Ten Tips for Communicating with an Alzheimer’s Patient

Do not argue with them. It gets you nowhere......

By Carole Larkin
Alzheimer's Reading Room

Ever feel like your loved one is ignoring you or that you just weren’t getting through to your loved one? Try some of these tips to see if they help.

Tips for communicating with a mid-stage (or later) Alzheimer’s patient.

1. Make eye contact. Always approach them face-to-face and make eye contact. Use their name if you need to. It is vital that they actually see you and that their attention is focused on you. Read their eyes. Always approach from the front as approaching and speaking from the side or from behind can startle them.
2. Be at their level. Move your head to be at the same level as their head. Bend your knees or sit down to reach their level. Do not stand or hover over them – it is intimidating and scary. They can’t focus on you and what you are saying if they are focused on their fear.
3. Tell them what you are going to do before you do it. Particularly if you are going to touch them. They need to know what is coming first so that they don’t think that you are grabbing them.
4. Speak calmly. Always speak in a calm manner with an upbeat tone of voice, even if you don’t feel that way. If you sound angry or agitated, they will often mirror that feeling back to you and then some.
5. Speak slowly. Speak at one half of your normal speed when talking to them. Take a breath between each sentence. They can not process words as fast as non-diseased people can. Give them a chance to catch up to your words.
6. Speak in short sentences. Speak in short direct sentences with only one idea to a sentence. Usually they can only focus on only one idea at a time.
7. Only ask one question at a time. Let them answer it before you ask another question. You can ask who, what, where and when, but NOT why. Why is too complicated. They will try to answer, fail and get frustrated.
8. Don’t say “remember”. Many times they will not be able to do so, and you are just pointing out to them their shortcomings. That is insulting, and can cause anger and/or embarrassment.
9. Turn negatives into positives. For example say “Let’s go here” instead of “Don’t go there”. Be inclusive and don’t talking down to them as if they were a child. Respect the fact that they are an adult, and treat them as such.
10. Do not argue with them. It gets you nowhere. Instead, validate their feelings, by saying” I see that you are angry (sad, upset, etc…). It lets them know that they are not alone and then redirect them into another thought. For example “It sounds like you miss your mother (husband, father, etc…). You love them very much, don’t you? Tell me about the time…” Then ask for one of their favorite stories about that person).

Carole Larkin MAG, CMC, DCP, EICS is a geriatric care manager who specializes in helping families with Alzheimer’s and related dementias issues. She also trains caregivers in home care companies, assisted livings, memory care communities, and nursing homes in dementia specific techniques for best care of dementia sufferers. Her company, ThirdAge Services LLC, is located in Dallas, TX.

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The Alzheimer's Action Plan

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What is Alzheimer's Disease ?

Alzheimer's disease is a physical illness that causes radical changes in the brain. As healthy brain tissues degenerate persons suffering from Alzheimer's experience a steady decline in memory and the ability to use their brain to perform tasks.

Alzheimer's disease is the most common form of dementia

Alzheimer's and the Thyroid Revisited

Experiencing forgetfulness, weight gain, depression, dry skin, intolerance to cold, muscle aches, or fatigue? You could be suffering from hypothyroidism.....

By Bob DeMarco
Alzheimer's Reading Room

"Get your thyroid tested. Nearly one in five people over the age of sixty has some degree of hypothyroidism, meaning a sluggish thyroid. The sympotms include forgetfulness, weight gain, depression, dry skin, intolerance to cold, muscle aches, and fatigue. People who are hypothyroid feel as though they have mild Alzheimer's and depression all mixed into one bad day."

Read -- Alzheimer's and the Thyroid Revisited

Alzheimer's Disease Facts and Figures 2010

In 2009, unpaid Alzheimer's caregivers provided 12.5 billion hours of unpaid care, this healthcare service contribution to the country is estimated to be worth $144 billion.....

By Bob DeMarco
Alzheimer's Reading Room

Alzheimer's Disease Facts and Figures 2010

• 5.3 million people have Alzheimer's disease. See Sobering Statistics about Alzheimer's Disease
• Alzheimer’s disease is the most common cause of dementia. See Dementia and the Eight Types of Dementia
• Alzheimer’s disease was the seventh-leading cause of death across all ages in the United States in 2006.
• Alzheimer's disease was the fifth-leading cause of death for those aged 65 and older.
• There are 10.9 million unpaid Alzheimer's caregivers in the United States.
• In 2009, Alzheimer's caregivers provided 12.5 billion hours of unpaid care, this healthcare service contribution to the country is worth almost $144 billion.
• Unpaid Alzheimer's caregivers are usually family members but also include friends and partners. See Are Alzheimer's Caregivers the Forgotten?
• More women than men have dementia.

The 2010 Alzheimer’s Disease Facts and Figures provides a statistical resource for United States data related to Alzheimer’s disease.

To view and obtain a copy of the full report -- Go here.

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The Art of Dementia Care

Bob DeMarco is the editor of the Alzheimer's Reading Room and an Alzheimer's caregiver. Bob has written more than 1,200 articles with more than 9,000 links on the Internet. Bob resides in Delray Beach, FL.