Abstract <p>Older adults are frequent consumers of health care services. However, reports have indicated that breakdowns in communication during provider–patient interactions may contribute to poor health outcomes in this population. The purpose of this study is to identify the pragmatic characteristics of elderly people with dementia (WED) and analyze the existing pragmatic approaches that have been used by caregivers in their daily interactions with them. A total of 40 informants, who care for elderly people with dementia, participated in semi-structured, in-depth interviews. The study used Atlas.ti software to analyze qualitative data. The results indicated that 39 nodes of references and data sources (transcripts) are pertinent within the hierarchy. All four informant groups referenced the difficulties both directly and indirectly. The research identified four primary factors: (1) the interactive behavior of elderly dementia patients during moments of happiness or excitement, (2) the challenges associated with understanding interactions involving these patients, caregivers, or others, (3) the responses of elderly dementia patients when prompted, and (4) the ways in which these factors facilitate communication. The study indicates that WED caregivers utilize emotions, touch, and patient names. The psychological technique is said to either calm or excite the WED prior to involvement. This multimodal approach improves patient care and caregiver relationships. Caregivers can enhance therapy engagement by addressing WED needs and responses. Ensuring continuity of care and enhancing caregiver-dementia relationships necessitates a comprehension of WED relationships along with the suggested intervention and support domains. Conversely, it may impede communication and the development of relationships.</p>