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10 Effective Tips for Communicating with Dementia Patients

10 Effective Tips for Communicating with Dementia Patients

Dementia is a general term encompassing multiple diseases. It manifests itself through impairments in functions such as memory, thinking, language, and communication. The most common type is Alzheimer's disease, as Alzheimer's patients constitute over 60% of dementia cases.

As is well known, with the improvement of health conditions, human lifespan has increased. Consequently, the number of people with dementia is also rising. The global number of individuals suffering from dementia is expected to reach 78 million by 2030. According to estimates, this figure will be 139 million in 2050. So, which countries have the highest incidence of dementia?

Unfortunately, dementia does not particularly favour developed countries. 60% of these patients live in low and middle-income countries, including Turkey. The most significant increase in the coming years is also expected to occur in these countries. Furthermore, the rise in the number of people with dementia implies an increase in care costs. Projections suggest that the global cost of caring for this disease will exceed $1 trillion by 2030.  

Before moving on to tips regarding communication with dementia patients, let's take a look at some early-stage symptoms of dementia:

  • Difficulty completing daily routine tasks such as cooking or cleaning.
  • Frequently misplacing items and struggling to find them.
  • Attention deficit.
  • Experiencing confusion about the day and time.
  • Sudden emotional and behavioural changes.
  • Difficulty expressing oneself or writing.
  • Difficulty making logical decisions.
  • Reluctance to adapt to new situations.
  • Difficulty accurately estimating distances.
  • Decreased interest, lack of motivation, and social withdrawal.

Accompanying an individual with dementia through their changing world requires patience and understanding. Moreover, the situation becomes increasingly challenging over time. If family members lack experience and training in this area, hiring a professional caregiver is the most logical step. This is because the process is truly exhausting, both physically and psychologically.

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The reality of individuals in the dementia process becomes different from our own. So, if they cannot adapt to us, how can we adapt to them? Here are the recommendations of experts regarding communication with dementia patients.

1. Speak Slowly and Clearly.

First and foremost, avoid being hasty when talking to dementia patients. Pronounce words clearly and slowly.

2. Ask Simple and Direct Questions.

Avoid questions that involve numerous options or complex structures. Ask direct questions with short and clear answers. For example, instead of "We have meat, spinach, and rice. Which would you like to eat?", say "Would you like to eat meat?".

3. Speak in a Calm and Positive Tone.

Our tone of voice has a significant impact on communication. Even if individuals with dementia do not fully comprehend what is being said, they can sense negativity in the tone of voice. Therefore, always strive to speak in a kind, calm, and positive tone. Our aim is to make the patient feel safe and peaceful.

4. Avoid Using Commands.

Speak to the person you are caring for using simple but respectful expressions. That is, avoid imperative forms like "Do this" or "Sit down." Instead, make requests. For example, instead of "Come here," say "Could you come over here?".

5. Only One Person Should Speak at a Time.

When multiple people speak simultaneously, it confuses them. Therefore, talk to them one-on-one in a quiet environment.

6. Use Concrete Expressions.

Instead of abstract and vague words, use concrete and clear expressions. For example, instead of "A little later," say "After the meal."

7. Refer to People by Their Names.

Always mention the name when talking about someone. For example, instead of "Your nephew has arrived," say "Your nephew Dilek has arrived."

8. Avoid Correcting Mistakes.

When they say something incorrect, do not constantly try to correct them. This can reduce their desire to speak. Accept what they have said as it is and try to gently change the subject.

9. Try to Understand the Reason for Irritability.

Sometimes, it is difficult to understand why a person with dementia is upset. In such situations, the best thing to do is to remain calm and show that you are trying to understand them.

10. Avoid Questions Like "Do You Remember?".

Finally, avoid reminding them of the past. Being subjected to questions about the past can demoralize them and cloud their mind.

People with advanced-stage dementia often lose their ability to speak. In this case, communication needs to be established through non-verbal methods. That is, we are talking about touch, eye contact, and a calm and soothing tone of voice while meeting their physical needs. You can also play music they are familiar with. Therefore, the aim at this stage will be to provide them with a comfortable and peaceful environment.

Safety At Home

Just as important as communication with dementia patients is safety at home. Here are some safety precautions you should take, especially for individuals with moderate dementia:

  • Reduce the risk of falls. Use non-slip rugs, and remove cables and other obstacles they might trip over while walking. For more detailed information, you can refer to this article.
  • Corridors and toilets should be sufficiently lit. Especially at night, it is very helpful to have a small lamp constantly on in the corridor.
  • Prevent easy access to hot or potentially dangerous items such as stoves, gas cylinders, plugged-in irons, heaters, and electric kettles. Go through each room in the house and secure these types of items. Also, do not leave any devices plugged in.
  • Lock balcony doors and the front door of the house and do not leave the key in the lock. However, also consider the need to easily exit in case of an emergency.
  • It is important to ensure that the person with dementia lives in a familiar and accustomed environment. Therefore, do not change the placement of objects.

Lamer Consulting portfolio includes reference-checked, experienced caregivers ready to compassionately care for individuals with dementia. Contact us immediately to select the most suitable caregiver candidates for your needs.

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