Honoring the Power of Presence in Dementia Care

Rebecca Friedman, MPH

Caring for individuals living with Alzheimer’s disease and other forms of dementia requires more than clinical knowledge. It calls for patience, empathy, and genuine human connection. The most meaningful moments often come not from what is said, but from simply being present. The most meaningful moments often come not from what is said, but from simply being present. This post highlights the heartfelt work of Midwest Care Manager Rebecca Friedman, whose compassion and steady presence bring comfort and connection to the individuals she serves.

Rebecca’s path into dementia care began while she was completing her Master’s in Public Health. She knew she wanted to work in a field where she could improve quality of life, but it wasn’t until her first role supporting older adults during the COVID pandemic that her purpose came into focus. During a time of isolation and uncertainty, she witnessed how profoundly loneliness and disconnection affected seniors, especially those living with cognitive decline.

“I saw how some seniors were living,” Rebecca reflected. “Whether in the community or in senior living settings, many needed more than just medical support—they needed connection.”

One client, Georgia, left a lasting impression. Georgia lives with severe dementia and is nonverbal. She cannot express herself with words, but when Rebecca enters the room, something unmistakable happens. Georgia’s face brightens. She reaches out and takes Rebecca’s hand, holding it throughout the visit.

“I didn’t know that one simple touch of a hand could make someone’s life that much better,” Rebecca shared. “For someone with dementia, sometimes that is all they need.”

Moments like these highlight an important truth about dementia care: connection does not require conversation. Presence, familiarity, and gentle human interaction often communicate far more than words ever could.

Since joining Midwest Care Management, Rebecca has continued to deepen her understanding of care management and guardianship. She sees daily how dementia affects every aspect of a person’s life—health, safety, nutrition, emotional well-being, and dignity. Effective support requires vigilance, coordination, and advocacy, but it also requires empathy.

Rebecca emphasizes the importance of making sure clients receive the right medications, consistent nutrition, and meaningful engagement. Equally important, she says, is advocating when something doesn’t feel right or when a client’s needs aren’t being fully recognized or addressed.

“With seniors with dementia, we amplify their voice,” she said. “We must make sure they get the care they need to have the best possible quality of life.”

For individuals living with Alzheimer’s or other dementias, losing the ability to communicate does not mean losing the need to be heard. Care managers like Rebecca step into that space by observing, advocating, and ensuring that each person’s dignity remains at the center of every decision.

Rebecca’s work reminds us that dementia care isn’t only about managing symptoms or coordinating services. It’s about meeting people where they are, honoring their humanity, and recognizing that even the smallest moments, like a smile, a familiar face, a held hand, can carry profound meaning.

Her empathy, dedication, and ability to form genuine connections exemplify the heart of Alzheimer’s and dementia care. This is the kind of presence that truly makes a difference.

If you or someone you care about is living with Alzheimer’s or another form of dementia, you don’t have to navigate it alone. Thoughtful planning, compassionate support, and knowledgeable advocacy can make a meaningful difference. If you have questions or would like to learn more about how care management can support quality of life, our team is here to help.