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  Communication  
     
 

Alzheimer's Disease is often referred to as a disease of communication. Communication is the essence of all our relationships, it is fundamental to our existence. When the ability to communicate is lost or impaired, our entire social network is affected. In essence, if we can't communicate, we lose our place in society.

Communication involves both understanding language and producing language. A person with dementia may have difficulties in either or both of these areas. Language is also intimately entwined with memory. It is the destruction of memory in the disease process that compounds the communication difficulties experienced by a person with Alzheimer's.

Most of our communication of which we are consciously aware occurs through speech. One of the major features of Alzheimer's disease and some other forms of dementia, is the interference with speech. This can be seen in a number of different ways. The person with dementia may:

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not be able to concentrate on a topic because they 'lose' words.

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not be able to find the correct name of a person, even the name of their spouse or children might not be remembered.

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have difficulty in remembering the names of everyday items.

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confuse words eg. ask for coffee when they really want tea.

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eventually not be able to form words at all.

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produce words in a jumbled way so that speech makes no sense.

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lose the ability to understand words.

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lose reading and writing skills.

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repeatedly ask the same question or tell the same story.

Any of these events can produce frustration and confusion both in the listener and the person with dementia who knows they want to say something, but doesn't know how to get the message across.

There are many techniques that can be learnt and used to assist in the communication process. These techniques do not stop the disease, but they may make it easier to communicate and relate with the person with dementia even through late stages of the disease. As the disease progresses, non-verbal forms of communication become far more important than speech alone. Keep in mind the following:

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It is absolutely vital to continue to communicate in whatever way possible for as long as possible.

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Being flexible in your approach is crucial. Most of us take the ability to communicate for granted. When that ability becomes impaired, we need to be prepared to try other ways to communicate and relate.

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It takes TIME to communicate effectively, and even more so with a person with dementia.

 

 
Communication
  Techniques
  Other ways to Communicate
  Communicating in front of others
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