Friday, January 9, 2009

Understand and be understood

The communication is the essence of all human experience: become unable to understand others and become unable to make themselves understood are the most disastrous of Alzheimer's disease.

• Failure to understand more ... the patient begins to have difficulty following the rapid and complex conversations, especially if the environment is noisy. Often leaves the subject and when there are clear guidelines in the dialogue is often hard to follow. But includes orders written and very well may decode the gestures and facial expressions.

• Failure to understand more ... initially the patient has trouble thinking about what that means. It's slow to speak, is repeated often forget certain words or wrong.
Gradually, the words will erase from memory: no longer the name of the objects ... but we can describe its use!
He speaks in a more slow and repetitive, talking less frequently, until you get to say nothing more.

What to do?

1. try to keep contact with him / her to avoid the increasingly isolated.
2. do not ever say in advance "so do not understand !"... sometimes can take the main idea or recognize the significance of a particular word, you could hurt / ae not ever spoken as if it were not this!
3rd communication with a patient suffering from Alzheimer's disease involves both verbal language and non-verbal. Even if does not understand the meaning of words, remains sensitive to the emotional atmosphere that develops in interaction. If you feel confident that he communicates more easily.
4. parlategli not as a child! Not facilitate the understanding ...
5. several ways you can help the person understand what you want to communicate
* Eliminate unnecessary noise such as radio or television
* Move slowly and get in front of her. If you are sitting, sit to be at its height. Establish an eye contact, touch him gently and pronounced his name, smiling
* If the person does not want to talk not sforzatela ... do it again a few minutes later
* Speak slowly, so calm and sweet maintaining eye contact as long as possible (if you use the high tone of voice that you can think in anger)
* Do not suddenly change topic of conversation. In this way avoid confusion. If you want to change the subject diteglielo before: "Now you want to talk about something else ..."
* Let a speech at a time: her memory prevents him from listening to different information at the same time
* Use of short sentences and simple words, avoiding lengthy explanations "you harbor the hairdresser to let you dye your hair, cut and make the turn because you are no longer going to be two months and six more when you're pretty well-combed." Ditele rather: "Do you harbor the hairdresser!"
* When it is possible to do so, use of objects to communicate, for example if you want to take it walking chiedeteglielo showing capotto
* Always specific questions: "want to turn that light?"
* Use limited response to questions not listed, for example, a long list of beverages to drink
* Avoid figurative language: Do not say such as "jump in the bath!"
* Reword the message if they have not understood by respecting their time to understand. Avoid any kind of pressure ...
* Do not interrupt when he speaks
* Try to capture the emotion that lies beneath the words being careful with his facial expressions

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