04/25/2026
One of the first comments I get when a Caregiver reaches out is
“They’re resisting care.”
As frustrating and confusing as this may be for Caregivers- it may help to understand you're person is not resisting care… they’re remembering how it felt- and in dementia and cognitive change, a single negative care experience can leave a lasting impact.
Not because the person is being difficult, and not necessarily because they don't understand- but because the brain remembers feeling before it remembers facts.
A rushed bath.
A cold room.
Too many instructions.
Feeling exposed, confused, or overwhelmed…..
Even if they can’t explain it after the fact…their body remembers: “That didn’t feel safe.”
and this is where we witness the result of that feeling the next time care is offered.
Caregivers may see:
• “No”
• Pulling away
• Agitation/Aggression
• Shutdown
-all labeled as resistance.
But here's the thing: that's not resistance…..that's protection.
That's the brain doing exactly what it’s designed to do—avoid what feels unsafe.
As a result, this is where care often goes wrong:
We try to push through.
We explain more.
We expect cooperation….
without realizing a dysregulated brain cannot:
• process instructions
• follow direction
• respond in expected ways
This is why Restorative Engagement (RE) matters.
RE doesn’t start with the task….it starts with safety in order to:
• Slow the process down
• Reduce overwhelm
• Lead with connection
• Use what still feels familiar to a person
Because when the brain feels safe again…care becomes possible.
With dementia and cognitive change, we don’t have a behaviour problem, we have a regulation and safety problem….and when we understand that…
Everything about care changes.
From The Heart Supportive Care 💜
“Where regulation restores safety, and care becomes possible.”
Connect with us today
www.fthconnect.ca
Fthconnect@outlook.com
613-532-0316