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MESSAGE for communication in people with dementia
- Maximise attention
- Note your Expressions and body language
- Keep it Simple
- Support their conversation
- Assist with visual Aids
- Get their message
- Encourage & Engage in communication
Maximising attention
- Attract attention by addressing them by their name, establishing and maintaining eye contact
- Avoiding distractions (e.g. TV / radio)
- Holding one conversation at a time
Expression and body language
- Keeping the expression, body language, and tone of voice relaxed and calm
- Using body language to show interest (i.e. learning forwards & nodding appropriately)
Simple language
- Keeping sentences short, simple and familiar (i.e. no jargon)
- Giving them clear choices (or yes/no questions)
Note: talk to them at their level
Supporting their conversation
- Giving them time to find their words
- Help them find the word "do you mean ..."
- Repeating then rephrasing sentences to help them understand
- Clearly mentioning the topic through the conversation (e.g. at start or after interruptions)
Assisting with Aids
- Using gestures (pointing / actions)
- Referencing objects & pictures (or words if they can read) to initiate conversations
Getting their message
- Listening, watching and working out their message
- Observing behaviour and nonverbal messages (e.g. where they're looking)
Encouraging & Engaging in communication
- Engaging them with familiar / interesting objects e.g. photos or memorabilia
- Encouraging family & friends to engage them in conversation whenever possible
- Don't "test" them as it would frustrate them further (acknowledge their feelings and try to gently move to another topic)