Using positive language about dementia

The language used in dementia care is often negative, for example ‘elderly mentally infirm’, ‘sufferers’, ‘wanderers’, people who are ‘damaged’.

The language we use to talk about dementia influences how people with the condition are seen and how they feel about themselves.

Every word matters - we must use positive words that focuses on people’s strengths not their limitations:

It‘s important to recognise that while people with dementia may need support with some areas of their lives, particularly as their dementia progresses, they will retain abilities.

It’s better to consider the new behaviours people with dementia may experience as change rather than loss.

As home care workers, the key is to recognise strengths, and work in an enabling way.

It is about working with people, not doing to people.

There is much truth in the idea of practising a craft to maintain ability.

When friends, family and carers take over, often with a kind intent, people who have dementia will become more dependent on others and start to lose their previous abilities.

The Pool Activity Level Instrument (PAL) for occupational profiling is highly regarded and recommended as a way of working with people with dementia by focusing on strengths and abilities they’ve retained.

PAL shows how an individual takes part in activities and how to create an environment for that person that makes the most of their abilities.

Purchase the Pool Activity Instrument

There’s a danger that when someone develops dementia, this becomes the main thing people see in them, not the person.

As a result, some might think that the person with dementia is ‘no longer there’.

This is harmful to the person, who may be treated as an object and not as someone with a life history and current thoughts, feelings and desires.

Avoid negative terms than dehumanise people:

‘An empty shell’

‘Someone who has lost their marbles’

People with dementia prefer words and descriptions that are accurate, balanced and respectful.

The Dementia Engagement and Empowerment Project (DEEP) suggest avoiding terms like:

• Dementia sufferer
• Demented
• Senile or senile dementia
• Burden e.g. people are a burden or cause a burden
• Victim
• Describing dementia as ‘a living death’, an ‘epidemic’, a ‘plague’ or an ‘enemy of humanity’

As well as ‘people with dementia’ / ‘people living with dementia’ / ‘people living well with dementia’, the term ‘people affected by dementia’ acknowledges that the condition impacts not only on the person, but those around them.

Many home care organisations will have their own term to describe the people they support, for example clients / service users / citizens/ customers.

Some people with dementia may not like these terms either, as they imply there’s nothing more to them than that and that they’re defined by their condition.

Remember that negative language reinforces the stigma of dementia and has a negative impact on how people with dementia view themselves.

Tom Kitwood (1997) suggests we should focus on seeing ‘a person with dementia’, not ‘a person with dementia’.

DEEP’s guidelines for language about dementia

Dementia-friendly language in Australia (this includes a detailed list of preferred and non-preferred terms and the reasons behind them)

Improve your practice by accessing the latest research findings:

“I don’t think of it as an illness”: Illness Representations in Mild to Moderate Dementia

Caregiver profiles in dementia related to quality of life, depression and perseverance time in the European Actifcare study: the importance of social health (2016)

Developing better ways to talk to people with Alzheimer's disease about their illness (Alzheimer’s Society)

Help us to improve the Dementia resource for care professionals by telling us what you think about it in our short four question survey.