Helping Someone with Dementia Use Their Walker or Cane

Why It’s Important

Mobility aids like walkers and canes help reduce falls, support balance, and promote independence. People with dementia often resist using them — not because they can’t, but because of how they feel, think, or interpret what the aid means.

Strategies to Encourage Use

1. Simply Ask

• Ask directly what is in the way of using the walker or cane.
• Don’t assume the reason — it may be fear, discomfort, or confusion.
• Sometimes the reason can be something you didn't think of, like for example the height is not adjusted optimally, and it hurts them to use it

2. Respect Their Feelings and Dignity

• Acknowledge emotions: “I know this feels frustrating or embarrassing.”
• Avoid nagging or arguing; use calm, reassuring language.
• Ask gently what would make it easier for them to use the aid.

3. Involve Them in the Process

• Let them help choose the walker or cane so they feel ownership.
• Personalize it — add favorite colors, decorations, or name tags to make it familiar.
• Adding a basket/pouch/tray/holder to a walker may increase convenience and provide justification and incentive for use.

4. Make It Routine

• Keep the walker or cane within easy reach (near the bed, chair, or bathroom).
• Incorporate its use into everyday activities — e.g., “Let’s walk to the kitchen with your walker.”
• Offer frequent, gentle reminders instead of one long instruction.

5. Praise and Gentle Encouragement

• Celebrate small successes: “Great job using your cane to take those steps!”
• Positive feedback encourages repetition and builds confidence.

6. Reduce Barriers

• Ensure the device fits properly — uncomfortable devices discourage use.
• Cane handle should reach wrist level with arms at sides.
• Walker handles should allow elbows to bend slightly.
• Clear clutter and create wide, safe paths.
• Improve lighting so steps and objects are easier to see.

7. Model the Behavior

• Seeing someone else use a cane or walker may encourage use. Walk with them or show how it helps. (This will also help you test the condition and adjustment of the device.)

8. Use a Doctor’s Recommendation

• Posting a doctor’s order for walker/cane use (e.g., on the fridge) can reduce resistance, as people may respond to written recommendations as authoritative.

Tips for Safety and Comfort

Encourage both hands on the walker and remind them where to place hands.

Avoid using walkers on stairs; consider handrails or alternate options.

Conduct home safety checks: remove rugs that trip, ensure stable furniture, and keep commonly used items within reach.

Check the cane or walker itself: make sure it is in good condition, adjusted properly and comfortable to use

When Resistance Persists

Some people may continue to resist even with support. Patience, routine, and reassurance are key. If resistance leads to repeated falls or unsafe mobility, consult a care team or physical/occupational therapist for tailored strategies.

Remember

People with dementia don’t resist help on purpose — they may simply not understand or remember why the aid matters. Support, encouragement, and a safe environment make a big difference.

Helpful Resources

Alzheimer’s Association: alz.org/help-support

Family Caregiver Alliance: caregiver.org

Cleveland Clinic: helpdementia.com

Compassion Crossing: compassioncrossing.info

All Seniors: allseniors.org