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Dave Pariser, PT, Ph.D.,
is a physical therapist specializing in care of the elderly
and people living with dementia. He offers the following suggestions
to improve communication between you and the person you love
who's living with Alzheimer's disease.
1. Always agree - never argue.
2. Always divert - never reason. A person living with Alzheimer's
disease is loosing or has lost his/her ability to reason.
3. Always distract - never shame. People living with Alzheimer's
disease are easily embarrassed; they will deny what they did,
perhaps because they don't really remember what they just
did. They may become angry and the anger may last a long time.
They might not even remember why they are angry. Remember,
you are not rewarding bad behavior here.
4. Always reassure - never lecture. Your loved one won't understand
your explanation, they are sensitive to your tone and they
need to feel good, not bad.
5. You need to eliminate the word remember from your vocabulary.
It is always good to reminisce but not by asking questions.
If you put your loved one at ease information is much easier
to obtain.
6. Repeat! Repeat! Regroup! Never say "I just told you,
how many times do I have to tell you?" Repetition is
very difficult for everyone, we get frustrated and they pick
up on it. A sense of humor is essential!
7. Help them to do everything they can do. Don't remind your
loved on of what they can't do. This makes them feel bad,
angry, worthless, incompetent, just as it would you or I.
8. Always ask or model. Never command or demand. Show your
family member what you want done. This changes your body language
and the tone of voice, both methods of communication a person
living with Alzheimer's disease is apt to pick up on.
9. Always encourage - never condescend. People with Alzheimer's
disease can tell you are talking about them even if they don't
understand everything you are saying. Include your loved one
in the conversation; talk with them and through them rather
than about them to others.
10. Always reinforce - never force (unless life-threatening).
How important is it anyway? Is it really life threatening?
Will a new approach work in a few minutes?
11. CHANGE! They can't, we can.
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