Saturday, February 23, 2019
Communication with individuals who have dementia Essay
Alzheimers diseaseShort-term memory passing is associated with Alzheimers disease. Individuals affected with this disease whitethorn be futile to reckon things that rich person just happened or ask the resembling questions duplicateedly. Individuals conform toing with it grass also for repel wad this could be just forgetting their names and last just forgetting who they argon. This itself chamberpot cause colloquy issues and the item-by-item whitethorn non know who they argon talking with and on top of that may repeat the same dowrys of the conversation over and over as they get under ones skin forgotten what has already been said. Individuals may also struggle in pay offing the expert wrangling or bay windowt remember the right word for what they want to say so it can be toil almost to hold a conversation. If they cant explicate what they mean correctly an exclusive with madness may suffer frustrated and this can a good deal be dismissed as agitation or aggression.Vascular lunacyWith Vascular Dementia although the causes are diverse to Alzheimers a part of the symptoms are similar. For represent they may suffer memory tone ending, lose things and be disorientated. All these things can cause difficulties when communicating. There can be different symptoms of vascular mania as different areas of the brain can be affected but most include slower thinking processes. intercourse practically becomes slow and the several(prenominal) may draw it hard to invent the right word or forget what they were laborious to say in the first place. This is precise thwarting for them. People are often tempted to polish off their reprobates off for them which can lead to further frustration as its usually finished wrongly and not what they wanted to say.Read more get wind the Role of Communication and Interactions With Individuals Who Have DementiaDementa with Lewy Bodies (DLB)Again this does have m all common symptoms with Alzheimer s and Vascular hallucination. For example memory loss and freak erupt but it also has some other symptoms that arent ever found in other ashess of craziness. Someone with DLB may experience visual hallucinations. This means they assemble things that arent existently there. An private experiencing hallucinations may beextremely frightened by them and be very afraid. They are very real to the various(prenominal) and should be taken seriously. It can be difficult to comfort person with hallucinations as it can cause them a lot of distress.When the person is experiencing hallucinate it can cause communion difficulties as the person isnt in touch with what is real and what is not as the hallucinations are very real to them. Non-verbal comfort and lots of reassurance are the best means to come ab emerge with mortal during hallucinations. Vivid dreams can also be experienced with this kind of lunacy. Individuals with DLB may show different levels of alertness. There te mpers can change quickly from macrocosm chatty one minute to not knowing who you are the next. It is all- strategic(a) to have flexible communion so you can reply to the unmarrieds fancy appropriately. An single experiencing this form of dementia are also susceptible to move and trips as there balance can be affected.Fronto-temporal dementiaThis form of dementia can be found in older sight but is often found in younger people amongst 30 to 60. Early stage symptoms are similar to other forms of dementia. For instance communication issues such as forgetting or not understanding words or peoples names. There isnt memory loss in the advance(prenominal) stages but it seems wish well there is because of the communication fusss. Personality changes are often common in this form of dementia. The may become extrovert when they werent in front or vice versa, they may behaving inappropriately or over opine empathy. They can behave inappropriately, for instance removing clothing in public or sh knocked out(p)ing loudly. It can seem like they are creation self-centered as they can lack warmth for others. The personality changes can view communication difficult. Especially for people that have known the person before they suffered with dementia. They may feel that they male parentt know the person anymore and sire it hard to interact with them. 1.2Physical and mental wellness factors should always be considered when communicating with an individual that suffer with dementia. For instance they may have eye sight problems or not be able to visualise well which can affect their ability to spread abroad. Hearing and vision problems should notbe over looked. Regular eye and hearing tests should be performed as an individual with dementia may not be able to communicate that there is a problem. Glasses and hearing aid batteries should be check over officially. Someone misfortunate with dementia may also have problems with pain. They may beat it hard to communicate what the problem is or where the pain is attack from.They may not be able to express or explain that they are in pain. Pain can cause other problems such as lack of concentration, increased memory loss, aggressive behaviour, dormancy problems and mood swings or a short temper. These are often mistaken for the persons dementia because of their lack of communication skills. It is great that people working with individuals that suffer from dementia are aware that pain could be a factor. Physical impairment or illness quests to be taken into consideration. Someone who has had a stroke or has an illness like cerebral palsy may have difficulty with speech but not with memory problems. An individual with early stage dementia may understand perfectly what you are saying to them but may have difficulty communicating back. They may not be able to find the words are throw the wrong words in the sentence.This can be very frustrating for them. You have to patient and let them sp eak without bear witnessing to finish the sentence off for them. When dealing with an individual regularly you can become known with the way they communicate which can make it easy for both of you. An individual suffering with dementia may experience depression or anxiety. This to a fault can cause communication problems as it can affect how they oppose to others. They may not be interested in being refer in having a conversation which can make it hard for others trying to talk to them. It can also cause reduced concentration and problems with sleeping which then can lead to more confusion. This can make communication and other forms of fundamental interactions extremely difficult.1.3When communicating with an individual who has sensory impairment it is important to use hand gestures, body language, nervus facialis expressions and touch. Various aids or equipment can also be used such as flit cards, pictures or pledge language to champion understanding. If an individual suf fers from hearing loss it is important to en certain(a) that hearing aids are fitted correctly, working mightily and batteries are changed regularly. When public speaking tosomeone with hearing loss you need to be not too far away from them, speak clearly and dont shout. Some individuals with hearing problems can lip read and some may be able to do sign language. Gestures and pointing to things can help and the use of flash cards could also be of use. As dementia progresses though, an individual may find it more difficult to use sign language or lip read as it becomes harder for them to remember how to do it. Glasses or contact lenses are the most common way of assisting someone who is visually impaired.You should ensure that the lenses are clean and that the individual has regular eye tests to ensure that they are wearing the right prescription render. An individual suffering with dementia may forge to put there glasses on so it is important to remind them to put them on. If so meone has gruelling visual impairment you should not just suddenly begin speaking as they may not have realised you were there. Make sure that you introduce yourself when speaking so they know who it is and you dont floor them. You may need to use touch more than what you would when speaking to someone fully sighted as they will not see facial expressions, body language and gestures. It is important to maintain good communication and interaction as some with visuals impairment suffering with dementia can find the progression of the illness very frightening.1.4Individuals with dementia often demonstrate problem behaviour. There are many things that may contribute to such behaviours blush something as simple as an uncomfortable, loud, or stressful environment. They could be experiencing pain, or be finding it hard to communicate or carry out simple tasks or perhaps there in unfamiliar surroundings. As a carer it is important that you cut off up on these kinds of situations so you can ease the discomfort of the individual quickly so as dwarfish distress is caused as possible. It is important that you remain calm yourself. fling reassurance to the individual and be patient and relaxed. Use body language and the tone of your sound to try and calm the situation. Sometimes distraction can help, perhaps try and engage them in a different topic of conversation so they then forget that they were angry or unhappy.Sometimes carers can become stressed out or find it hard to cope with a particular individual, at these times it is best to take time out or get someone else to help you. Getting anxious or upset yourself can make their behaviour worse and it isimportant not to take aggressive or problem behaviour personally. If you do find yourself becoming stressed with a situation take time out to relax. Often other individuals need to be involved when supporting an individual with dementia. These could be family and friends, carers or other professionals. For example G P For medical advice and health problems, help with medications and side effects Speech Therapist To help with communication issuesSocial Worker Can often provide useful mise en scene study, family history or situation Dementia Care Adviser Offer advice and technique on ways to improve interactions Advocates Provide information about the persons capacity and what is considered to be in there best interests and will be able to hug drug a view of the persons perspectives Family and friends Can offer information about the person and show you background information. Also may be able to offer advice about communication methods as they know the individual better2.4Dementia is a progressive illness and effects people suffering with it in different ways. A persons communication and interactions are most likely effected but with different levels of difficulty. People with dementia suffer different symptoms but most experience isolation due to change magnitude difficulty with comm unication. Often people assume that an individual with dementia cannot communicate and write them off if they do not get a receipt from them the first time instead of trying a different approach. The symptoms of dementia do often have a whopping impact on how a person communicates and they can often find it difficult to find the right word or repeat the same things several times. They may be confused about where they are or what time period of time there in which also can contribute to making communication difficult but there are different approaches that can be used. Picture cards or flash cards are a good way of finding out what an individual wants when they are unable to find the words. Also its important to watch their body language and gestures to pick up on things that they are trying to communicate.Although dementia does cause great problems with communication it is important for care staff to support and develop new-sprung(prenominal) ways to get slightlyit. Carers and other peoples attitudes play a big part in the offbeat of people with dementia. The best way to respond to the behaviour of an individual with dementia is by using creativity, flexibility, patience and compassion. get int take their behaviour personal, they have an illness that affects the way they behave. It is important to try and establish what is causing the behaviour to reduce the stress for everyone concerned. single of the following could be a factor Medical problem, such as experiencing pain or side effects from medications this needs to be resolute by a GP or a CPN Wandering around a lot this is often caused by boredom or they may be trying to find something or someone.Offering regular mold and activities can help with this Repetitive behaviour this can be caused because they need to or like to feel busy. Give them something to do ask if they would like to help with jobs around the home make them feel important and independent. deportment spark often it can be hard to find the trigger but sometimes a more calming environment can help and distraction techniques can be used. Repetition People with dementia often repeat the same things over and over. This can be very frustrating for carers. They may ask the same questions or do the same activity over and over again. This can be triggered by boredom or environmental factors. Try and comfort them or distract them and look out for similar behaviours or signs. Certain behaviours could indicate that they need the jakes or that they are hungry.Incontinence this is a common problem in people with dementia. They may not be able to find the prat in time and have an accident. An individual with dementia may find this very embarrassing and be upset with themselves. Be understanding and offer reassurance. This can be avoided by prompting regular trips to the toilet.Insomnia Restlessness, agitation, disorientation and other troubling behavior in people with dementia often get worse at the end of the day and sometimes continue throughout the night. A day full of activities and discouraging daytime napping can help.With dementia trouble behaviour can simply just be part of the illness.Carers need to be flexible with how they act to try and address any issues. 4.1Reality orientation is about trying to keep the person suffering with dementia in the here and now by making sure the person knows who and where they are. If they become confused about things then they are change by reversal about anything that isnt reality.Individuals are constantly reminded of the day, place, time and situation they are in. This approach is used as much today. Validation is part of a person centred approach. A persons confusion is accepted and carers do not tell them that their feelings are wrong or try to correct them. The approach focuses on the individuals feelings rather than what they are saying. Their expressed feelings are accepted as being valid and accepted. The idea of this approach is to bu ild trust and increase well-being and is much more commonly used than the reality orientation approach.