When we say the word Christmas, it most likely evokes several emotions for us. Some people are excited and love Christmas, whilst others dread Christmas and try to avoid it. Whatever our feelings are, it arrives every year whether we like it or not.

As a Dementia Nurse, I work with many carers and people who are living with dementia. Christmas can be difficult and overwhelming for people with cognitive decline, however, with some planning we can try and minimise the discomfort they experience. Here are some tips for Christmas Day that may be helpful for anyone who has a loved one with dementia or anyone who struggles socially.

Involve everyone in preparation on the day

Folding napkins, sorting cutlery, setting the table. Give them jobs that are easy for them to do. It may not be perfect but it’s important that everyone feels part of the celebrations.

Serve manageable meals

Some people living with dementia have trouble with different aspects of eating, using cutlery and chewing and/or swallowing.  You may need to cut up the food into bite size pieces, they may need soft foods. Placing cutlery in their hands may trigger muscle memory for the task. Have finger food for everyone to enjoy.

Eat and drink in moderation

Don’t expect your loved one to eat a full meal at lunch if they normally have soup and sandwiches for lunch. Beware of alcohol, alcohol is toxic to the brain of loved ones with dementia. If they enjoy a glass of wine, consider no alcohol options or half and half “spritzers.” Don’t have decorations that look like food, it could be confusing and dangerous.

Consider seating arrangement

Often the person with dementia is seated next to grandchildren, this isn’t particularly helpful. Instead, have them next to someone who can assist with conversation and eating if required. Don’t have them next to the person who drinks too much on Christmas day and becomes loud.

Be considerate with conversation

Make sure person living with dementia has hearing aids in. Make sure music isn’t too loud. Involve the person living with dementia in conversation, this might include inviting the person with dementia into the conversation with some prompts about a familiar topic.

Tips for the rest of the family:

  • One conversation at a time
  • Slow down and allow everyone time to speak
  • Try not to finish anyone’s sentences for them
  • Use eye contact and simple sentences
  • Have some simple questions and stories about your life ready to share with others, by ‘inviting’ that topic
  • If they cannot speak just hold their hand, make eye contact regularly and smile, as this is comforting and helps them feel connected.

Written by Emma Smart, Dementia Registered Nurse from our NDIS & Chronic Disease team