Communication gets harder for a person with Alzheimer's disease. He might struggle to find a way to express himself, or forget the meaning of words and phrases. He might start to rely on gestures, especially as his verbal skills decline.
How you communicate with your loved one with Alzheimer's disease will be different than it used to be, but there are a few ways you can make it easier for both of you:
When you are with someone who has Alzheimer's disease, you may notice big changes in how they act in the late afternoon or early evening. Doctors call it sundowning, or sundown syndrome.
Fading light seems to be the trigger. The symptoms can get worse as the night goes on and usually get better by morning.
Although you may not be able to stop it completely, you can take steps to help manage this challenging time of day so you both sleep better and are less tired during the day. Let your loved one’s...
Get his attention. Make sure you have your loved one’s attention before you start talking. Approach him from the front, identify yourself, and call him by name.
Be attentive. Show that you’re listening and trying to understand what he’s saying. Keep eye contact as you talk. Use a gentle, relaxed tone of voice and friendly facial expressions.
Hands away. Try to keep your hands away from your face when you’re talking. Also, avoid mumbling or talking with food in your mouth.
Mind your words. Speak distinctly, but don't shout. Try not to talk too fast or too slow. Use pauses to give the person time to process what you're saying. Use short, simple, and familiar words.
Keep it simple. Give one-step directions. Ask one question at a time. Call people and things by name instead of “she,” “they,” or “it.”
Be positive. Instead of saying, "Don't do that," say, "Let's try this."
Treat him with respect. Don't talk down to him or speak to others as if he’s not there or doesn’t understand you.
Rephrase rather than repeat. If the listener has a hard time understanding what you're saying, find a different way to say it. If he didn't understand the words the first time, he probably won’t get them a second time.
Adapt to your listener. Try to understand the words and gestures your loved one is using to communicate. Don't force him to try to understand your way of conversing.
Reduce background noise. Noise from the TV or radio makes it harder to hear and it competes with you for the listener's attention. Cut down on any sounds that will distract him.
Be patient. Encourage him to keep expressing his thoughts, even if he’s having trouble getting them across. Be careful not to interrupt. Try not to criticize, correct, or argue with him.
Also, remember that non-verbal communication is important for a person with Alzheimer’s disease. Your presence, touch, gestures, and attention can remind him of your acceptance, reassurance, and love.