Dem210

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DEM210

Outcome 1: Be able to communicate with individuals with dementia

1 To better meet needs of individuals with dementia, caregivers should focus on receiving and interpreting verbal and nonverbal messages conveyed by the afflicted individuals. 2 Prior research has focused on enhancing communication from caregivers to individuals with dementia; however, the content and meaning of communication received from individuals with dementia remains largely unexplored. 3 This study demonstrates that individuals with dementia are able to transmit meaningful communication and this communication can be interpreted by others, making client-centered interventions possible with this population. 4 If care models based on communication interpretation techniques can be built, perhaps the needs of individuals with dementia can be better met, tensions reduced, problematic behaviors decreased, and quality of life enhanced.

Effects of memory impairment on verbal language:
choosing incorrect words to express feelings;
use of single words to express feelings;
use of garbled words, (word salad);
choosing words that are similar in meaning or sound;
loss of ability to follow a conversation;
loss of ability to follow different parts of a conversation; shortened concentration span;
effects of forgetting the second language
Preferred methods of communication:
information from others eg family, friends, partners, care workers, social workers, nurses, speech and language therapists, occupational therapists, community psychiatric nurses, physiotherapists; use of records and observations;

use of information in care and support plans

Enhancing interactions:
use of eg familiar words, communication passports, communication aids; avoiding topics which may cause distress;
recognising effects of hearing and visual impairments;
effects of other factors on interactions eg anniversaries, competing noises, illness

A person-centred approach:
not...
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