Effective Communication Strategies Problem Solving Difficult Behaviors Heather
Effective Communication Strategies & Problem Solving Difficult Behaviors Heather Gray Family Support Coordinator Alzheimer’s Association 1. 800. 272. 3900
Workshop Objectives To better understand how it feels to have Alzheimer’s disease. To learn the principles and practical techniques in communication. To learn the principles and practical techniques in understanding and addressing challenging behaviors.
Understanding how it feels to have Alzheimer’s disease
Confusion ► Central problem in Alzheimer’s disease ► Source or stimulus for emotional and behavioral problems ► Ability of cognitive powers to keep confusion at bay dwindles ► Evokes feelings and needs that cannot meet
A Disease of Emotions Confusion Discomfort Behavior
Effective communication and flexibility Prevention and reduction of symptoms
Principles for Understanding Communication Understand what isn’t possible to change Thoughts, beliefs and actions significantly impact behavior All behavior has meaning Connecting overrides the task
Benefits of Compassionate Communication Fosters selfesteem Reduces frustration Benefits Strengthens independence Enhances relationship
Steps to Compassionate Communication
Be a Good Listener 1 Express Interest Don’t Interrupt Focus on Feelings Be Patient
Facilitate a Connection 2 ► Establish eye contact ► Use touch and gestures ► Use a calm voice ► Speak simply and slowly
Check the Environment 3 ► Be in plain view ► Avoid bright and dark settings ► Set aside a quiet place ► Reduce distractions
Adjust Your Approach 4 ► Think ahead ► Give simple instructions ► Ask one question at a time ► Be mindful of facial expressions and body language
Focus on Remaining Skills 5 ► Match activities to abilities ► Encourage activities of independence ► Respond to feelings, not words ► Establish routines
Effective Communication Tips Do’s • • • Repeat Accept blame Leave room Agree Use distraction Don’ts • • Reasoning Argue/Confront Reminding Questioning recent memory • Take it personally
Understanding and Addressing Challenging Behaviors
Common Behavior Challenges Pacing, wandering Loss of inhibition Impulsiveness Repetitive questioning Agitation, aggression Resistance
Why Difficult Behavior Occurs? ► What was the behavior? Is it harmful to the individual or others? ► Did something trigger the behavior? ► What happened immediately before and after the behavior? ► How did you react?
Physical / Emotional Medications Environmental Too many steps Space Too many steps Acute/ Chronic Illness Communication Lack skills Factors of Difficult Behaviors Dehydration Stimulation excess Not modified Depression No cues Pain & Discomfort Too complex Sensory Loss No structure Can’t understand Constipation Fatigue Clutter Unfamiliar
The 6 “Rs” 1 Remain Calm 2 Respond to Feelings 3 Reassure the Person 4 Repeat When Necessary 5 Remove Yourself 6 Return Later
Our Mission is to eliminate Alzheimer's disease through the advancement of research; to provide and enhance care and support for all affected; and to reduce the risk of dementia through the promotion of brain health. www. alz. org 800 -272 -3900
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