Skip to content
My WebMD Sign In, Sign Up

Alzheimer's Disease Health Center

Select An Article
Font Size

Improving Communication With Alzheimer's Disease Patients

A person with Alzheimer's disease may become confused and have difficulty communicating. He or she may struggle to find the right words to express him or herself, or may forget the meaning of words and phrases. The person also may rely on gestures, especially as his or her verbal skills decline.

There are several strategies you can use to improve communication with your loved one with Alzheimer's disease:

Recommended Related to Alzheimer's

Alzheimer’s Aggression

Alzheimer’s aggression most often flares up during the later stages of Alzheimer’s disease. The person may become easily agitated, angry, and abusive -- often for no apparent reason. The person may curse, hurl insults, and scream. Though verbal assaults are more common than physical assaults, a person with Alzheimer’s disease may throw things or resist care by pushing and hitting.

Read the Alzheimer’s Aggression article > >

  • Gain attention. Gain the listener's attention before you begin talking. Approach the person from the front, identify yourself, and call him or her by name.
  • Maintain eye contact. Visual communication is very important. Facial expressions and body language add vital information to the communication. For example, you are able to "see" a person's anger, frustration, excitement, or lack of comprehension by watching the expression on his or her face.
  • Be attentive. Show that you are listening and trying to understand what is being said. Use a gentle and relaxed tone of voice, as well as friendly facial expressions.
  • Hands away. When talking, try to keep your hands away from your face. Also, avoid mumbling or talking with food in your mouth. If you smoke, don't talk with a cigarette between your lips.
  • Speak naturally. Speak distinctly, but don't shout. Speak at a normal rate -- not 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 only one question at a time. Identify people and things by name, avoiding pronouns.
  • Be positive. Instead of saying, "Don't do that," say, "Let's try this."
  • Rephrase rather than repeat. If the listener has difficulty understanding what you're saying, find a different way of saying it. If he or she didn't understand the words the first time, it is unlikely he or she will understand them a second time.
  • Adapt to your listener. Try to understand the words and gestures your loved one is using to communicate. Adapt to his or her way of communicating; don't force your loved one to try to understand your way of communicating.
  • Reduce background noise. Reduce background noise, such as from the TV or radio, when speaking. In addition to making it harder to hear, the TV or radio can compete with you for the listener's attention.
  • Be patient. Encourage the person to continue to express his or her thoughts, even if he or she is having difficulty. Be careful not to interrupt. Avoid criticizing, correcting, and arguing.

In addition, remember the importance of non-verbal communication. The presence, touch, gestures, and attention of caregivers can help to communicate acceptance, reassurance, and love to a person with Alzheimer's disease. In all cases, treat your loved one with dignity and respect. Don't speak down to the person or speak to others as if he or she is a child or isn't present.

 

WebMD Medical Reference

Reviewed by Neil Lava, MD on June 28, 2014
Next Article:

Today on WebMD

alzheimer's disease warning signs
ARTICLE
Alzheimers Overview
SLIDESHOW
 
Best Memory Boosting Games
ARTICLE
mri scan of human brain
QUIZ
 
senior man
ARTICLE
daughter and father
ARTICLE
 
Making Diagnosis
Article
Colored mri of brain
ARTICLE
 
Close up of elderly couple holding hands
VIDEO
senior woman with lost expression
ARTICLE
 
Woman comforting ailing mother
ARTICLE
Alzheimers Dementia
ARTICLE