into Space

Founder of Caring Hands Home Care, Pierre Beauge, says there are several reasons someone with dementia may stare, whether they are staring at another person or (at least to our eyes) nothing at all.

  1. Lack of recognition: As Baeue explains, “Dementia patients are often on the lookout for familiarity or a sense of belonging. Staring might be their attempt to make an unfamiliar face seem familiar, hoping it might trigger a memory or a sense of recognition.”
  2. Sensory overload: Too much activity, too much noise or too many people can cause someone with dementia to experience sensory overload. They may begin to stare at one object or person in an attempt to cope with an overstimulating environment.
  3. Trying to communicate: Someone with dementia may no longer be able to communicate what she wants or needs through words, so staring at a caregiver may be her way of trying to communicate her needs.
  4. Hallucinations/delusions: Some people with dementia experience hallucinations—seeing things or people that aren’t there. If someone is hallucinating, he could be staring at someone or something he thinks he sees. If you suspect your loved one is having hallucinations, talk to his provider immediately to ensure your loved one gets the help he needs.
  5. Hyperfocusing: People with dementia have difficulty shifting from one thought to another or even looking from one object to another quickly. Because of this, they might look at something or someone for longer than usual, trying to process what they are seeing.
  6. Loneliness: Loneliness is common among those living with dementia. Friends and family may no longer know how to relate to them, so the person with dementia feels abandoned. She might also feel hesitant to engage in social activities due to her cognitive inabilities. If someone with dementia is staring at you or someone else, she may be communicating a desire to connect.
  7. Confusion: This caretaker recalls trying to bake with her mom, who was once a regular baker, when she had moderate dementia. Her mom was staring at the flour unsure of what to do. Eventually, she understood her daughter’s instructions, but it took time. Someone with dementia may stare because he’s confused about a direction he’s been given and needs time to process it.
  8. Boredom: Depending on how advanced someone’s dementia is, she may not be able to initiate activities herself, resulting in boredom. If someone with dementia is staring off into space, she may simply need an activity or someone to talk to.

Staring as a Possible Sign of Dementia

Staring more than usual is a common symptom of dementia, and it can also be an early sign of dementia, especially with Lewy Bodies dementia which can cause “fluctuating attention and alertness.” If you’ve noticed your loved one is staring off into space more or staring at you more often, contact your doctor. This could be, as this study suggests, a “mental lapse” that indicates your loved one is at higher risk for developing dementia.

What should you do if someone with dementia is staring?

Instead of judging someone with dementia for staring at you or staring off into space and seeming unengaged, try to determine the reason behind the behavior. Could he be trying to recognize you? Is he confused, lonely or uncomfortable? Is he seeing things that aren’t there?

Whether you are able to determine why your loved one is staring or not, you can be patient and compassionate. Try to meet your loved one’s physical needs if she’s trying to communicate she’s uncomfortable. Give her some time and space to figure out how to participate in what you are doing together whether it’s baking, folding clothes or a puzzle.

Often, as the caretaker we mentioned above points out, people with dementia need to be engaged in a meaningful activity. Caretakers underestimate what their loved ones are capable of. Just because someone has dementia doesn’t mean all he can do is sit and watch TV. This caretaker discovered her mom could still play catch. She loved catching and throwing a ball or stuffed animal back and forth in their living room. She could play while seated, so she was safe, and she felt stimulated by the activity and able to connect with her inner child who loved to play games like this.

What is an activity you could suggest next time you see your loved one staring off into space? You might be surprised at how quickly he can engage.

Staring is a common and normal behavior for those who are living with dementia. If you see this in your loved one, be curious rather than judgmental. Determine what she may need in that moment and don’t be afraid to engage her even if she seems disengaged. Often what your loved one needs most is simple human connection.

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Covid Information

Continuing an Environment of Caring in Times of COVID-19


Safety of Residents and Staff

As the coronavirus (COVID-19) pandemic continues to evolve, our communities are focused on keeping our Residents and staff safe while also maintaining Resident engagement and daily fulfillment. We are taking a cautious approach, balancing the highest level of safety within the least restrictive environment.

We will continue to follow and augment State and C.D.C. safety recommendations:

Screening: We screen every employee every day. We require our staff to complete a questionnaire (inquiring about possible symptoms, recent travel and exposure), have their temperature and oxygen level checked before entering the building. Staff are also required to clean their cell phones, keys and wash their hands while being observed. We monitor our Residents’ health closely with temperature and oxygen level checks at least twice a day. We help our Residents wash their hands throughout the day and encourage them to wear a mask or face covering.

Cleaning: We have enhanced our cleaning products with regard for their effectiveness in killing COVID-19 particles and proper sanitization and disinfection, using the EPA’s specific list of disinfectants for use against the coronavirus. We are using this list and training staff on how long cleaning solutions must be kept on a surface before wiping it off to ensure its effectiveness. We prioritize cleaning high-touch areas and horizontal surfaces, cleaning them several times a day.

Physical Distancing: We encourage 6 foot distancing between Residents and with staff unless they are providing direct care to a Resident.

Testing: We test all Residents and staff for COVID-19 every three weeks, and more as needed. Our nurses utilize a PCR test, which we send to a private lab to expedite results.

Physical Changes: We have installed ultraviolet lights in our air conditioners that supply air to the common areas of the houses. This method is believed to be helpful in killing bacteria that is cycled through the systems and pushed back into the house. We’ve also enhanced our HVAC filters to near HEPA levels, trying to add additional layers of protection to keep COVID-19 out of the building. Most importantly, air purifiers have been added to common areas and each resident room.

PPE: Staff members wear masks at all times and we encourage Residents to wear masks when outside their rooms. We also encourage physical distancing between our Residents. Staff wears additional protective equipment when deemed necessary while caring for our Residents. Staff are continually trained on when and how to use personal protective equipment (PPE).

Individual Needs Stay Paramount

The uncertainty surrounding COVID-19 affects us all. At our communities, we are not letting it stop us from safely offering a life well-lived. Above all, we are providing the utmost attention to the safety and well-being of our Residents. Our Program has always revolved around the individualized needs of each Resident and this has not changed during COVID-19. Residents are still able to connect with each other and staff while maintaining a safe physical distance. Weather permitting, we enjoy the patio and large backyard. We continue to keep our Residents engaged through cognitive, physical, recreational experiences. We offer enjoyment and connection throughout the day even during these unprecedented times.

Visitors

Since early March we have restricted facility access to prevent the spread of COVID-19.

Essential Visitors: Healthcare providers including physicians, home health, private duty services, physical therapy and hospice staff have not been allowed in the communities unless there is an acute, essential need for our Residents. These services continue as needed through FaceTime, tele-med and phone conversations. If physical access is absolutely necessary, the individual will complete our questionnaire and screening for temperature and oxygen stats. No one is allowed in the community if they fail to meet our screening criteria.

Families: We are happy to help schedule window visits, FaceTime, Zoom and phone calls with your loved ones based on what is allowed and prudent. To ensure the proper support from our staff, our visits are scheduled ahead of time.

Tours and Move-Ins

Tours: We recognize that regardless of the changes with COVID-19, your need for senior living hasn’t changed. For the safety of you, our Residents and staff, we are currently offering virtual tours where you can see our community, as well as meet our staff. Please contact our Community Relations Director to set up a virtual tour.

Move-Ins: We are accepting a limited number of move-ins (unless otherwise instructed by public health department). New Residents must be tested for COVID-19 prior to move-in. Upon admission, we will place a new resident in their room to quarantine as an additional precaution.

We will share community-specific information with residents and families as our quarantine measures continue to evolve with new information of COVID-19.

We are honored to care for your family member and loved one.

 

Comments we’ve received from our families during COVID-19.

“We appreciate all of your efforts. Your team clearly is a leader in the response to COVID. Thank you for keeping our loved ones safe.”

Joseph

“Thank you, thank you, thank you for ALL you have done and are doing to keep the residents and staff in a safe environment! The continuous learning and improvements empower caregivers and families to do better at home and in our communities.”

Tommy

“I appreciate you taking the time to update us and share them with my family living in AL, GA, VA, MD, FL…we are extremely grateful and comforted by your proactive and decisive measures! We’ll continue to keep you in prayer for health, safety and more.”

Rebecca

“In keeping with the parade theme you had, the employees there are super heroes. They are plowing forward in the midst of this horrible virus and taking care of their patients selflessly. I just wanted to acknowledge their bravery and dedication and thank them from the bottom of my heart for the goodness in their hearts and their dedication to their patients and jobs.”

Abigail

“Thank you! You locked down early & your diligence has paid well.

The Bader support group continues meeting once a month by Zoom. We all appreciate you so much. Everyone comments on how grateful we are that our parents are at Bader House!

We appreciate everything: sending us pictures, calls, alerts to bring supplies/clothes as needed, staying in virtual contact with hospice.
Blessings to each of you.”

Marsha

“Thank you for all y’all and all the staff are doing for my mom and the other residents. We truly appreciate your hard work.”

Carol

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