Caregiving Insights

October 2026 | Dr. Andrea Holzner, PhD

Caregiving asks us to respond to another person’s needs while also attending to our own. When dementia changes communication or familiar routines, an everyday interaction can become difficult. A useful starting point is to pause, notice the person’s experience, and consider what would help the moment feel more comfortable.

Notice what surrounds the moment

Consider whether the room is noisy, the task feels rushed, or the person seems tired or uncomfortable. Describe what you observe rather than assuming intent. A pattern of difficult moments may provide useful information to share with the care team. Taking time in quiet allows the body and brain to be soothed and find stillness.

Offer connection before a request

Approach calmly, introduce yourself when needed, and allow time for a response. Use a short invitation such as “Let’s sit together for a moment.” A familiar activity can create an opportunity to connect without making the person feel tested.

Leave room for choice and dignity

Offer manageable choices and explain the next step in plain language. If an interaction becomes tense, pause when it is safe to do so. Care should respect the person’s preferences, privacy, and comfort.

Share observations with the care team

Keep brief notes about changes, when they happen, and what seems to help. New or sudden changes in behavior, alertness, or functioning should be discussed promptly with a healthcare professional. These observations can help the team consider possible causes and appropriate next steps.

Include the caregiver in the plan

Caregivers need time to rest, ask questions, and receive support. Identify one person or resource you can contact before demands become overwhelming. In my practice, I work with families through dementia assessments, caregiver education, and individualized guidance as needs change.