Conversation in advanced dementia

As Mom’s dementia progresses it gets harder to figure out what she still understands. Her responses are slower. Swallowing takes an effort, as does spitting out after teeth brushing. But speech can be wonderfully clear. We had interesting conversation this morning as I was leaving for work.

“Goodbye,” I say, “Goodbye.”

“Goodbye,” she finally repeats after me.

I wasn’t sure she understood. So I prompted, “I’m going to….?”

She looks at me, puzzled, “Where are you going to?”

“I’m going to work!”

“You’re going to work!” she laughs.

At the door I turn back and ask, “Do you want to go to work?”

“No,” she answered. Unequivocal.

“So you only want to enjoy life?”


5 thoughts on “Conversation in advanced dementia”

  1. Even though it might be difficult to make “conversation”, but “ to speak “ is very important. Not only for the brain but also “to speak” needs “moving tongue, mouth and the jaw”. It’s important expertise to keep the mobility to eat..
    I do know it’s difficult or even it’s hard … sometimes it’s sad … unable to make proper conversation.
    But even so, your mother feel your smile with happiness … and it makes her happy too. Xxx

    Liked by 1 person

  2. Beautiful conversation!

    I love when I can have conversations with my mom. Or when I ask her something and get an appropriate response. It reminds me she is still very much “present.”

    Liked by 1 person

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