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July 19, 2024

Meaningful Activities for People With Dementia

An older woman painting at an easel.

Your mum spent forty years running a busy household. Now she sits in her chair most afternoons, restless and a bit flat. Then one day you hand her a basket of warm towels to fold, and something changes. She straightens her back, smooths each one carefully, and tells you about the linen cupboard in her first house.

That's what a meaningful activity can do. It isn't about keeping someone busy. It's about giving them a way to feel useful, capable and connected, to be themselves, even as dementia changes what they can do.

This guide covers why activities matter, what makes an activity meaningful, ideas for each stage of dementia, and how to set activities up for success.

Why Activities Matter

Dementia can strip away many of the roles and routines that give life shape: work, driving, running the home, seeing friends. Without them, days can feel empty, and boredom and frustration can build.

Meaningful activity helps to:

  • lift mood and reduce boredom

  • give structure to the day

  • maintain skills for longer

  • support identity and self-worth

  • create moments of connection with family and carers

  • ease restlessness and agitation for some people

The World Health Organization includes keeping up hobbies, doing enjoyable things, keeping the mind active and spending time with friends and family among the things that help people living with dementia. Staying socially connected matters for brain health more broadly too: the 2024 Lancet Commission on dementia lists social isolation among its modifiable risk factors.

Activities can also help with some difficult behaviours. Our guide to managing difficult behaviours in dementia explains how redirecting to a calm, familiar task can settle agitation.

What Makes an Activity "Meaningful"?

There's no universal list. An activity is meaningful when it connects with who the person is:

  • Their history. A former carpenter might enjoy sanding wood. A lifelong gardener might love potting seedlings.

  • Their interests. Football, church music, knitting, horses, cooking, cars.

  • Their current abilities. Something they can do with some success, with the right support.

  • Their mood on the day. Some days call for something active, others for something gentle.

The focus is on how the person feels while doing it, not what they produce. A garden bed doesn't need to be perfectly weeded. The towels don't need to be folded neatly.

Activity Ideas by Type

Everyday tasks

Many people find the most satisfaction in being useful:

  • folding laundry, pairing socks

  • setting the table or drying dishes

  • sorting cutlery, buttons or nuts and bolts

  • watering plants, sweeping the path

  • helping prepare a meal: washing vegetables, stirring, rolling pastry

Music

Music often reaches people when words don't. The Alzheimer's Association notes that studies suggest music may reduce agitation, and that people in the late stages may still tap along or sing songs from childhood. Its tips include choosing music the person knows and loves, avoiding sources with advertisements, and encouraging movement like clapping or swaying.

Try a playlist of songs from their teens and twenties, singing together, or dancing gently in the kitchen.

Creative activities

  • painting, drawing or colouring

  • simple crafts like collage or flower arranging

  • playing a familiar instrument

  • telling or recording stories

The Alzheimer's Association suggests keeping art projects adult, not childish, and focusing on the process rather than the result.

Physical activities

  • short walks, especially familiar routes. Our guide to daily walks for brain health has tips

  • seated exercises or stretching

  • gentle dancing

  • gardening

  • throwing a ball or balloon

Reminiscence

  • looking through photo albums

  • making a memory box of meaningful objects

  • listening to old radio shows or music

  • talking about a place they used to live or work

  • starting a memory book together. See our guide to starting a memory journal

Sensory activities

Especially useful in later stages:

  • hand massage with scented lotion

  • textured fabrics, blankets or fidget items

  • familiar smells: coffee, baking, flowers, lavender

  • sitting in the sun or feeling a breeze

  • stroking a pet

Social activities

Adapting Activities as Dementia Progresses

Early stage. Many people can keep doing hobbies, volunteering and social activities with a little extra support. Focus on keeping existing interests going. Our guide to keeping the brain active with dementia has more.

Middle stage. Simplify. Break activities into single steps, offer a choice of two, and do things alongside the person. Familiar, repetitive tasks often work well.

Later stage. Focus on the senses, music, touch and presence. Simply sitting together listening to a favourite song is an activity.

Small, regular moments add up. Elli Cares can send gentle reminders for favourite routines, like watering the garden, an afternoon walk or a call with a friend, and family can record short video messages that play at the right time. Safe Zones can add reassurance for people who still enjoy getting out on their own. It helps keep meaningful routines part of every day.

How to Set Activities Up for Success

  • Pick the right time. Many people are at their best in the morning.

  • Keep it simple. One step at a time, with everything needed laid out.

  • Offer, don't insist. "Would you give me a hand with these?" works better than "You need to do something."

  • Do it together. Joining in shows how, and makes it social.

  • Don't correct. If the socks don't match, it doesn't matter.

  • Watch for signs of tiredness or frustration, and stop or switch before it becomes stressful.

  • Reduce distractions. Turn off the TV and keep the space calm.

  • Notice what works, and do more of it.

Clear visual cues around the home can also help people find and start activities on their own. See our guide to dementia-friendly signage.

Frequently Asked Questions

What activities are good for people with dementia?

Activities that connect with the person's history and interests and match their current abilities, such as everyday household tasks, music, gardening, walking, creative projects, reminiscence and sensory activities.

How do I keep someone with dementia occupied at home?

Build simple, familiar tasks into the day, like folding laundry, helping with meals or watering plants, and mix them with music, short walks and time with others.

Does music help people with dementia?

Music can help people connect and may reduce agitation. Familiar songs often prompt singing and engagement even in the later stages.

What if the person refuses to join in?

Don't force it. Try again later, offer a different activity, or simply start the activity yourself nearby and invite them to help.

It's the Moment That Matters

A meaningful activity doesn't need to look impressive. It just needs to feel good for the person doing it. To see how Elli helps keep daily routines going, visit our Seniors and Families page.

It's the Moment That Matters
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