It proved helpful to listen attentively and to maintain eye contact while communicating with Mr. Jones. Approaching in a calm, pleasant manner, and speaking slowly and distinctly worked well to facilitate understanding. Ms. C. was advised to avoid confrontations when possible. Despite Mr. Jones’s poor ability to communicate, it was very important that Ms. C. continue to spend time with Mr. Jones, talking with him and helping him feel related to others.

Methods To Improve Communication

• Speak slowly and distinctly.

• Approach in a calm and pleasant manner.

• Keep directions simple: use simple words and short sentences.

• Listen attentively and maintain eye contact.

• Offer appropriate praise when meaningful statements are made.

• Avoid confrontations.

• Select a time of day when the person is relaxed, then engage in conversation.

• Call the patient by name, often response is forthcoming when the first name is used, at least until the last stages of disease are reached.

• Provide objects to assist with orientation (i.e., clocks, calendars, etc.).

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