Communicating with a person who has Alzheimer's or another dementia


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Communicating with a person who has Alzheimer's or another dementia


Communicating with a person who has Alzheimer's disease or another dementia can be very challenging. Changing your approach to the way you communicate may be helpful.

  • First, make sure the person does not have a hearing or vision problem. Sometimes a person may not respond to you because he or she cannot hear you. Not being able to see well may make the person more confused, agitated, or withdrawn. If you suspect a problem, have a health professional evaluate the person's hearing and vision.
  • Don't argue. Offer reassurance and try to distract the person or focus his or her attention on something else.
  • Use short, simple, familiar words and sentences. Present only one idea at a time, and avoid talking about abstract concepts.
  • Explain your actions. Break tasks and instructions into clear, simple steps, offered one step at a time.
  • Pay attention to your tone of voice. Be calm and supportive. A person with dementia is still aware of emotions and may become upset upon sensing anger or irritation in your voice.
  • Maintain eye contact and use touch to reassure and show that you are listening. Touch may be better understood than words. Holding the person's hand or putting an arm around his or her shoulder may get through when nothing else can.
  • Pay attention to the person's tone of voice and gestures for clues as to what the person is feeling. Sometimes the emotion is more important than what is said.
  • Do not confront the person about his or her denial of the disease. Arguments will not help either of you.
  • Continue to treat the person with dignity and respect.
  • Allow choices in daily activities. Let the person select his or her clothing, activities, and foods. However, too many choices can be overwhelming. Offer a choice of 2 to 3 options, not the whole range of possibilities.

Credits


Author Sabra L. Katz-Wise
Author Ralph Poore
Editor Susan Van Houten, RN, BSN, MBA
Associate Editor Pat Truman
Primary Medical Reviewer Adam Husney, MD

- Family Medicine
Primary Medical Reviewer Kathleen Romito, MD

- Family Medicine
Specialist Medical Reviewer Peter J. Whitehouse, MD

- Neurology
Last Updated November 15, 2006

Healthwise Logo
Last updated: November 15, 2006
Author: Ralph Poore
Reviewed By: Kathleen Romito, MD - Family Medicine, Peter J. Whitehouse, MD - Neurology
Editors: Susan Van Houten, RN, BSN, MBA, Pat Truman

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