FOR IMMEDIATE RELEASE
February 8, 2005
Simple Ways to Connect with Persons
Who Have Alzheimer’s
(Chicago, IL) – More than 4
million persons in the United States suffer from
Alzheimer’s disease, with 220,000 here in Illinois.
Almost everyone has someone in his or her life – a
friend, grandmother, or parent – who has been
afflicted with this devastating illness. Alzheimer’s
disease has a profound effect on short-term memory and
communication, greatly reducing one’s ability to
understand others and be understood.
Unfortunately, because it becomes harder to talk with
someone who has Alzheimer’s, some people simply avoid
all contact. Persons with Alzheimer’s need warmth,
love and companionship just like anyone else. By
learning simple strategies to communicate with someone
who has Alzheimer’s, friends and family can enjoy
rewarding visits with their loved ones that foster the
person’s feelings of security and well being.
The Illinois Council on Long Term Care, an
association of nursing home professionals, offers the
following important tips for connecting with persons who
have Alzheimer’s. They apply mostly to people in the
middle to late stages of the disease process. As each
person with Alzheimer’s is an individual, some
suggestions will be more applicable than others.
Use short and simple sentences. Persons with
Alzheimer’s have difficulties in processing
information. Speak slowly and maintain a calm and
friendly manner.
Be patient. Persons with Alzheimer’s need
more time than the average person to formulate a
response, up to 45 seconds in some cases. Give the
person with Alzheimer’s time to process the
information and reply.
Avoid open-ended questions whenever possible.
Make questions specific, offering a yes/no question
or choice between items. Instead of asking,
"What would you like for lunch today?" ask
"Do you want chicken?" or "Do you
want chicken or beef?"
Minimize distractions. Persons with Alzheimer’s
are easily distracted during conversations. Turn off
televisions and radios, and close doors and windows.
Use non-verbal communication. Facial
expressions, gestures and touch can improve
understanding. Think visually – bringing in a bar
of soap and towel may help someone understand that
it is time for a bath.
Do not quiz someone who has Alzheimer’s.
Questions such as "Do you remember me?" and
"What day is this?" cause nothing but
frustration and anxiety to persons with cognitive
loss. Alzheimer’s has eroded their memory, and they
may no longer be living in the present.
Do not argue. The person with Alzheimer’s has
lost the ability to reason. Arguing just increases
agitation.
Realize that a person with Alzheimer’s
"lives in the moment." If a person says,
"I’m waiting for my husband," telling her
that her husband is dead will only upset her. She may
react as though she is hearing this news for the first
time.
Follow old, established routines. Things that
are done over and over are more likely to be stored in
the person’s long-term memory.
Be respectful. Never talk down to persons with
Alzheimer’s or use condescending language. Even with
Alzheimer’s, these individuals can still tell if
they are being treated like children.
Plan activities that spark reminiscence. If a
person with Alzheimer’s likes cars, bring in car
photographs and talk about favorite automobiles.
Simplify a cooking activity for someone who enjoys
working in the kitchen.
The overall goal during conversations is to promote
the individual’s feelings of dignity and success.
Persons with Alzheimer’s are not trying to be
difficult – their challenges are simply the results of
the disease process. By better understanding the impact
of Alzheimer’s, friends and family can make meaningful
connections with these individuals who need their caring
and compassion more than ever.
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Editor’s Note: For further information on
connecting with persons who have Alzheimer’s, please
contact Kevin Kavanaugh at (773) 478-6613.
The Illinois Council on Long Term Care is a
professional association of nearly 200 nursing
facilities committed to quality residential health care
in Illinois through a productive and responsible
partnership between the private and public sectors. The
Council represents more than 26,000 nursing home
professionals serving more than 37,000 residents. The
Illinois Council has published the staff training manual
Specialized Programming for Residents with Alzheimer’s
Disease and Related Dementias, and has offered
several professional seminars on the care of persons
with Alzheimer’s.
The Progression of Alzheimer’s
Disease
The symptoms associated with Alzheimer’s disease
are different for each individual. Often symptoms
overlap between stages. For instance, a person in the
early stage of the disease may exhibit a few symptoms
from the middle stage. The following list of stages is
far from absolute, but provides a general overview of
the progression of Alzheimer’s disease.
Early Stage
Memory loss and forgetfulness
Time and place disorientation
Concentration abilities begin to decrease
Inability to handle some routine tasks
Mistakes in judgment
Lack of spontaneity
Emotional changes
Carelessness in appearance
Depression
Middle Stage
Loss of intellect increases
Mood and personality changes
Disorientation
Wandering
Restlessness at night
Agitation
Assistance needed with tasks of daily living
Complications with swallowing
Movement difficulties
Challenges in interpreting sensory information
Repetitive questions and actions
Seizures can occur
Late Stage
Helplessness and complete dependence on others
Loss of bodily functions
Muteness or verbal sounds rather than words
Decreased appetite
Pronounced weight loss
Unresponsive or comatose
Source: Specialized Programming for
Residents with Alzheimer’s Disease and Related
Dementias, Illinois Council on Long Term Care, 1995.
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