Communication for the Family of a Person With Alzheimer’s Disease

 

Affects the brain

A)    Difficult to learn things

B)    They only have present moment – this minute.

C)    We need to change as caregivers

 

Take care of feelings

A)     Today do ½ bath, do rest tomorrow if they are tired

B)     I want them to have a good time

C)    How they feel right now is important

 

They can’t reason & come to conclusion

A)    If told they have Alzheimer’s, that won’t make them more cooperative

B)    They can’t hear question, hang on to it & apply to do today.

(Taking medication was example given)

 

Communication problems with visits

A)  “You never come to see me.”   It makes you feel bad.

B)    Do something enjoyable.  Don’t become upset or angry over what they say.

 

Language Dis-fluent – Can’t find right word.

A)    Language is vague – not specific.  “I do same old thing” if asked what they did

B)    Difficult to express self in detail.

C)    Ask for salt instead of sugar.  Just hand them the sugar.  Don’t try to teach how to talk.

D)    Be respectful, kind instead of arguing.

 

Ask Same Question over and over

A)    May become louder or more persistent

B)    Soothe the person and give the same answer.

 

May be aggressive

A)    At bath time if you rush, speak harshly, or force it.

B)    It may be a way of communicating to you when they hit, kick, or bite you.

C)    Just stop.  Try again later.

 

Don’t do well with verbal direction

A)  “Time for bath.  Let’s go.”   Instead communicate by not talking about the bath. 

B)  Gesture, or use body language.

C)  Get eye contact

D)    Don’t say “why, where”  - Use non verbal

 

Use distraction to get chore done.

A)    Sing when relaxed & do body language as not paying attention to chore she doesn’t like (bath).

 

They understand tone of language and body posture

A)    Soften both your tone of voice and body language

B)    They understand context – not words

C)    Use variety of cues – pull up chair & sit down as a cue

D)    Maximize odds they catch your meaning.

 

Don’t use negative words such as “Don’t or Can’t”

A)    Use “I” messages.

B)    Lead with ”I’d like a snack before getting to bed.” Or “I’m getting sleepy.” Instead of “go to bed.”

C)    Sing songs.

 

Don’t talk down to them.  It doesn’t help.

A)    Talk adult to adult so not insulting.

B)    Use visual and social cues.

C)    Have drinks ready and at the table.

D)    Say, “Please sit down.”

 

When asked questions

Example: “Where is mom?”  (She has been dead a long time)

A)    Just say, “She’s not here.”  Tell me about her

Example:  “Where are my babies?” (This happens at meal times.)

A)    Just say, “They are sleeping.”

It is not affective to bring back to present day reality.

 

How often should I visit?  They don’t understand or recognize me.

A)    Visit because it is important to you.

B)    They may catch some things.

C)    Were you able to enjoy the moment?

 

Doesn’t recognize family member any more (wife sitting beside him)

A)    Person with Alzheimer could talk and tell all about wife, just didn’t recognize her sitting beside him.

B)    They can share those precious memories.

C)    It is worthwhile to share.




Alzheimer's Association References


Communications in the Three Stages of Dementia Page 1
Communications in the Three Stages of Dementia Page 2
Communications in the Three Stages of Dementia Page 3