Jun 15, 2013

Communication

Communicating with anyone with dementia can be challenging.  Lewy Bodies Dementia presents its own difficulties, as the person may appear to understand more than he/she actually does -- because of their fairly-intact verbal skills.  Here are some tips from Mayo Clinic in communicating with someone with dementia.  For Lewy Bodies Dementia, I think keeping it simple and don't argue are the two most important suggestions. 

  •  Speak clearly. Introduce yourself. Speak in a clear, straightforward manner.
  • Show respect. Avoid secondary baby talk and diminutive phrases, such as "good girl." Don't assume that your loved one can't understand you, and don't talk about your loved one as if he or she weren't there.
  • Stay present. Maintain eye contact, and stay near your loved one so that he or she will know that you're listening and trying to understand.
  • Avoid distractions. Communication may be difficult — if not impossible — against a background of competing sights and sounds.
  • Keep it simple. Use short sentences and plain words. As the disease progresses, yes-no questions may work best, and only one question at a time is best. Break down requests into single steps.
  • Don't interrupt. It may take longer than you expect for your loved one to process and respond. Avoid criticizing, hurrying and correcting.
  • Use visual cues. Sometimes gestures or other visual cues promote better understanding than words alone. Rather than simply asking if your loved one needs to use the toilet, for example, take him or her to the toilet and point to it.
  • Don't argue. Your loved one's reasoning and judgment will decline over time. To spare anger and agitation, don't argue with your loved one.
  • Stay calm. Even when you're frustrated, keep your voice gentle. Your nonverbal cues, including the tone of your voice, can send a clearer message than what you actually say.

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