F.O.U.R. Tips for a Dementia-Friendly Fourth of July!
- Katelyn Jordan
- Jul 1
- 2 min read
Updated: Jul 15
While fireworks and celebrations are traditional parts of July 4th, they can pose specific challenges for families caring for someone with Alzheimer’s disease or other forms of dementia. As Independence Day nears, the Alzheimer’s Foundation of America (AFA) encourages families to use the F.O.U.R. steps to help make the holiday more dementia-friendly.

F – Forgo the Fireworks Traditional fireworks displays and loud explosions can be overwhelming or frightening for someone living with dementia. This is especially true for veterans, as the noise may trigger memories of combat and be misinterpreted as gunfire or explosions. To minimize distress, consider keeping your loved one indoors during peak fireworks times. You can adapt the tradition by watching a fireworks show on TV, while being mindful of their comfort level, or using alternatives like glow sticks and festive lighting for a quieter celebration.
O – Organize and Be Prepared Even indoors, the sound of nearby fireworks can cause agitation or fear. Prepare your loved one by gently letting them know in advance that loud noises might occur, and repeat this reassurance as needed. Identify a quiet, more insulated area of the home where they can relax. White noise machines, air conditioners, or soft background music can help reduce anxiety. Familiar comforts, like a favorite blanket, clothing item, or cherished object, can provide added security. If your loved one lives with you, check on them throughout the night. If they live alone, arrange for a trusted friend, family member, or professional caregiver to stay with them.
U – Understated Gatherings Work Best Large, noisy crowds can be overwhelming for someone with dementia. If hosting a get-together, keep it small and limited to close friends or family. Name tags can help reduce confusion. To avoid the challenges of sundowning, consider celebrating earlier in the day—lunchtime gatherings are often best. Maintain your loved one’s routine as closely as possible, including regular meal, nap, and bedtimes. Incorporate calming, familiar activities throughout the day.
R – Revise the Way You Celebrate Independence Day can still be meaningful and enjoyable, even without fireworks or large crowds. Try dementia-friendly activities like making patriotic crafts, listening to or singing familiar patriotic songs, baking red, white, and blue treats, or flipping through family photo albums featuring past July 4th celebrations. These activities encourage connection, creativity, and cognitive engagement, benefiting both caregivers and their loved ones.
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