Dementia doesn’t just affect memory - it often impacts how a person speaks, listens, and understands. As the condition progresses, once-simple conversations can become confusing, frustrating, or even distressing for both the person with dementia and their loved ones.
But connection is still possible. And meaningful communication - whether through words, gestures, images, or sounds - remains essential for emotional wellbeing, safety, and daily functioning.
Today’s communication tools are more intuitive and accessible than ever. From apps to low-tech strategies, these tools help people with dementia express themselves, maintain relationships, and feel heard - even when words are hard to find.
Below we round-up the best communication tools for dementia and cognitive impairment 👇
Why Communication Changes in Dementia
As dementia affects the brain - particularly areas involved in language - people may:
- Struggle to find the right words
- Repeat phrases or questions
- Lose their train of thought
- Have trouble understanding others
- Misinterpret tone or body language
These challenges often vary day to day. Tools and strategies that reduce pressure, offer cues, and support expression can make conversations smoother and more reassuring.
👉 Alzheimer's Society UK explains how dementia affects communication
1. Visual Communication Tools
Pictures, symbols, and visual prompts can support understanding and help people express choices, needs, or feelings.
Examples:
- Picture-based communication boards or books
- Cue cards for common phrases like “I’m hungry” or “I need help”
- Memory albums with labeled photos of people, places, and events
- Whiteboards for writing reminders or key messages in plain view
These tools are especially helpful for people in mid to later stages of dementia, where spoken communication may become limited.
👉 See Dementia UK's guidance on visual and environmental cues
👉 Explore Widgit’s picture communication symbols
2. Apps for Communication and Connection
Digital tools offer flexible, user-friendly ways to support daily communication. Some are specifically designed for dementia, while others can be adapted.
Useful apps:
- Text-to-speech apps (e.g., Proloquo4Text, Speak4Me)
- Visual schedule apps with icons and reminders
- Simplified messaging apps with one-tap video calling
- Photo sharing tools to spark memory and conversation
👉 AARP’s roundup of top caregiver-friendly apps
The Elli Cares app adds another layer - letting caregivers record video or voice reminders in their own words and tone, which can feel more familiar and comforting than written notes.
👉 Learn more at www.elliapp.co
3. Simplified Communication Aids
Sometimes, it’s not what we say but how we say it that makes the difference. Tools and strategies that simplify communication can reduce stress and make conversations more successful.
A few approaches:
- Use clear, short sentences
- Speak slowly and gently
- Maintain eye contact and relaxed body language
- Ask yes/no or multiple-choice questions rather than open-ended ones
- Avoid correcting or contradicting unless safety is at risk
👉 Dementia Australia offers helpful communication tips
👉 See NHS advice on talking with someone with dementia
4. Hearing Support and Amplification
Many people with dementia also experience hearing loss, which worsens communication difficulties. Untreated hearing loss can cause withdrawal, confusion, and frustration.
Supportive tools include:
- Personal sound amplifiers
- Wireless hearing devices compatible with phones or TVs
- Closed captioning for video conversations
- Ensuring background noise is minimized during interactions
👉 Learn how hearing loss and dementia are linked via Johns Hopkins
👉 See HLAA's overview of hearing loss and dementia
5. Music as Communication
When words fade, music often remains. Familiar songs can spark memory, soothe agitation, and strengthen emotional connection - even in people with advanced dementia.
You can create:
- Personalized playlists (Spotify or Apple Music work well)
- Shared music sessions with loved ones
- Use of voice-activated devices (like Alexa) to play requests
👉 Discover the power of music in dementia care from Music for Dementia
👉 Explore Alzheimer’s Foundation of America’s music therapy resources
Where Technology Meets Compassion
While no tool can replace human connection, the right communication aids can help bridge the gap between confusion and understanding.
Apps like Elli Cares integrate video reminders, safe zone alerts, and care team messaging - making it easier for caregivers and families to stay connected, supported, and responsive.
These features aren’t about replacing people. They’re about amplifying care and connection in ways that work for those living with dementia.
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