Do friends and relatives avoid visiting your loved one because they have no idea what to say or do? Or do they stay away because seeing their loved one in an unresponsive state weirds them out? Try not to get upset by remembering this: They simply haven't encountered as much day-to-day Alzheimer's as you have. Chances are, you don't see some gradual changes because you're so close, whereas outsiders notice declines more sharply.
How to defuse the tension:
Help visitors understand what's up. Beforehand, give a quick update on what your loved one can or can't do, so guests know what to expect.
Set a positive example: Show that quiet conversation or simply sitting together holding hands can be enough. Assure guests that they don't need to work hard to entertain or adopt a false gaiety.
Assure your guests afterward that their presence was noted and appreciated, by both your loved one with dementia and by you.