Supporting Independence in People Living with Dementia
A dementia diagnosis does not automatically mean the end of independence. Research shows that with the right support, people living with dementia can continue to live fulfilling lives, participate in meaningful activities, and in some cases, remain in their own homes for months or even years after diagnosis.
At the Adult Cognitive Wellness Center (ACWC), our mission is to help individuals preserve their autonomy while staying safe, engaged, and connected. Whether through our 1:1 in-home dementia care or our group cognitive wellness programs, we focus on dignity, purpose, and well-being.
1) Honour Their Values
Studies have shown that person-centred care—care that respects the individual’s values, history, and preferences—improves quality of life and reduces agitation for people with dementia (Kitwood, 1997; Brooker, 2004).
- Ask what matters most to them—routines, foods, faith, hobbies, pets, privacy—and protect those choices.
- If wishes aren’t clear, make decisions based on what they would likely want, not what’s most convenient for others.
- Incorporate familiar items, activities, and rituals into daily care to promote comfort and security.
2) Recognize Abilities and Keep Them Involved
The Alzheimer’s Society notes that even as dementia progresses, many skills and memories—especially those tied to long-term memory—can remain intact for years. Tapping into these strengths builds confidence and fosters dignity.
- Encourage participation in familiar tasks: folding laundry, watering plants, preparing simple meals.
- Use long-held skills to spark purpose, such as crafts, music, gardening, or storytelling.
- Involve them in decision-making whenever possible, even for small daily choices.
3) Adjust to Changing Abilities
Cognitive changes can make decision-making, multitasking, and information processing harder. A 2020 study in BMC Geriatrics found that simplifying communication can significantly improve understanding and reduce frustration.
- Offer fewer choices at a time (“Would you like tea or water?”).
- Ask one question at a time and give extra time for responses.
- Break activities into clear, manageable steps.
- Watch for nonverbal cues—facial expressions, body language, and tone can communicate needs more clearly than words.
4) Make Home Safer—Not Smaller
Research from the National Institute on Aging shows that home modifications can reduce fall risk, increase safety, and allow individuals to remain at home longer.
- Remove tripping hazards, improve lighting, and add grab bars in key areas.
- Keep frequently used items in consistent, visible places.
- Consider supportive technology: stove shut-off sensors, medication reminders, or GPS location devices.
- Schedule regular safety check-ins.
5) Build a Circle of Support
Social engagement is linked to slower cognitive decline and better emotional well-being (Journal of the American Geriatrics Society, 2018).
- Create a care network of family, neighbours, healthcare providers, and community programs.
- Maintain a predictable daily rhythm that includes social connection, movement, rest, and nourishing meals.
- Avoid premature moves from home when the right supports can maintain safety and independence.
How ACWC Can Help
In-Home Dementia Care (1:1)
We bring professional, compassionate support into your loved one’s home:
- Safety check-ins, medication reminders, and routine building
- Gentle personal care, meal preparation, and companionship
- Therapeutic Recreation sessions—music, art, puzzles, reminiscence, and gentle movement to stimulate memory and mood
- Caregiver coaching and respite
Our services are flexible—ranging from short visits to extended hours—based on needs.
Group Programs & Day Programs
Our dementia-friendly group settings combine evidence-based cognitive stimulation with creativity and social interaction:
- Music and movement therapy
- Creative art sessions
- Brain games and reminiscence activities
- Small group sizes for personal attention
- Built-in respite time for family caregivers
The takeaway:
Independence is not just about living alone—it’s about living with dignity, safety, and purpose. With the right approach and support network, people living with dementia can continue to lead fulfilling, engaged lives.
Contact the Adult Cognitive Wellness Center today to arrange a free consultation and learn more about our 1:1 in-home care and group programs.
