How to Have a Dementia-Friendly 4th of July

Fireworks, festivities and gatherings are Fourth of July traditions, but they can present difficulties for individuals living with dementia-related illnesses such as Alzheimer’s disease. As Independence Day approaches, the Alzheimer’s Foundation of America (AFA) is encouraging caregivers to follow the S.A.F.E. steps to help loved ones living with dementia on Independence Day. 

“Fireworks and loud noises can create challenges for individuals living with dementia,” said Jennifer Reeder, AFA’s senior director of educational and social services. “Holiday traditions can still be enjoyed when someone is living with dementia, but it’s important to adapt activities to meet their needs and comfort level. Taking simple precautions can help reduce stress and create a positive experience for everyone involved.”

AFA encouraged caregivers to follow the S.A.F.E. steps for a dementia-friendly Fourth of July:

Skip the Fireworks

Fireworks, loud noises and unexpected sounds can frighten or agitate someone living with dementia. For veterans living with dementia, fireworks could trigger difficult memories or be mistaken for gunfire or explosions. Try keeping the person indoors at times when they might hear fireworks. Prepare your loved one by gently explaining in advance that fireworks and other loud sounds may occur and provide reassuring reminders throughout the day as needed.

You can substitute glow sticks, holiday decorations or a televised celebration in place of fireworks. 

Abate Loud Noises

Loud, sudden noises and bursts from fireworks could unsettle a person living with dementia, even if they are indoors. Noises could cause anxiety, confusion, fear or agitation. Create a calm, comfortable space in the home insulated from outside noise. Air conditioners, fans, white noise machines and other background sounds can help muffle the sounds of nearby fireworks and add to feelings of relaxation. Playing familiar music at a low volume could also provide comfort and reduce stress. 

Fewer is Better

Large crowds can feel overwhelming and disorienting for someone living with dementia. Keep gatherings small and limit guests to a few family members and/or close friends. Consider providing name tags for everyone to help your loved one identify guests. 

Time the celebration earlier in the day because of the possibility of sundowning, a dementia-related syndrome which can cause anxiety, agitation and other behavioral changes at dusk. Keep the person’s routine as normal as possible, including mealtimes, naptimes and bedtimes. Incorporate favorite activities into the day. 

Engage in Other Ways

While fireworks and large crowds should be avoided, there are other ways for someone with dementia to participate in the holiday. Making patriotic decorations or crafts, playing or singing familiar patriotic music, baking Fourth of July-themed desserts or viewing photos of past Independence Day celebrations are all dementia-friendly activities. As an added benefit, caregivers and their loved ones can do them together, creating a connection and providing cognitive stimulation and an opportunity for creativity. 

Families with questions or concerns can speak with a licensed social worker through AFA’s Helpline by calling (866) 232-8484, sending a text message to (646) 586-5283 or web chatting at alzfdn.org. Additionally, families can get information 24 hours a day, seven days a week through Allison, AFA’s Virtual Helpline Assistant, by visiting alzfdn.org.