What can we do to help my great-grandmother with the people she's seeing who aren't really there?

A fellow caregiver asked...

My great grandma has dementia. What can we do to deal with all of the people that she is seeing that are not really there?

Expert Answer

A social worker and geriatric consultant who specializes in dementia care, Joyce Simard is based in Land O' Lakes, Florida, and in Prague. She is a well-known speaker and has written two books, one focusing on end-of-life care and the other, entitled The Magic Tape Recorder, explaining aging, memory loss, and how children can be helpers to their elders.

If the hallucinations are not bothersome to her, you can go along with her "visions." For instance, if she says, "There is Uncle Walter," you might respond with something general like, "I’ve always liked Uncle Walter." Then change the subject. If the hallucinations are troubling or upsetting to the person, like seeing snakes, you might say,  "Let's leave the room and I'll get rid of them."

When a person is in the moderate stage of a dementing illness, I  like to "fix the problem," whatever that may be. You don't argue because what she is seeing is real to her.  If the hallucinations are frightening and she cannot be calmed by your response, see a physician, who may prescribe medications that help to eliminate the problem.