Dementia And Communication

Nearly 135 million people worldwide will be impacted by dementia by 2050 (Robinson, Tang, Taylor,. 2015). Dementia is not a disease, it is an overall term that describes a wide range of symptoms associated with the decline in memory and thinking skills. Dementia is a progressive illness that results in the loss of one’s sense of self (Burns, Byrne, Ballard, Holmes, 2002). The two most common forms of dementia are Alzheimer’s disease and Vascular dementia. Dementia is progressive and people with dementia experience complications with short-term memory, keeping track of personal items, paying bills, taking care of themselves and daily tasks (Haigh, Mytton, 2016). Due to the rising number of individuals developing dementia, it is causing major challenges in the healthcare systems and society (Angermeter, Luck, Then, Riedel-Heller, 2016). Utilizing psychotropic medications are often ineffective or harmful to the individual, therefore, many patients decide to utilize sensory therapy as a form of treatment instead (Livingston, Kelly olmes, et al., 2014). Caregivers of individuals with dementia can also experience health consequences related to caregiving at the end of life. Spousal caregivers are 40.5% higher odds of experiencing frailty as a result of caregiving (Carr, Dassel, 2017). Dementia does not only affect the individual, it affects those around them, society, and the healthcare system.

Dementia sufferers communicate in many different ways. They may not be able to speak but they can communicate non-verbally with positive or negative behaviour. They can also communicate using body language and through posture.

As a carer it is important how you come across to a person with dementia, they still have emotions and feelings. Your body language and facial expressions can be picked up on by the individual, if you let out a long sigh or raise your eyebrows or have a nasty look on your face then this will be abusive to them and they won’t trust you. Talk to them in a calm manner, hold their hand and smile at them, this will show the individual that you have a caring attitude and they will be better for it. If there are other people in the room who are maybe shouting or talking and laughing then this could cause a problem communicating with the person with dementia, too much noise will only frustrate the individual as they won’t be able to concentrate on any conversation.

Communicating with the elderly who have dementia requires patience and not only the ability to recognize when a patient is becoming upset, but the ability to soothe the patient and prevent any further distress. Patients with dementia have a hard time carrying on a conversation due to a loss of memory, which in turn limits their vocabulary as well as their thinking process. It is important for a nurse to understand this and not push the patient. Speaking slowly and clearly, as well as using simple sentences, can help aid the process of communication. Non-verbal cues are also a great way to communicate with someone who cannot always understand what is being said to them.

1.2 Explain how physical and mental health factors may need to be consider when communicating with an individual who has dementia.

Dementia sufferers communicate in many different ways. They may not be able to speak but they can communicate non-verbally with positive or negative behaviour. They can also communicate using body language and through posture.

Nurses and family members need to speak slowly and clearly, in a low pitched voice, maintaining an open friendly communication manner and also using eye contact and touch. Speaking slowly is very important as it allows patients who can’t have a conversation to understand you better, patients with dementia take longer to process information and sentences, so speaking style such as emotion, sound volume and what you say can be the difference between a patient with dementia understanding you and not. It slowly allows the patients enough time to take the words in and process the sentence. Speaking clearly and in a calm voice will help reassure the patient and help them cope with following your words. Speaking clearly and calmly will help relax the patient. A nurse should avoid speaking sharply or raising their voice, as this may distress the person even if they can't follow the sense of your words. Low pitched voice is used to calm the patient and not bring about any distress or frighten them. Low pitched tone can be used to sooth the patient if in any distress. Gaining eye contact with a patient is very important, if they are sitting down kneeling down at there level can be of benefit so they no you are there. This allows the nurse to get their attention and help them focus on the conversation without scaring them. Maintaining eye contact while speaking with the patient can also be of benefit. Love and affection can

1.1 Losing the ability to communicate can be one of the most frustrating and difficult problems for people with dementia, their families and carers. As the illness progresses, a person with dementia experiences a gradual lessening of their ability to communicate. They find it more and more difficult to express themselves clearly and to understand what others say.

Positive interactions can help reduce agitation caused by frustration and give a person a feeling that they do matter. By lending an understanding ear to someone with Alzheimer's to verbalize their frustrations, worries and fears, the negative emotions can diminish. This will contribute to better cognitive functioning and behaviour. Dementia can be a lonely illness and giving someone you time and undivided attention can help them to remain centred and calm.

It is estimated that there are currently 820,000 people with dementia living in the UK alone and this is set to rise over the next 30 years. As a carer, you are one of over six million people in the UK who provide practical and emotional support for someone close to you. Caring for someone with dementia, can at times be a challenging and demanding experience. Whilst there are often many rewarding times, carers also say that there are times when they might feel angry, upset or lonely. This booklet provides lots of practical information about dementia, its effects and different ways to help reduce levels of anxiety, stimulate memory and aid relaxation. It

Dementia is an extremely common disease among the elderly, with 4 million Americans currently suffering from the Alzheimer’s type alone. Figures show that 3% of people between the ages of 65-74 suffer from the disease, rapidly increasing to 19% for the 75-84 age bracket, and as high as 47% for the over 85s. Therefore, it is easy to see why Dementia is such a large part of many people’s lives, whether they are suffering from the condition themselves, or have an elderly relative who requires full time care just to undertake simple day to day tasks. The disease can be extremely traumatic for the patient and their families, as the person, who may have been extremely lively and bright throughout their

Dementia effects your memory and a person’s ability to achieve a normal everyday task and activities.

In the pamphlet Basics of Alzheimer’s Disease, the Alzheimer’s Association adds late onset, traditionally known simply as Alzheimer’s, targets primarily people 65 and older. The disease follows a series of steps from mild decline with little noticed changes to very severe cognitive decline where the final stage of the disease is in progress (Basic 19-21). Throughout the stages, independence becomes lost and family members will become care takers and in the later stages nursing homes or hospice may be needed. One book encourages the care giver to communicate through body language, tone, and written instructions to help alleviate as much stress as possible for those living with Alzheimer’s (Living 47). The book further adds when caring for a person with Alzheimer’s remember to maintain patience and to show respect .

This will affect their day-to-day life and they may have to adapt how they do things or relay on other people to complete everyday tasks and activities. When treating a patient with dementia it is often necessary to approach the situation in such a way to reduce the impact of these practical difficulties which will help the patient maintain a sense of normality. This will also help the patient feel independent and maintain their self-esteem. An example of this would be: contacting the patients doctor and organising a home visit from the patient. It could also be helpful to document when the doctor is attending so the patient will be reminded in case they forget the

Out of the rapidly inclining population in the world, there are people who develop dementia every 66 seconds(“2016 Alzheimer’s Disease”). Being such a common disease in the elderly, there are 47.5 million people in the world with this disease(“2016 Alzheimer’s Disease”). Once families start to realize that their parents and grandparents have developed this, they start to wonder if they are able to live on their own. Within a few months, a decision is made whether if it is best for them to be put into a nursing home. Most often, those with dementia do happen to end up in nursing homes. Many wonder if being put into a nursing home will actually cause their dementia and their ability to live on their own to worsen. With the effects of activities, this could change. Activities help slow the deterioration of the brain(Smith). The activities and exercises performed by nursing homes to help improve the overall cognitive development in dementia patients. Nursing homes should induct purposeful daily activities to improve cognitive, social, and psychological development in dementia care