Communication & dementia (1)

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Communication & dementia (1)

  1. 1. Communication & Dementia Claire M. Henry, M.Ed.,CDP
  2. 2. Communication & Dementia
  3. 3. Early Stage (aware) Able to maintain conversations Frequent requests for clarification May have difficulty understanding humor, analogies, sarcasm, abstract expressions  May fail to initiate conversation  Drifts from topic; vague  Word fluency and word finding compromised.   
  4. 4. Middle Stage (Less Aware)        Poor topic maintenance Know when to talk Responds to questions Frequently repeats ideas Talks about past events Diminished vocabulary Some difficulty with comprehension
  5. 5. Late Stages (Unaware)      Difficulty maintaining eye contact Output may be meaningless or bizarre Fewer words Few related ideas Mutism in final stage
  6. 6. Guidelines for Communication  For many with cognitive impairment their word finding ability has deteriorated to such an extent that their ability to find words becomes extremely frustrating as the disease progresses, caregivers need to become increasing sensitive to the communication needs of the dementia individual.
  7. 7. Guidelines for Communication  Nonverbal communication impacts how the caregiver is going to communicate to the person with dementia who begins to have difficulty processing language, i.e. body language, voice tone and facial expression. Understanding, communication approaches with the dementia person, with clear communication.
  8. 8. Guidelines for communication  1. Ask one question at a time  2. Allow enough time for a response  3. Assume the resident is able to respond.  4. Avoid disagreement: never argue with a dementia resident.  Avoid trite phrases
  9. 9. Guidelines for Communication  6. Apologize if you upset the resident  7. Use residents preferred name at all times  8. Include the resident’s in your conversations  9. Speak to residents like adults  10 Use encouragement, reassurance and praise.
  10. 10. Guidelines for Communication  6. Apologize if you upset the resident  7. Use residents preferred name at all times  8. Include the resident’s in your conversations  9. Speak to residents like adults  10 Use encouragement, reassurance and praise.

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