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We explain why bathrooms trigger fear for people with dementia and show how simple environmental changes reduce falls and stress. Practical fixes, dignity-first scripts, and safer routines help families turn bath time from a battle into a calm, predictable habit.

• most bathroom falls linked to wet surfaces, balance and poor lighting
• non-slip mats secured inside tub or shower
• grab bars mounted into studs positioned where hands naturally reach
• water heater set to 120°F and water tested every time
• bright, even lighting with night lights for low-light hours
• walk-in shower, transfer bench or sturdy shower chair
• handheld shower head for gentle control and less noise
• cover with towel or cape to protect dignity
• short, calm phrases that cue comfort over commands
• fewer full baths each week with sponge baths on off days
• change time of day, warm the room and play soft music
• caregiver body mechanics and keeping supplies within reach
• when to call an occupational therapist or home safety specialist
• adjust the environment instead of blaming behavior

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