Even when Alzheimer's is at an advanced stage you can get through to the patient using these simple communication techniques.
Alzheimer's Reading Room
I had an ah ha moment reading this Parade Magazine article (which I edited for length).
Three brilliant ideas - memory flashcards to remind loved ones of relationships; and, notes to loved ones to ease anxiety, and positive suggestions to slow down repetitive questions.
More Tips - Alzheimer's Caregiver Tips
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Eighty-year-old Mary studied her only daughter's face intently. "You're not my Susan," she said.
Susan cried as she recounted the incident to Michelle S. Bourgeois, a speech-pathology professor at Ohio State University who is an expert at communicating with people who have dementia.
1. Create Memory Flash Cards
- Bourgeois suggested that Susan create memory flashcards. "Your mother will never forget you," Bourgeois told her. "She just needs help remembering."
Under one she'd written, "This is my daughter Susan at age three"; under the other was "This is my daughter Susan now." Mary studied the photos, then looked at Susan and said, "As beautiful as ever."
Learn More - What to do when dementia patient gets agitated
Bourgeois is part of a group of scientists whose work marks a sea change in how caregivers deal with people who have dementia, focusing on what they can do rather than on what they've lost. "People tend to treat these patients as if they're not the persons they were, but they're still here."
Typically, long-term memory and certain kinds of skills like reading (which is over learned so it is automatic) are less afflicted than other cognitive skills.
"Even when dementia is so advanced that people cannot speak, they can read if the words are large enough," Bourgeois explains. "We know because they smile, make pleasant sounds, and stroke photos of loved ones with captions."
In contrast, she says, "Spoken words literally go through one ear and out the other. Patients understand, but they can't store the memory. That's why they ask the same question again and again."
Related Article - How the Loss of Memory Works in Alzheimer’s Disease, and How Understanding This Could Help You
2. Write it Down on a Notepad
A woman at one of Bourgeois' lectures reported that her father would repeatedly ask, "Where are we going?" during their weekly drives to the doctor.
- Bourgeois advised her to answer his question -- and also write it down on a notepad and give it to him.
When the woman tried this out, she said that her dad looked at the notepad, out the window, and back at the notepad. After that, he stopped asking, "Where are we going?"
3. Make a Card with a Positive Suggestion
Similar techniques have been used to deal with anger and anxiety in people with dementia.
- When a patient refused to shower, Bourgeois told her nursing aide to make a card that read, "Showers make me feel fresh and clean" and give it to her after saying it was time to shower.
Related Article - 5 Tips, How to get an Alzheimer's Patient to Shower
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Care of Dementia Patients
Carole Larkin MA,CMC,CAEd,QDCS,EICS,
is a Geriatric Care Manager who specializes in helping families with Alzheimer’s and related dementias issues. She also trains caregivers in home care companies, assisted livings, memory care communities, and nursing homes in dementia specific techniques for best care of dementia sufferers. ThirdAge Services LLC, is located in Dallas, TX.
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