September 02, 2008

How to Solve Some Problems Between an Alzheimer’s Patient and a Caregiver (1)

Building communication with an Alzheimer’s patient isn’t an easy job. Whether you are a family member or a caregiver, regularly communicating with someone with Alzheimer’s disease is surely going to need patience and understanding. Alzheimer’s disease involves a weakening of the intellectual process, which can disrupt a patient’s ability to speak as well as hear and process information. This doesn’t mean that communication is useless in general. Speaking to and expressing love to an Alzheimer’s patient is still very important. Consider at least some common communication frustrations and the effective way to deal with them.

Problem: A caregiver becomes annoyed that a patient can’t follow what she is saying. The problem only seems to escalate the more the caretaker repeats herself and increases her volume.

Solution: Remember not to use complicated thoughts or ask questions with too many options if you don’t have to. The best way to communicate with a patient is to use short, accurate sentences and simple words. Tone is also very important. A quiet and gentle way of speaking always lets the patient know you are there to help.

Problem: A caregiver simplifies his sentences and speaks affectionately to his patient. But the patient is not responding well and seems to be getting angrier as the conversation goes on.

Solution: Be careful not to oversimplify your statement as if talking to the patient like he or she were a child. You are still speaking to a full grown adult and some patients can pick up on a patronizing tone. The tone of voice should be compassionate, not schmaltzy.

Problem: Two family members are discussing their Alzheimer’s affected relative and his inability to carry out some daily routine. One family member goes over ready to help the patient dress but senses some resistance.

Solution: Just because a person has Alzheimer’s disease, even an advanced state, does not necessarily mean they are unaware to what is happening around them. A patient may hear what others are saying about him.

Problem: A caretaker enters and finds her patient in bed watching television. As she passes by, she tells him they are going out for lunch and that later a friend of the patient will drop by. The patient doesn’t respond and so she quickly moves in closer and repeats herself. The patient seems anxious.

Solution: Extra sound such as the television or radio can be distracting, especially if you are trying to communicate directions. For the best results get rid of any distractions first and try not to make impulsive movements. Move in slowly, standing or sitting in front of the person and making eye contact. Use the patient’s name and make certain you have his or her attention before speaking. This helps the person focus on what you are saying and remain tranquil.

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