Talk2See
EN日本語

Talk2See / Guides

How to explain today's plan to someone with dementia

Say one thing at a time, show it while you say it, and leave the picture where they can see it. When the question comes again, point to the picture instead of explaining again.

Updated November 7, 2026 · 5 minute read

A caregiver smiling with an older woman, holding her hands
Photo by Age Cymru on Unsplash

Today

  1. Doctor10:00
  2. Lunch
  3. Ken3:00
One picture and one or two words per step. Point to it when the question comes again.

Why the plan keeps slipping away

A sentence like "At ten we go to the doctor, then lunch, and Ken comes at three" asks someone to hold four things at once. With dementia, that is often too much. By the time you reach "Ken," "doctor" has gone, and you hear "Where are we going?" again.

Care organizations give the same advice: short sentences, one step at a time, and something to look at. The Alzheimer's Association suggests writing notes when spoken words get confusing and using gestures or pointing. The Family Caregiver Alliance suggests breaking tasks into steps and showing choices instead of listing them.

Six steps that help

  1. Pick the three or four things that matter today. Leave out details. "Doctor, lunch, Ken" is enough.
  2. One step, one picture, one or two words. A picture of a doctor and the word "Doctor" says more than a full sentence.
  3. Add a time only when it matters. "10:00" under the doctor. "After lunch" or "before bed" works too.
  4. Put it where they will look. On the table, the fridge, or by the front door, at eye level.
  5. When they ask again, point. "Look, here. Doctor, then lunch." Pointing is calmer for both of you than a fourth explanation.
  6. Show what is done, and what changed. Cross out the doctor when you're back. If something is cancelled, cross it out instead of only saying so.

Try it with this plan: "Doctor at 10, then lunch at home, Ken comes at 3."

Make this picture schedule

Free, no sign-up. Print it or keep it on your phone.

What to say while you show it

When pictures don't help

Pictures are not right for everyone. Family caregivers have told us about loved ones whose eyesight is poor, who see images as distorted, or who are confused by photos of people they don't know. Some read large words more easily than pictures.

If that sounds familiar, try large written words instead: one or two words per step, in big letters. Our picture schedule maker has a "Big words" switch for this. Avoid photos of strangers; use simple drawings or photos of people they know.

When to ask for more help

These are everyday communication tips. If communication changes suddenly, or worry and distress are growing, talk with their doctor or care team.

Sources