Some clients who are living with memory impairment are not clear about the role that we play as caregivers and are not insightful about their limitations. In these scenarios we try to take the path of least resistance. A therapeutic fiblet is just that—it is therapeutic because it calms, reassures, reduces anxiety, and protects self-esteem. The idea behind the therapeutic fiblet is that it is best not to argue with an individual who has dementia. If they are not receptive to having a caregiver, perhaps they would accept a “personal assistant” or “driver”. If they are distressed over not being able to drive, perhaps their “car is in the shop.” Understanding that a person who has dementia may be experiencing a different reality is key to a successful interaction and relationship. We would never try to convince someone that their reality is wrong as it can cause unnecessary stress and confusion.
Geriatric Care Managers from Your Elder Experts joined the SHS caregiving team to discuss working with clients who have dementia. This was a very informative, interactive, and engaging conversation. Caregivers participated in role plays and had the opportunity to share some of the challenges and victories that they have faced working with clients who are living with dementia. We discussed the use of therapeutic fiblets as a necessary “little white lie” to redirect loved ones or discourage them from detrimental behavior. This is a topic that we discuss at great lengths with our caregivers and it can stir up contrasting feelings. Most of us have been conditioned not to lie and the idea of using the “little white lie” feels wrong, but this can be the kindest way to relate to individuals who may have confusion about their reality due to symptoms associated with dementia.