Caring for Someone with Cognitive Deficits

If you're caring for someone with cognitive deficits like dementia, there are a few things you've

likely already discovered.

First, these conditions are progressive; there's no denying that. And second, what works one day may not work the next, but something that didn't work last week might suddenly work again today.

The ever-changing nature of cognitive decline brings unique challenges. As a caregiver, you're constantly adapting to meet shifting needs, moods, and abilities. That's why one of the most valuable tools you can have is a Care Tracker.

What Is a Care Tracker?

If you're caring for someone with cognitive deficits, a Care Tracker helps. It is a simple log that captures what works, what doesn't, and how best to approach each situation. It includes your loved one's preferences, reactions, routines, and even the small details that help your day go more smoothly.

If there are multiple caregivers involved, a tracker ensures consistency—everyone is on the same page. And if you're the sole caregiver, it becomes your personal guide and record of the caregiving journey. Over time, it can help you see patterns and respond with greater confidence.

Getting Started with the Basics

Begin with what you already know:

• How does your loved one like to be addressed? "Mom"? "Grandpa"? Maybe a nickname from childhood?

• What are their favorite foods or routines?

• What topics spark joy or calm them down?

• Which side do they hear better from?

• Do they startle easily?

• What hobbies or tasks bring comfort—folding laundry, coloring, sorting, or simply walking?

These might seem like small details, but they can make a big difference in day-to-day interactions.

Responding to Difficult Moments

There will be times when your loved one is upset, anxious, or even combative. When that happens, think back:

• What calmed them before?

• What made the situation worse?

Direct confrontation almost never helps—it usually escalates the situation. Remember, your loved one may no longer be able to understand logic or reason the way they once did. That's why you must be the one to shift your tone, your words, or your approach.

Document these moments in your tracker. Not to dwell on them, but to prepare for next time—and to remind yourself of what you've already learned.

Make It Your Own

Your Care Tracker doesn't have to be fancy. It can be a notebook, a digital app, or even a simple calendar. Spend just a few minutes each day jotting things down. Don't treat it like a chore—it's a tool meant to support you.

And later, when your caregiving journey comes to an end, this record of small victories and hard-earned lessons may become a source of comfort and cherished memories.