Communication

Communication is a vital part of everyday living. Communication is not just about talking, there are lots of different ways to communicate. In addition to the traditional methods of writing, sign language, pictures and symbols, we use body language, gestures, facial expressions and touch in our everyday communications. This is very important to anyone who is losing their language skills, such as someone who has Dementia.

Communication can become difficult when someone has any form of condition that interferes with their language skills. Dementia affects the person's ability to make their thoughts and feelings known, as well as their ability to understand you. For this reason, adapting your communication skills to the communication needs of the person with Dementia will lead to a more effective interaction.

Considerations for People with Dementia

When you are communicating with someone who has Dementia your facial expressions, body language and tone of voice become even more important. If a person with Dementia feels threatened or confused by the way you are communicating with them, then they may react in a negative way, and it may increase their feelings of isolation. In addition to the way you communicate, you may also need to consider the environment in which you are communicating.

Usually we look people in the face when we are talking to them. A person with Dementia may have problems with their vision or hearing, so try to make sure you are speaking slowly and clearly, and that they can see your facial expressions. It's a good idea to get into the habit of getting the person's full attention before you start speaking to them, and keep the tone light and friendly.

Do not shout or become angry, whatever the reason. They may not understand why you are angry and think that you are angry with them. Try to keep the conversation flowing, but be prepared to repeat yourself on a regular basis as the person's short-term memory will more than likely be affected by their Dementia.

Effective Communication

To communicate effectively you should always use direct and simple statements. Use words that the person can understand, and try not to give more than one instruction at a time. Don't press for answers if the person you are talking to seems worried or confused, and use closed questions if you are looking for a direct answer (yes or no). If you are looking to get the person talking about a certain subject, use open questions such as 'tell me about', 'what do you think', 'what do you like'.

If you don't understand something that the person has said, ask them to repeat it. They may be trying to tell you something that they have difficulty in explaining. By showing understanding and patience you will reassure them that they have your full attention. It is not necessary to continually correct wrong information. If you have difficulty with communicating in a specific situation, try giving them visual clues, or write things down to see of this helps. Minimise any distracting noise and try to persevere if the conversation is not going the way you intended it to. Often it may be better to change the subject, and return to the original topic of conversation after a short while, or at a later date.

Summary

When people with Dementia lose their language skills they can become frustrated. Positive communication can help a person with Dementia maintain their dignity and self esteem. Providing a caring attitude, using the correct body language and setting the right environment are all important aspects of communication. Be flexible, patient, and allow the person time to respond as best they can.