Man in a care home

‘I want to go home’ - What to say to someone with dementia in care

Here are some ways family members and primary carers can approach the difficult question, 'What do I say to someone with dementia in residential care who wants to go home?'

It's not uncommon for a person with dementia to say they want to go home. This may be caused by time-shifting or general confusion, and can be distressing for everyone. 

Below are a few considerations on what to say to someone in this situation who wants to go home. 

5 things to remember when someone with dementia is asking to go home

1. Avoid arguing about whether they are already ‘home'

For a person with dementia, the term 'home' may describe something more than the place they currently live. Often when a person with dementia asks to go home it refers to the sense of ’home’ rather than home itself. 
 
‘Home’ may represent memories of a time or place that was comfortable and secure and where they felt relaxed and happier. It could also be an indefinable place that may not physically exist.  
 
It’s usually best not to try to reason or disagree with the person about where their home is.

If they don't recognise their environment as 'home' at that moment, then for that moment, it isn't home.

Try to understand and acknowledge the feelings behind the wish to go home. Find out where 'home' is for them - it might not be the last place they lived. It could be where they lived before moving recently or it could be somewhere from their distant past. 

Often people with dementia describe 'home' as a pleasant, peaceful or idyllic place where they were happy. They could be encouraged to talk about why they were happy there. This can give an idea as to what they might need to feel better.

2. Reassure them of their safety

The desire to go home is probably the same desire anyone would have if we found ourselves in an unfamiliar place. 

Reassure the person verbally, and possibly with arm touches or handholding if this feels appropriate. Let the person know that they are safe. 

It may help to provide reassurance that the person is still cared about. They may be living somewhere different from where they lived before, and need to know they’re cared for.

3. Try diverting the conversation

Keep a photograph album handy. This could be a physical book or photos on a tablet or smartphone.  Sometimes looking at pictures from the past and being given the chance to reminisce will ease the person’s feelings of anxiety. 

It might be best to avoid asking questions about the pictures or the past, instead trying to make comments: 'That looks like Uncle Fred. Granny told me about the time he....' 

Alternatively, you could try shifting the person's focus from home to something else - such as food, music, or other activities, such as going for a walk. 

4. Establish whether or not they are feeling unhappy or lonely

A person with dementia may want to 'go home' because of feelings of anxiety, insecurity, depression or fear.

Our dementia advisers are here for you.

Think about whether the person with dementia is happy or unhappy when they mention going home. If they are unhappy, it may be possible to discover why. If they cannot tell you why, perhaps a member of the staff or another resident knows why. 

Like anyone, someone with dementia may act out of character to the people closest to them as a result of a bad mood or bad day. 

Does the person with dementia keep talking about going home when people are not visiting them in the care home? Does he or she seem to have settled otherwise? Ask the staff in the home as they may know.

5. Keep a log of when they are asking to go home

Certain times of the day might be worse than others. What seems to be the common denominator about these times? Is it near meal times (and would a snack perhaps help)? Is it during times when the environment is noisier than usual? Is it later in the day and possibly due to ‘sundowning’?

If you see a pattern, you can take steps to lessen or avoid some of the triggers.

This article was first published in 2018 and most recently updated in January 2024.

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604 comments

True, these Assisted living are like hotes, they don't feel home at all, the best ones are the ones that are 12 rooms or less and have the feeling of home. It doesn't compare with the personal attention either.

My mom has dementia, it was impossible for us to care for her and she couldn't stay at her home any longer alone. So my brother and I decided on a nursing facility. At first it was hard she didn't want to eat and always asked to go home. We would tell her that this was her new home and try to make it as comfortable as possible. We had family pictures,her TV, blankets and flowers. She has been there almost a year now and calls it home.

I am a Registered Nurse in long term care and take care of dementia residents everyday, however and most importantly I am a daughter who has a Mother with early onset Alzheimer’s, she is 65 and has had it for over 5 years. As my Mother is effected much by difficulty finding words, repeating what you ask her, difficulty with remembering ADL care, and incontinence she teaches me every single day. From working with My residents with dementia and Alzheimer’s and taking care of my Mom, one thing that is the most important is patience. I stress this with my staff and also my family. It must be profoundly frustrating to not have the ability to communicate what you are trying or even think you are trying to say, If all you do is sit in a room with them, they know you’re there, it is beneficial that Possibly less frustrated to feel like they need to talk. There are many discouraging and painful stages of this life stealing disease, as caregivers we learn as we go, what worked for someone else may not work for your loved one. I was a hospice nurse for many years, and like I’m death, Alzheimer’s has similarities throughout however it is incredibly individual. I leave my Mothers crying some days I leave happy others, I laugh with her I cry with her I have sat for long periods of time only holding her hand and smiling. I miss my Mother, so very much. I miss her tone she would say my name when I was sarcastic, I miss her laugh, it was the most infectious laugh, I miss her terribly. But we have our “love you” conversations everyday, I say I love you Mom she says I love you Mom, and then she laughs sometimes because she’s Mom ❤️ And we probably go on with love you exchanges for 3 or 4 times, but she still gives the best hugs. My heart goes out to all of you who provide care to your loved ones. It is a struggle, but remember to give yourself a hug!! You’re doing a great job!

Hi Jennifer, my mum and I seem to be the exactly the same as you and your mum, when I visit her she gives me a massive hug but she looks so lost, growing up I was always daddy’s girl and can never remember saying she loved me I know she did but it would have been nice to have been told! But now I get told it all the time, bitter sweet wish I’d been told when I was growing up! Absolutely breaks my heart to leave her in the home! Take care xx

Jennifer, you sound like a superbly loving daughter! She’s very lucky to have you but then you were probably very lucky to have her 😊. I am caring for my Mum at home and hope to continue to do this till the end. There are laughs, tears, frustrations, joys and an important life lesson in love and patience.

Jennifer, thankyou so much for leaving this bitter sweet comment. I couldn’t have read it at a more perfect time. My mom has been diagnosed with dementia and Alzheimer’s just this week, and although not a surprise at all it is still unwelcome news. The diagnosis has just hit my dad, and he is absolutely heart broken. Your insightful comment has given me some great pointers to help us, especially dad. It’s going to be a long and bumpy road, but as long as mom is happy, dad is happy, and anything we can do as a family that can make that a little easier is most welcome. Thankyou again.

What to do if person with dementia just doesn't like that attention not on him/her . While there is other people around is not that bad , but it's always around meal times when people with disabilities needs assistance or when other need help getting to dining room or at the evening people go back to they rooms as they tired him/ her gets offensive and angry .
Family don't like to visit person to much as him/her never had good relationship, children said that him / her always been very selfish .
Sorry for the long post.
Thank you

I work in dementia care and have had relatives with the condition. There is a lot of good suggestions above however distraction technique being one of them. You have to know the reckons your relatives wil have before being totally honest with them ,breaking there heart again and again is not fair on them. Giving you family a rest is a good option! Please be consistent with the relative in care make sure the whole family are saying the same reason for someone missing or them being in s home otherwise its confusing for them . They will be confused enough them not being in a familiar setting/home etc. Be mindfull of communicating the same information to staff at the home so staff are telling the residents the same reason for them being in the home etc. Try to visit at regular times this helps with them settling in. Tell that you are leaving them at the end of a visit can be upsetting for them please give them a genuine reason as much as possible. Ie you have you much we are having our lunch see you later./ soon etc. Make this a descreate exchange, don't labour over it. You getting up set at leaving them will make them upset. It's hard but be strong for them.
Make the rooms homily familour favourite abject, bedding etc this well help with the transition for your relatives.
Hope this time you go through is uneventful and is a smooth transition as it can be fr your relatives and you.

My late mum had Alzheimer's and was taken into care, against my wishes, because she had become too difficult to care for alone. I saw her several times a week and called and spoke to her on the phone - the home were very good like that. I did sometimes drop in for a visit for an hour after work but what I did was take her out for the day or evening. That gave her normality because prior to her moving in we did go out and do lots together. We would go out for drives in the car and singalong to CDs, we would go to shows and films and have tea or lunch out. I kept striving to find new experiences for her because that was the kind of person she had been. Always curious, always enquiring. When she asked about dead relatives I would say,'they are with so-and -so or probably shopping/at work' It did the trick. I didnt like lying but seeing how she reacted with the truth was too awful to witness. Hateful illness

Does anyone think that as families that come and visit often we find it difficult to reassure our own relatives imagine for the poor staff that have to reassure all of the residents and not only one all day every day several times. Not to mention the challenging behaviour they deal with on a day to day basis. They did an amazing job for my mum when as visited lots i could see the scale of what they had to deal with and do for other. They were amazing with her up to the day she left us the level of care was just outstanding.

My wife was diagnosed with mild dementia in July 2018. Recently she’s been asking me about going home. It’s not an everyday occurrence but it does occur in the morning. I give her a hug of reassurance and try to explain that we are home. She seems to settle down after having breakfast. I found this article very interesting.

I can only speak from personal experience as a carer I found that routine can help with anxiety in a dementia patient even on the really bad days when all your routine seems not to be working. Keep with it because it may be just a identical conversation walking with then to breakfast can be an indication that they have remembered something with in the morning routing to have repeated part of a conversation.
Also sounds silly but the best advice someone once gave me is " Pick your battles" so tour wife wants to wear a green jumper but wear her t shirt over the top. Will it cause harm if left alone?
Will u hopefully have a smoother start to both of your days?
Also just one last thing
Hold your head high, Take 1 hour a day purely for yourself and
Your doing an amazing job and I promise your wife still loves you and is greatful of everything you do,as if roles were reversed I'm sure she would do exactly what you are for her 😊

Well said.

Right this is a subject very close to my heart my grandmother had altzhimers spelt wrong i know for 8 years i was 15 when she died 11 years Feb she's been gone i used to see her every day especially when she was in the home spent all of Christmas day with her once id go up at least three times every day to make sure she was ok i might as well have moved in with her she never said she wanted to come home so we never had this problem but i found it hard hearing her beg me not to leave her people have said my mom was wrong to allow me to help with nan at a young age but if i could id do it all again just to see her for another minutes Treasure every second even when they are being difficult because one day memories are all you will have

Good on you Reece for helping your mum with your nan, no your mother wasn’t wrong for letting you help with your nan. My 2 boys help me with my mother-in-law from time to time who has vascular dementia. It is hard on everyone whatever their age.

Beautiful. Thank you for sharing and for your graciousness with your grandmother. You are a jewel.

you got that spot on mate

A nurse I knew told a story of an Alzheimer patient who wanted to go home. One day the staff gave her a "bus ticket" they designed for "tomorrow. "
She held onto that ticket for awhile and stopped asking to go home. It gave her some hope, I think. Which is not a bad thing.

When I ask my mum where home is she says back to normal. She means before her and dad became ill. Dad has Alzheimers and vascular Dementia but mum still being assessed although she has got worse in last few months. Sad and cruel illness and I find it so hard to see and feel so helpless. Wish I could help them more

Does anyone truly understand about Alzheimer's, each person is individual, each family struggles to come to terms with the loss of a parent or family member to this . Everyone hurts, its torment, we try or have tried to live and support, but in the end we all loose. Its easier to remember them before they became I'll.

I think the carers in the homes should do more training in these matters x I’m not saying all care homes are the same but I felt dimencia patients were ignored it was a waste of time talking to them . I wish we could have kept our mum at home we saw her every day but I feel we let her down badley 😓

I think that is highly disrespectful. Most places have 8-10 patients per care aid. We don't ignore them but have to spread our time as equally as possible. Remember that at home you were one on one with your family member. We do not have that luxury. Most are incontinent, need feeding,etc and I only have 2 hands. If you feel we are doing such a bad job please take them home where they can get all your attention 24/7 that they deserve.

I agree Tracy, some of the homes each carer look after 12 or 14 rest home level care residents and some dementia unit have 8 or 9 residents and its kinda busy all time, homes need safe staffing

I agree with you as my hubby is now in a home with about 8 - 10 patients & there is only a carer & a nurse & he is alone most of the time even after falling over & hurting himself. The staff are very good but can't control 10 people at the one time as well as changing them feeding them & doing everything else they have to do... they are so busy to concentrate on one person. The homes & the government need to look into full dementia training & putting on more staff..... all they want is the money but there is no service & the staff that are there work bloody hard ..It is a lovely home but a lovely home doesn't give the service or help with so many patients & no STAFF..

My sentiments exactly Sally. I see my mum everyday and can not come to terms with the fact that I could no longer care for her by myself. I don’t think I’ll ever agree with my sister, brother and son that “it was the right thing to do.” My mother deserves better. 😪

my mum had a fall in December she had vascular dementia as well the last month she has been in a care home and had 3 falls I had a call today saying mum isn't eating or drinking, she also has a water infection. I haven't seen mum since they transferred her from hospital to a home now we can't sit with her she is 97

When my mum says this, I say you are home. This is your home now and try and change the subject. This is such a difficult and horrible situation for anyone to be in and is so very sad. X

My dad thought he was waiting for mum to come out of hospital and was happy with that. Worst thing I ever heard was his wailing when the home staff insisted I told him she had died

They shouldn't have done that. My Mam is always trying to get to her mother to look after her & prepare her dinner, as she did years ago. The staff reassure her her Mam is ok and someone is there with her. The pain in her face when she realises on her own that her Mam & my Dad are no longer with us is bad enough, without telling her over & over again. Such a cruel disease.

The staff should have known better than to tell you to do this. My Mother always said that "her husband" was walking around the hallway or coming back soon. I never told her any different. You should never cause heartache even if they won't remember it later.