When a person with dementia is confused, communication may be difficult. The following advice may be of help to you in making conversation more successful. However, never assume that the person is understanding fully, and do not expect to base any major decisions (e.g. about finances) around their response to a conversation.
• Try to sit at the same level as the person, and make eye contact
• Make sure that you have the full attention of your listener
• Remove background noise – a TV or radio can be very distracting
• Use a reassuring, calm and friendly tone of voice at all times
• Slow down your speech and take regular pauses between sentences/ phrases
• Use simple language, as this can be easier to understand
• Repeat key words or phrases to help the person understand more
• Don’t change to topic of the conversation suddenly- it is easier to talk about one topic at a time
• Allow enough time for the person to respond
• Use questions that require a Yes/No response can be easier to answer for people with dementia
• Use visual references where possible (e.g. hold a cup when asking whether someone with dementia requires a drink)
• Use gesture to help the person understand
• Do not raise your voice unnecessarily
• Do not expect perfect sentences/ vocabulary from the person – it is enough that you have understood what they have said
• Give feedback and confirm that you have understood
• Looking at photos and magazines or playing simple games are a good idea and don’t require any real understanding of conversation to be enjoyed.
Above all, remember that it is not that important that the person understands everything that you say. The most important thing is that this is a friendly and enjoyable experience for the person with dementia, that stimulates them, and makes them feel included.
For further information please contact:
MedUKCare