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How to Talk to a Loved One Who Has Dementia: Never Say ‘No’

Holiday gatherings can mean communicating with relatives who have memory loss. An expert offers her best tips.

This story is part of Mysteries of the Brain, CNET’s deep dive into the human brain’s infinite complexities.

I’ll never forget the last real conversation I had with my wonderful late mother-in-law, Grace. She’d had Alzheimer’s disease for a number of years, and making a call on her smartphone was getting tough for her. So I was surprised to see her name pop up on my screen, calling me on a random Thursday night in the fall of 2021.

«Are you watching 60 Minutes?» she asked.

I paused. I hadn’t watched the news-magazine show in decades, but I knew it aired on Sunday nights, not Thursdays. I also knew how confused Alzheimer’s had made my mother-in-law.

Before her illness, she’d always kept up with the news and had strong opinions on politics — even campaigning for John F. Kennedy when he ran for president in the 1960s. She kept her mind active well into her 80s by doing the daily crossword puzzle in her favorite newspaper, The Los Angeles Times, and she loved to discuss new books with me.

But Alzheimer’s had robbed her of her focus, and often her words. I knew how hard that was for her, how she became frustrated to the point of tears when she couldn’t make herself understood. If she thought she was watching 60 Minutes on a night it wasn’t on, I was not about to disagree with her.

«Yes, I’m watching 60 Minutes!» I said instantly.

It was the right answer. In a happy, satisfied voice, she said, «They’re a nice couple, aren’t they?»

Couple? Who was the couple? Mike Wallace and Morley Safer? Weren’t they dead? It didn’t matter.

«Yes!» I said.

«OK, I’ll let you go now,» she said, and the call was over. Grace died about a month later, at age 85. She’d moved from her two-bedroom California condominium into a beautiful assisted-living facility just eight months earlier, barely getting a chance to enjoy its hair salon, field trips and other amenities.

Her health deteriorated quickly, and she soon needed 24-hour care. We moved her from the hospital to a board-and-care home run by a compassionate Russian doctor, and she lived there for just one week before passing away.

Every day, I’m thankful I agreed with her during that phone call. In her world, she was watching a «nice couple» on 60 Minutes on a Thursday night, and I knew enough about her dementia to try to enter the world she inhabited.

‘I’ve got your back’

Diana Waugh knows just how hard it can be to speak to someone with cognitive loss, whether it’s Alzheimer’s disease, Lewy body dementia or another condition. Waugh is a veteran nurse and a certified dementia practitioner. Her business, Waugh Consulting, focuses on giving caregivers and family members the tools to communicate with loved ones suffering from dementia.

But Waugh didn’t always know how to do this. Her own mother, Iona Kiser, suffered from dementia and died in 2008 at 95.

«I did everything wrong,» Waugh says. «I was less than successful with her.»

Since then, Waugh has published a short book, I Was Thinking: Unlocking the Door to Successful Conversations with Loved Ones With Cognitive Loss. She’s spoken to countless caregivers, and produced numerous videos explaining her approach.

Waugh says she can sum up her philosophy about conversations with them in one phrase: «I’ve got your back.» She also holds strong feelings about the word «no» — saying caregivers shouldn’t use it. And she encourages caregivers to divert potentially troubling conversations to focus on old memories their loved one can easily discuss, as opposed to trying to quiz them on new information their brains just can’t access.

Her work won’t give her that time with her mom back, but she’s helped numerous other people along the way.

Sheila Qualls’ 86-year-old mother has dementia, and Qualls has been working with Waugh on how to better communicate with her mom.

«I miss my mom, but Diana taught me how to ‘access’ her,» Qualls says. «Her techniques have made a huge difference in how we respond to my mother and have changed our lives.»

Short-term-memory drawer has no bottom

Waugh explains that your loved one’s memory has two «file drawers» — short-term and long-term memory. The items in long-term memory are generally still accessible. But the file drawer that should collect short-term memories has no bottom. The memories simply can’t stay put.

«So if you ask [a person with memory loss] to go to lunch with you tomorrow, they put that in the short-term drawer [and it’s forgotten],» Waugh says. «You show up, they’re still in pajamas. A smart person says, ‘Let’s go anyway.'»

The person with dementia can’t tell you how they feel today, Waugh explains, since that involves short-term memory. But they can tell you «how it felt when they hurt their knee at age 40.»

Tap into long-term memory

That’s exactly why Waugh encourages caregivers to tap into their loved one’s long-term memory whenever possible. Her slim book has a number of workbook pages where she encourages people to write down memories they can bring up with their loved one. What did they like to taste? To listen to? To touch?

Always have three stories at the ready, Waugh tells clients, and then use them to keep the impacted loved one in the conversation. Bring up those old memories and encourage them to talk about those things.

Qualls says this tactic works.

«My mom may not remember who I am, but when I begin talking about her childhood or my childhood experiences, she can engage right away,» she says.

It can also be helpful to show photos to your loved one, but «make sure they’re old photos,» Waugh warns. A new great-great-granddaughter may be cute, but it’s unlikely a person with cognitive loss will have any idea who that baby is.

Divert and redirect

Waugh tells a story of a woman who moved her elderly father from Nashville to Houston and worried he’d want to return to his familiar barn, which was now several states away.

In such a scenario, instead of telling him no, that his beloved barn was gone, Waugh says caregivers should calmly use the barn as a jumping-off place to get the man talking.

«Say, ‘I was thinking about that one racehorse you had,» Waugh says. «And once they start [talking], let them go.»

Qualls found this method valuable as well.

«Diana also taught me how to answer questions when my mother wonders where my father is,» Qualls said. «Divert and redirect. Works like a charm. Diana taught me to enter my mom’s world instead of trying to bring her into my reality.»

Taking away the car keys

Many people first tune in to cognitive loss when they realize their loved one can no longer drive safely. But how to get them to give up the keys? You might be tempted to lie and say their car is broken.

That doesn’t work, Waugh says. If the loved one is early on in their cognitive loss, «they’ll call AAA to get that ‘broken’ car fixed.»

Instead, she suggests telling them about a scary incident you recently experienced on the roads, or claim you recently got lost while driving. These kinds of stories might hit home with someone who’s almost certainly beginning to notice problems. You might also be able to convince them a family member needs to use their car for a while, just to have an excuse for why it’s suddenly inaccessible.

Here’s what to never say

Waugh encourages caregivers to avoid one word: no.

«‘No’ doesn’t do a darn bit of good,» she says, explaining that the word only angers the loved one. If you can divert the conversation instead, the person will likely forget the diversion in five minutes and happily move on. But if you make them mad by telling them «no,» they’ll be mad for the rest of the day, she says.

Waugh understands why frustrated caregivers might be tempted to say no. Their loved one might be insisting they need to get to work when they haven’t held a job in years.

By saying «no,» the caregiver is hoping, she says, to bring the person back to reality by denying their «erroneous thinking.» But the person they love is living in their own reality, and the caregiver will need to keep saying «no» over and over again, increasing stress on the relationship.

Avoiding «no» makes sense, but Waugh also says caregivers shouldn’t say, «Do you remember?» What may seem a gentle prompt can be seen as a demanding quiz to someone losing their memory.

«It’s like waving a red flag in front of a bull,» Waugh says. «The person likely does not remember whatever it is, and asking them to do so puts them under pressure they no longer know how to handle.»

What to say instead

Instead, Waugh encourages people to use a phrase from the title of her book, «I was thinking…» as a starter to encourage memories. If a loved one tells you they have to get to work, although they haven’t had a job in years, calmly say, «I was thinking…» and then launch into some detail about a job they once had.

If it suddenly occurs to them they’ve lost a loved one — even if that happened years ago, you might start off with «I was thinking…» and then relate a happy memory about that loved one’s pie-baking skills.

Successfully communicating with loved ones who have dementia can be wrenchingly hard. Waugh knows that only too well.

«We need to stop looking at [our loved ones] as we always have,» Waugh writes in her book. «When we change our expectations, we can find them as they are. We can have meaningful conversations. Our relationship, though different, will be so much more fulfilling. It will provide us with happy memories of the latter part of their lives.»

Technologies

iOS 17 Cheat Sheet: Your Questions on the iPhone Update Answered

Here’s what you need to know about new features and upcoming updates for your iPhone.

Apple’s iOS 17 was released in September, shortly after the company held its Wonderlust event, where the tech giant announced the new iPhone 15 lineup, the Apple Watch Series 9 and the Apple Watch Ultra 2. We put together this cheat sheet to help you learn about and use the new features in iOS 17. It’ll also help you keep track of the subsequent iOS 17 updates.

iOS 17 updates

Using iOS 17

Getting started with iOS 17

Make sure to check back periodically for more iOS 17 tips and how to use new features as Apple releases more updates.

17 Hidden iOS 17 Features You Should Definitely Know About

See all photos

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Technologies

Get Ready for a Striking Aurora That Could Also Disrupt Radio Communications

Don’t expect the storm to cause a lingering problem, though.

A geomagnetic storm is threatening radio communications Monday night, but that doesn’t mean you should be concerned. In fact, it may be an opportunity to see a colorful aurora in the night sky.

The National Oceanic and Atmospheric Administration has issued a geomagnetic storm watch after witnessing a coronal mass ejection from the sun on Saturday. The watch, which was issued over the weekend and will expire after Monday, said the onset of the storm passing over Earth on Sunday night represented a «moderate» threat to communications. As the storm continues to pass through, it could deliver a «strong» threat on Monday night that could cause radio communications to be temporarily disrupted during the worst of it.

Even so, NOAA said, «the general public should not be concerned.»

A coronal mass ejection occurs when magnetic field and plasma mass are violently expelled from the sun’s corona, or the outermost portion of the sun’s atmosphere. In the vast majority of cases, the ejection occurs with no real threat to Earth. However, in the event the ejection happens in the planet’s direction, a geomagnetic storm occurs, and the Earth’s magnetic field is temporarily affected.

In most cases, geomagnetic storms cause little to no disruption on Earth, with radio communications and satellites affected most often. In extreme cases, a geomagnetic storm can cause significant and potentially life-threatening power outages — a prospect that, luckily, the planet hasn’t faced.

Switching poles

Every 11 years, the sun’s magnetic poles switch, with the north pole and south pole swapping positions. During those cycles, the sun’s activity ramps up as it gets closer to pole-switching time. The height of its activity is called solar maximum, and scientists believe we either may be entering the solar maximum or may be already in it.

During periods of heightened solar activity, sunspots increase on the sun and there’s an increase in coronal mass ejections, among other phenomena. According to NOAA, solar maximum could extend into October of this year before the sun’s activity calms and it works towards its less-active phase, solar minimum.

Even when geomagnetic storms hit Earth and disrupt communications, the effects are usually short-lived. Those most affected, including power grid operators and pilots and air traffic controllers communicating over long distances, have fail-safe technologies and backup communications to ensure operational continuity.

But geomagnetic storms aren’t only about radios. In most cases, they also present unique opportunities to see auroras in the night sky. When the storms hit, the plasma they carry creates a jaw-dropping aurora, illuminating the night sky with brilliant colors. Those auroras can be especially pronounced during the most intense phases of the storm, making for nice stargazing.

If you’re interested in seeing the aurora, you’ll need to be ready. The NOAA said the «brunt of the storm has passed» and even if it lingers into Tuesday, there won’t be much to see after Monday night. 

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Technologies

Last Total Solar Eclipse for 20 Years Is Coming: How to See and Photograph It

It’s your last chance until 2044.

Get your eclipse glasses ready, Skygazers: the Great American Eclipse is on its way. On April 8, there’ll be a total eclipse over North America, the last one until 2044.

A total solar eclipse happens when the moon passes between the Earth and the sun, blocking the sun and turning an otherwise sunny day to darkness for a short period of time. Depending on the angle at which you’re viewing the eclipse, you may see the sun completely shrouded by the moon (called totality) or some variation of it. The more off-angle you are and the further you are from the path of the eclipse, the less likely you’ll be to see the totality.

The 2024 total solar eclipse will happen on Monday, April 8. The Great American Eclipse will reach the Mexican Pacific coast at 11:07 a.m. PT (2:07 p.m. ET), and then traverse the US in a northeasterly direction from Texas to Maine, and on into easternmost Canada. If you want a good look at it, but don’t live in the path of totality, you shouldn’t wait much longer to book accommodation and travel to a spot on the path.

Or how about booking a seat in the sky? Delta Airlines made headlines for offering a flight that allows you to see the entire path of totality. Its first eclipse flight, from Austin, Texas, to Detroit sold out quickly. But as of Monday, Delta has added a second flight from Dallas to Detroit, which also covers the path of totality. The airline also has five flights that will offer prime eclipse viewing.

Not everyone can get on one of those elusive eclipse-viewing flights. Here’s a look at other options to nab a chance to see this rare sight and what to know about it.

Total solar eclipse path

The eclipse will cross over the Pacific coast of Mexico and head northeast over mainland Mexico. The eclipse will then make its way over San Antonio at approximately 2:30 p.m. ET on April 8 and move through Texas, over the southeastern part of Oklahoma and northern Arkansas by 2:50 p.m. ET.

By 3 p.m. ET, the eclipse will be over southern Illinois, and just 5 minutes later, will be traveling over Indianapolis. Folks in northwestern Ohio will be treated to the eclipse by 3:15 p.m. ET, and it will then travel over Lake Erie and Buffalo, New York, by 3:20 p.m. ET. Over the next 10 minutes, the eclipse will be seen over northern New York state, then over Vermont. By 3:35 p.m. ET, the eclipse will work its way into Canada and off the Eastern coast of North America.

Best places to watch the Great American Eclipse

When evaluating the best places to watch this year’s total eclipse, you’ll first want to determine where you’ll have the best angle to see the totality. The farther off-angle you are — in other words, the farther north or south of the eclipse’s path — the less of an impact you can expect.

Therefore, if you want to have the best chance of experiencing the eclipse, you’ll want to be in its path. As of this writing, most of the cities in the eclipse’s path have some hotel availability, but recent reports have suggested that rooms are booking up. And as more rooms are booked, prices are going up.

So if you want to be in the eclipse’s path, and need a hotel to do it, move fast. And Delta’s eclipse-viewing flight from Dallas to Detroit has just four seats left at the time of publication.

Eclipse eye safety and photography

 
As with any solar eclipse, it’s critical you keep eye safety in mind.

During the eclipse, and especially during the periods before and after totality, don’t look directly at the sun without special eye protection. Also, be sure not to look at the sun through a camera (including the camera on your phone), binoculars, a telescope or any other viewing device. This could cause serious eye injury. Sunglasses aren’t enough to protect your eyes from damage.

If you want to view the eclipse, you’ll instead need solar viewing glasses that comply with the ISO 12312-2 safety standard. Anything that doesn’t meet that standard or greater won’t be dark enough to protect your eyes. Want to get them for free? If you’ve got a Warby Parker eyeglasses store nearby, the company is giving away free, ISO-certified solar eclipse glasses at all of its stores from April 1 until the eclipse, while supplies last.

If you don’t have eclipse viewing glasses handy, you can instead use indirect methods for viewing the eclipse, like a pinhole projector.

Read more: A Photographer’s Adventure With the Eclipse

In the event you want to take pictures of the eclipse, attach a certified solar filter to your camera. Doing so will protect your eyes and allow you to take photos while you view the eclipse through your lens.

There’s also a new app to help you both protect your eyes and take better photos of the eclipse on your phone. Solar Snap, designed by a former Hubble Space Telescope astronomer, comes with a Solar Snap camera filter that attaches to the back of an iPhone or Android phone, along with solar eclipse glasses for protecting your eyesight during the event. After you attach the filter to your phone, you can use the free Solar Snap Eclipse app to zoom in on the eclipse, adjust exposure and other camera settings, and ultimately take better shots of the eclipse.

2024 eclipse compared to 2017

The last total solar eclipse occurred in 2017, and many Americans had a great view. Although there are plenty of similarities between the 2017 total solar eclipse and the one coming April 8, there are a handful of differences. Mainly, the 2024 eclipse is going to cover more land and last longer.

The 2017 eclipse started over the northwest US and moved southeast. Additionally, that eclipse’s path was up to 71 miles wide, compared with a maximum width of 122 miles for this year’s eclipse. Perhaps most importantly, the moon completely covered the sun for just 2 minutes, 40 seconds in 2017. This year, maximum totality will last for nearly four-and-a-half minutes.

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