Dementia Patients Refuse To Go Into Care
How to navigate the challenge

Dementia can be very complex and progressive, usually leading to a number of problems both for the patient and their families. These numerous other challenges often include dementia patients who refuse to go into care. In such a situation, things get emotionally challenging and may lead to family feuds. Caregivers start to feel helpless and overwhelmed. This article expounds on those effective strategies one should use to deal with such a sensitive issue, putting into perspective the importance of dementia care homes and their services in ensuring optimal care for such patients.
Why Do Dementia Patients Resist Care?
First, it is necessary to comprehend why a person living with dementia would refuse to enter care. The person might feel confused, scared, and apprehensive as a result of the ramifications of the predicament on his or her cognitive faculties. Some of the general reasons for resistance by dementia patients to going into care are listed below:
1. Fear of the Unknown
People with dementia might resist going into care because of the fear of the unknown. The threat of moving to an alien environment can be overwhelming for any person, especially one who is already afflicted with the loss of memory and decline of cognitive faculties. The new surroundings, unfamiliar routine, and absence of recognizable faces all combine to raise their level of anxiety.
2. Loss of Independence
One of the major fears for dementia patients involves issues of lost independence. Relocating to a dementia care home means giving up most of the privileges or self-decision-making regarding their own life, which is tough for anyone to get used to, especially for individuals who take pride in their independence throughout their lives.
3. Emotional Attachments
Generally, dementia sufferers attach a lot emotionally to their home and family. This feeling of having to leave familiar surroundings and the comfort of being close to family is overwhelming; this is one reason resistance arises.
4. Misconceptions About Dementia Care Homes
Many people with dementia, as well as their families, have various misconceptions about life in a care home specializing in dementia. For instance, they may feel that the care will be impersonal, or they will no longer be allowed to see family and friends. These misconceptions feed into the resistance and create a reluctance for this option.
Effective Strategies in Approaching Denial
Approaching a refusal of care by a dementia patient requires empathy, patience, and a very good understanding of the situation. Following are some of the strategies that will make the transition smooth and soothe their apprehensions or fears:
1. Open and Honest Communication
One of the effective ways of handling a patient with dementia who refuses to enter care is through free and open discussion. Talk to them in a clear, composed tone that exudes warmth. Let the feelings and apprehensions be on the surface. Explain the advantages of dementia care homes and how these facilities are designed to have special care accorded to meet unique needs.
2. Engage Them in Decision-Making
Whenever possible, make the decision with the patient with dementia. Allow them to have some sense of control in choosing a home for dementia care. This can reduce feelings of helplessness and make the transition easier.
3. Gradual Transition
Such a sudden move to the home may be overwhelming to the patient and his family. Think of a staged introduction into the care home. For instance, a person might get used to the care home through short visits or even day programs. In such a manner, one gets oriented with the environment and the staff present. These can then be extended if necessary until the patient becomes more comfortable with the idea of staying in it.
4. Dwell on the Bright Side of Dementia Care Services
Give the positive emphasis that the person might get in terms of specialized medical care, social activities, and safety from dementia services. The dementia care homes should contain professionals who are trained to offer the best care that ensures the well-being and quality of the patient's life.
5. Healthcare Professionals May Be Able to Offer Support
Seek assistance if the resistance persists despite all your efforts. Contact medical staff including the patient's GP, neurologist, or geriatric psychiatrist. They can be extremely helpful and may, in some cases, explain things in such a manner as to alleviate the patient's fears and nullify their resistance. In addition, by contacting them you can explore other options for the patient's care, if necessary.
How to Choose a Suitable Dementia Care Home
Making the choice of which dementia care home to choose from requires discretion. Below are some factors that you have to consider in choosing a facility:
1. Specialized Care and Services
The facility chosen should always boast of a care and service provision made for patients with dementia. Find a home that caregivers and nursing assistants have training in care and also other programs focused on cognition, physical activities, and social interactions.
2. Safety and Security
Safety: Individuals with dementia can be prone to wandering or other dangerous behaviors. Find a residence that has safety features in the facility and a well-trained staff that is able to observe these issues and intervene as appropriate.
3. Friendly Comfortable and Familiar Environment
It is essential for the dementia care home to provide a comfortable environment that is familiar to the patient. Find a facility that offers personalized care plans where residents are allowed to bring personal items from home to create familiarity.
4. Family Involvement
You will most likely want to pick a dementia care home that welcomes family involvement. Those that allow regular family visits, open communication, and the ability for families to be part of the care planning can make the transition a little easier, and also take some burdens off the mind.
5. Reputation and Reviews
Look into the reviews regarding the facility's reputation in dementia care left by other families. A facility that enjoys a good reputation in providing quality care and ensuring the environment is compassionate and respectful is bound to meet a loved one's needs.
Conclusion
Managing a dementia patient who refuses to go into care can indeed be challenging but proper approaches can be adopted, making the situation considerably easier and less stressful on everyone. A proper listening to their concerns, keeping open communication, and choosing an appropriate dementia care home can be in your loved ones' best interests for a safe and fulfilling life.
About the Creator
Elizabeth Cuevas
I am a passionate writer with a diverse portfolio spanning health, travel, and senior care.


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