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Stage 3 Dementia – Understanding, Care & Daily Support
Stage 3 is often a turning point in dementia. Memory problems become more noticeable, daily tasks need more guidance, and emotional reassurance becomes essential. With the right support, your loved one can still enjoy comfort, connection, and meaningful moments every day.
What Happens in Stage 3?
People in Stage 3 may show:
- Forgetting recent events or conversations
- Losing track of time, place, or plans
- Difficulty focusing or completing tasks
- Slower thinking and problem-solving
- Misplacing items or repeating questions
- Needing reminders for meals, hygiene, and routines
- Becoming easily tired or overwhelmed
- Emotional changes — sadness, frustration, anxiety
- Early signs of “sundowning” in late afternoon/evening
These changes can be worrying for families, but gentle structure and calm communication make a big difference.
How to Support Someone in Stage 3
1. Keep Daily Routines Simple and Predictable
- Same wake-up, meals, and bedtime
- Clear step-by-step instructions
- One task at a time
- Quiet, low-stress environment
2. Use Reassurance & Emotional Comfort
- Speak softly and slowly
- Keep eye contact
- Offer warm encouragement (“You’re safe, I’m with you”)
- Avoid correcting or arguing
3. Reduce Confusion in the Home
- Good lighting
- Clear walking spaces
- Labels on drawers/doors
- Remove clutter and loud noises
- Keep important items in the same place
4. Support Memory Gently
- Use calendars, reminders, simple checklists
- Photos & familiar objects
- Repetition in a calm tone
- Music from their youth
5. Encourage Light Activity
- Gentle stretches
- Short walks
- Simple hobbies: folding towels, sorting items, colouring
- Social interaction in small amounts
6. Prevent Anxiety & Agitation
- Avoid rushed transitions
- Use calming music
- Stay near during bathing or dressing
- Offer choices: “Would you like tea or juice?”
Music Assisted Therapy for Stage 3
Music becomes a powerful tool at this stage:
- Reduces agitation & sundowning
- Boosts mood and connection
- Helps with focus during tasks
- Encourages movement and engagement
- Supports sleep at night
Best types of music:
- Familiar songs from their youth
- Slow, gentle melodies
- Calm instrumental
- Nature sounds
- Hymns or spiritual music (if meaningful to them)
If you want, I can add your 24-hour Stage 3 playlist (one-click) directly under this section.
Food & Hydration Support
- 5–6 small meals instead of large ones
- Easy-to-chew foods
- High-calorie snacks if appetite is low
- Water every 1–2 hours
- Warm, familiar flavours
- Calm environment during meals
Managing Evenings & Sundowning
Stage 3 often brings late-day confusion.
Helpful strategies:
- Dim, warm lighting
- Very gentle music
- Quiet activities
- Avoid caffeine after 2pm
- Soothing routine (tea, soft blanket, prayer, music)
Sleep Support
- Regular bedtime
- Cool, dark room
- Soft night-light
- Night-time calming playlist
- Weighted blanket (if safe)
Caregiver Tips
- Be patient with slower responses
- Allow extra time for tasks
- Avoid rushing or correcting
- Celebrate small successes
- Take breaks — caregiver wellbeing matters too
Stage 3 in One Sentence
Stage 3 dementia needs gentle structure, patient communication, and emotional reassurance — with music, routine, and calm environments guiding each day.