MUSIC-ASSISTED DAILY ROUTINE — STAGE 3 DEMENTIA
Use music to guide mood, focus, calm and routine throughout the day
Music is the strongest tool for organisation, emotional stability, memory, and reducing agitation in Stage 3 dementia.
Below is a full 24-hour routine with the best type of music for each time block.
6:00–8:00 — Morning Wake & Calm Start
Music Type:
Soft piano
Nature sounds (birds, gentle rain)
Calm classical (Debussy, Chopin)
Why: Helps reduce morning confusion, stabilises mood, supports dressing/washing.
Activities:
- Wash & dress
- Offer tea/water
- Slow conversation, gentle reassurance
8:00–9:00 — Breakfast Focus
Music Type:
Familiar gentle oldies
Soft vocals (Vera Lynn, Nat King Cole)
Why: Familiar songs support memory, grounding, and appetite.
9:00–10:00 — Light Cognitive Activity
Music Type:
Soft upbeat classics (50s–70s)
Gentle guitar
Why: Rhythmic music encourages engagement without overstimulation.
Activities:
- Photo album
- Folding towels
- Easy puzzles
- Reminiscence conversation
10:00–11:00 — Movement & Exercise
Music Type:
Light rhythmic beats
March-style tempo
Soft jazz
Why: Encourages movement, walking, and physical activity.
Activities:
- Short walk
- Chair exercise
- Stretching
11:00–12:00 — Calm Creative Time
Music Type:
Instrumental (harp, soft violin)
Spa/ambient music
Activities:
- Colouring
- Gentle crafts
- Brushing hair
- Organising simple objects
12:00–13:00 — Lunch & Midday Calm
Music Type:
Slow, soothing instrumental
Harp & calm strings
Why: Encourages better eating and digestion; reduces anxiety.
13:00–14:30 — Rest / Quiet Time
Music Type:
Soft ambient
Nature sounds
Low-tempo piano
Why: Promotes recovery and prevents afternoon agitation.
14:30–16:00 — Afternoon Mood Lift
Music Type:
Gentle happy songs
Familiar uplifting classics
Light gospel/hymns
Activities:
- Singing
- Simple conversation
- Sunlight exposure
16:00–18:00 — Anti-Sundowning Routine
Music Type:
Slow, calming instrumental
Atmospheric ambient
Slow choir
Why: Prevents late-day confusion, wandering, or agitation.
Supports:
- Lights on early
- Curtains shut to remove shadows
- Warm drink
- Calm tone
18:00–19:00 — Dinner
Music Type:
Slow soft music
Gentle orchestral
Why: Reduces overstimulation and supports calm eating.
19:00–20:00 — Evening Soothing
Music Type:
Soft choral
Calming classical
Warm instrumental
Activities:
- Hand massage
- Quiet TV
- Reading aloud
- Gentle reassurance
20:00–21:00 — Wind-Down Routine
Music Type:
Sleep-preparation music
Very slow piano
Deep relaxation tracks
Why: Eases transition into sleep, lowers anxiety.
21:00–06:00 — Overnight Sleep Support
Music Type:
8-hour sleep track
White noise
Rain / ocean / gentle wind
Why: Reduces night wandering, supports deep sleep.
KEY PRINCIPLES
- Use one playlist per time block
- Keep volume low & gentle
- Never use loud or sharp music
- Let music play before, during, and after each activity
- Familiar music = emotional safety
- Slow tempo = calm brain
- Rhythm = better organis
- ation & focus