Face to face is a marvelous form of communication. I can see reactions and hear voice inflections. Text messages are alright; however there is much room for misunderstanding. There is much to be said in hearing someone’s voice. My husband and I can connect with a meeting of our eyes across a crowded room and know what you other is thinking. We have built this ability to communicate well moment by moment, day by day and year by year.
Most of us have habits. These play into how we communicate and relate to others. Perhaps the couple above established the habit of kiss and makeup early in their relationship. They understood that they could be opinionated and have fiery conversations. It did not mean they didn’t love each other. They both also have personalities that forgive and forget.
My husband speaks fluent sarcasm. It is a way of teasing me. I get it and just roll my eyes instead of taking him literally. This works for now.
Both of these examples can become very difficult to navigate if one member of each couple should develop Alzheimer’s disease. It forces us to break our old communication habits. The husband in example one needs to realize that his wife will now see him as angry all the time. I might take the sarcasm as literal statements.
Take the word great as an example.
I say “honey I can’t find the keys”. He replies “Great”. I sigh with relief that he is happy about it. At least in this conversation, I am happy because he is happy. He is really upset but my dementia is protecting me. My hubby says. “Oh, no, don’t worry—I’ll do the dishes for the third time today.” Currently I would know he was taking a jab at my not doing the dishes. With dementia, I would think what a nice man. Again, I am happy because he is happy.
Our words are not as loud as our faces. If my mouth doesn’t say it, my face definitely will! Persons with dementia read faces very well. You may have to learn how to control your own facial expressions. While you think that one over, I have another revelation. The person with dementia will lose their ability to recall words. You will have to read their expressions instead of listening to their words. While on the topic of listening, selective hearing is no longer allowed. This will result in angry. Learn to be patient! Get reaady to hear the same questions over and over and over again.
Asking someone to complete a task is futile unless you speak in simple terms. Give simple one step instrctions. Otherwise you will be met by the look below.
They simply cannot process all of the information. My father-in-law would get angry because all of his important tax papers were not where they were supposed to be. He complained to me that he had handed them to his wife and asked her to file them for him. That had worked in the past, but everything changed when she entered the early stages of cognitive decline. He was in denial about the situation and assumed she would take care of things like she had in the past. His frustration and denial was only making her irritated. We decided to step in and sent them to go shopping so my husband and I could find the hidden papers and file his income tax paperwork for him.
I learned how to break a habit the painful way. I had called my mother by “Mom” since childhood. One morning I walked in, kissed her on the cheek and said “Good morning Mom”. Instantly, she began to cry and call out “Momma, momma”. My heart broke. In her mind, she was now a child, not someone’s mom. Linda had been her name her parents and siblings called her. The next morning I greeted her as Linda. She remained calm. From then on I said the word Linda as my heart cried out mom.
Slow your conversation down. Allow them time to process the words. Give them time to find their words. Once free flowing convesation becomes a trickle of words.
How you communicate with someone with dementia requires trial and error as you make adjustments to be effective as they lose skills. Think about ways to make these adjustments. You now live in Alzheimer’s world. The rules are different here.
Arguing doesn’t work.
Reasoning doesn’t work.
Asking them to make a choice causes confusion.
*PATIENCE is critical in communicating.
Word for Today
A hot-tempered person stirs up conflict, but the one who is patient calms a quarrel.
Song for Today
This song helps focus on how temporary our struggles are.
Pray for Today
Dear God,
How great your truly are! I know I can turn to you on the good days and on the ones that are a struggle. Give me grace as I try to show grace to those I care for. Help me to slow down and rest in you.
Amen
Walking Them Home 