Two Words That Can Help People with Dementia This Bonfire Night

As Bonfire Night approaches, the loud noises and bright lights of fireworks can be particularly distressing for people living with dementia. Dr Tim Mercer, NHS GP Partner and GP Trainer, offers valuable insights and practical guidance to help families and care professionals support their loved ones during this challenging time.

Dr Mercer explains, “Bonfire Night can be unsettling for older adults with dementia. The unpredictable bursts of noise, bright flashes, and disruption to routine often trigger confusion, anxiety, or agitation. Some may find the sensory overload overwhelming, while others might respond with distress linked to past memories or experiences.”

He emphasizes the importance of creating a calm and reassuring environment within the home, as even familiar surroundings can become sources of distress when fireworks are near. “Fireworks aren’t for everyone. If loud noises or bright flashes cause discomfort, focus on quiet, comforting activities at home instead. If attending a display, choose professionally run, low-noise events that comply with safety regulations and allow easy exits.”

Dr Mercer also highlights practical considerations such as ensuring your loved one wears warm clothing to stay comfortable in cold weather and using soft earplugs or ear defenders to reduce sensory overload. He reminds caregivers that fireworks-related events are not limited to Bonfire Night but also occur around New Year and Christmas, so preparing in advance for future occasions is key to maintaining calm and inclusion.

Here are Dr Mercer’s six essential tips to make Bonfire Night safer and more comfortable for those living with dementia:

Prepare Gently in Advance
Inform your loved one a few days ahead using simple, reassuring language like, “On Wednesday, there will be fireworks outside, and we’ll watch them safely together.” This helps reduce surprise and emotional distress. Speaking with neighbours about their plans can help you anticipate and manage nearby fireworks.
Create a “Safe Haven” Indoors
Designate a quiet, comfortable room as a refuge during fireworks. Close windows and curtains early, use soft lighting, and play calming ambient sounds such as gentle rain or soft instrumental music to buffer visual and auditory stimuli.
Use Gentle Sound Masking
Introduce consistent background noise like white noise or a fan before fireworks begin to help your loved one’s brain filter out sudden loud bangs, promoting calmness.
Position for Comfort and Security
Ensure your loved one’s resting place, such as an adjustable bed or chair, supports comfort and stability. Slightly elevate their head to aid breathing, add cushions or side supports to ease restlessness, and keep warm blankets nearby.
Offer Quiet, Meaningful Alternatives
If outside events are overwhelming, create calm celebratory moments at home. Watching firework displays on TV at a low volume, using LED sparklers, or enjoying familiar snacks and conversation can foster positive, stress-free enjoyment.
Monitor and Reassure
Regularly check for subtle signs of distress like pacing, agitation, or confusion. When needed, guide your loved one to the calm room and provide soothing reassurance through gentle language and comforting touch moments.

With thoughtful preparation and attention to comfort, families and caregivers can help people living with dementia experience Bonfire Night in a calm, safe, and meaningful way.