The Medical Defence Union (MDU) recently emphasised the importance of adapting communication skills to patients who have dementia.
In the latest edition of the MDU Journal, Prof Rowan Harwood, a Consultant Geriatrician at the University of Nottingham, discusses the complexities of communicating with patients who have dementia.
Language is often affected when a person has dementia, including finding the right words and understanding what is said and consequently, everyday communication skills may not be appropriate when caring for patients with dementia. For example, in its advanced stages, someone with dementia may be almost mute.
Prof Harwood and his colleagues conducted research into which communication styles are most suitable when looking after patients with dementia and how communication can be improved between patients and healthcare professionals.
Prof Harwood states: “When faced with confused or incomprehensible speech, it is easy to assume that a person with dementia has lost all interactional competence. We found that this was
not the case. People with dementia orientate to the basic structure or ‘rules’ of conversation, such as taking turns or answering questions.
“It is normal to ‘repair’ problems that arise in conversations, such as asking for a clarification. Unfortunately, if talk is very disrupted, as in dementia, doing this results in constantly interrupting, highlighting inadequacies and making the person ‘lose face’.
“However, the conversation can be continued as if it were understandable by using repetition, picking out what is understandable, or responding to emotional tone rather than the words used. This keeps the conversation going — and the person with dementia happy — but you may have to get other information elsewhere, such as from a family member.”
