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My mom (94, with dementia), moved to a new memory care facility two months ago. It's a cozy, nice facility with just 14 residents. All meals are served at a communal dining table.
Mom has said that "no one talks at all" during meals. I've secretly observed this for myself. All I heard is the sound of silver wear clinking. Mom is very social; she said that she tries to start conversations but hasn't had much luck.
I'd like to approach the facility management to see if they would be willing to engage their staff to initiate some conversation-starters during meals. I don't know what to suggest though. Any ideas?
Thank you in advance!

Hi I’ve never posted a response here only questions. I’m sorry you were going through this. I know that music can really help individuals who suffer from memory loss. I’m wondering if they play music at all during meal time? A local facility here actually looks for volunteers and I am considering doing this as a musician, that play music to residence and then get them to talk about that particular song if it prompts a response wondering if having someone possibly sit at the meals and play the music or just play the music and have someone start talking about the songs from their era or a particular song might be helpful? Good luck to you.
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Reply to Buffalogal
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Not much to discuss being in a facility 24/7 with limited access to the outside world.

Not memory care, at said facility, the "conversation" was the lady going to AL soon, the male resident complaining about being fed too early, one male resident playing an oldie song over and over again (quite loud), one male resident yelling "Where's the food?" . This happened at almost every meal Lol
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Reply to cover9339
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I can’t imagine anything worse than having a dying brain and feeling pressure to have a conversation while I’m trying to remember how to feed myself.

besides, some of us enjoy silence and quiet time.
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Reply to Bulldog54321
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Your mom is perhaps too too social for this small of a facilty. If you really like this place - so not inclined to move her - Is there an activities person at the MC? If so, I’d suggest that you speak with them to see if mom is aware of when activities happen and be the helper of the activities person. This gives mom a way to socialize and speak with others and find a buddy or 2, since she’s new at this place. My guess is that out of 14, there probably are 3-5 that could be interestingly verbal. Like could talk about & understand a topic.

what does this place do for staff meals and snacks? My mom’s 2nd & eons better NH actually had the staff sit at tables with residents for lunch and dinner. They didn’t eat; it was more they had a drink and a snack. & was on the clock. Not breakfast as too busy with meds, laundry etc in the morning. They helped lead off conversations or redirect if things got weird. Or helped with feeding.

Also if mom is still able to be conversational, and seeks it out, I’m with the others that she may not be appropriate for MC. Why was MC chosen?
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Reply to igloo572
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TammyJay Jun 9, 2025
Mom was placed in MC at her previous facility due to a couple of episodes of wandering and hallucinations, and her dementia continues to progress. She was tested/evaluated by her new facility and they also said MC was the right place for her.

I will put more focus toward helping her get involved with the activities. Thank you.
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As others have pointed out, sustaining conversation requires the use of memory, good hearing, and good social skills. If any of those are compromised, not much constructive conversation can happen. I think residents are doing all they can to just get the food in their mouths.

I also agree that maybe your Mom is in MC too soon. Something to discuss with the admins.
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Reply to Geaton777
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My suggestion is to just be glad the residents are not cussing each other out, spitting food across the table, or peeing off in the corner somewhere. If your mom is very social and wants to start a conversation, she can do so herself with whomever she's sitting next to. Although she shouldn't expect "conversation" as much as repeated questions or complaints in general. That's been my experience with meal times at my mother's Memory Care.
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Reply to lealonnie1
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My first thought was "your kidding". Second thought was "maybe Mom is not ready for Memory care".

By the time you get to memory care your Dementia is pretty progressed. With my Mom, she could not carry on a conversation. Her mind just went from one thought to another. She would say something, I would answer and she would give me that look that said "what are you talking about". Because her brain was onto another thought, that had flitted through her mind, having nothing to do with the last thought. So I stopped commenting. Would just let her go. It was funny one time, though. She was on one of these talk marathons, I said nothing, and she says "well I guess no one is listening to me". This is Dementia.

I really doubt that Mom would have coherent conversations with the other people. There is the part of Dementia where AL is not enough but the person is not advanced enough for Memory care. My Moms AL would have kept her as long as she was no problem.
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Reply to JoAnn29
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Another issue with dementia is conversation. Which can be utterly confusing to those affected. Too many voices chiming in. It's quite common when family members bring those with dementia to gatherings, that the commotion can overwhelm those affected. My husband will leave the room when I'm chatting with a friend. It's too much for him. He has Frontal Temporal dementia. He also can't hold a conversation anymore.
Maybe after a meal see if there's a spot where people are chatting and your mom could join in.
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Reply to Ariadnee
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TammyJay Jun 9, 2025
Thank you for this perspective.
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I've been in several different memory care facilities during lunch time and I'm here to tell you that those that did talk to each other honestly made no sense at all, and those that responded to those folks didn't make any sense either. You have to remember that many folks with a broken brain lose the ability to comprehend the spoken word, making conversation very difficult.
So for the most part the dining room was quiet as these folks were concentrating on eating, which is a good thing as folks with dementia can easily choke on their food or even develop aspiration pneumonia from their food going into their lungs and not their stomach.
I'm not sure that this battle is one worth fighting. If your mom wants to socialize more she may have better luck one on one after the meal in the common area of the facility.
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Reply to funkygrandma59
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TammyJay Jun 9, 2025
Very helpful comments, thank you.
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I had a friend tell me this: Be interested and you will be interesting! = ask questions what is your favorite book? singer? band? what was your first job? favorite job? if you could be doing something right now what would it be? if you were at the zoo what animal would you like to see? If you could meet any one dead or alive who would it be and what would you ask them? I am part Italian and Heinz 57 what are you made of? What is your favorite food? My moms best recipe was abc what was your moms best meal?
A game I play in the car when we car pool someplace is "one thing you may not know about me is..."
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Reply to Ohwow323
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To be very honest, when there is a whole lot of conversation at communal meals, especially with varying types of dementia, it isn't always conducive to the elders happiness at meal time, or to truly eating and chewing food.

Swallow deficits are common in elders. Talking and eating don't mix well for them. Many of them do not want to eat with others and are more or less forced to do so in the circumstances. Conversations may go to things that trigger dissent and that would be disasterous for a bunch of strangers forced now to live with one another.

As my brother commented; "we are living like a 60s commune. We often disagree with everything from the amount of light coming in the windows to politics. And basically we don't always have much to say other than discussing our common and individual illnesses and watching the hearses and ambulances come and go". He gave a giggle, but there's truth to it.

Communal chatter in my own humble opinion is best left to the common room where there are usually puzzles, games, perhaps a TV in a section of the room.

This is just my opinion. Certainly there's nothing to prevent your discussing it with admin at the facility.
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