It is difficult to communicate with someone with memory impairment. The primary issue is that they are in an irrational place and the intact person is in a rational place. That conflict in message can be distressing to both parties. Even caregivers with years of experience may still become frustrated when trying to communicate with seniors that have dementia.
One strategy that is often used with those with dementia is called redirection. The dictionary states that redirection is a process of changing direction or focus. If an individual is not focused in the first place, they are not capable of being refocused. Even though erroneous, the senior’s beliefs may be strongly held. They do not have the ability to process information and act on it.
Each situation is unique. If someone is in a situation where they are in immediate danger, they need urgent intervention for safety. The caregiver does not have time for redirection, negotiation or refocus. Monitor the effectiveness of the redirection and customize it to the current situation. If the senior is upset and anxious, trying to redirect will often simply exacerbate the level of frustration.
Seniors with dementia are not able to speak their minds. They are unable to validate their feelings and needs. Redirection is not an effective strategy in these situations. It is better to walk away and leave the situation unresolved than to agitate the senior. Unless their safety and well-being is an issue, then the caregiver must always intervene immediately to make sure they are safe.
Please contact me if you need more information regarding strategies you can use when caring for those with dementia.