How to Communicate When Your Elderly Parent Can No Longer Speak

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<strong>When They can't Speak</strong><br> Finding Other Ways to Communicate

A video I recently stumbled upon remains vivid in my mind.  An elderly couple who had spent a lifetime devoted to one another was coping with the wife's Alzheimer's disease. At this point, the wife was in a nursing home. She was unhappy, aggressive and even combative with the staff. No one knew what to do with her.

On instinct, the husband decided he would do what he'd always done. He climbed into her bed with her and held her. He cuddled with her. He stroked her face and told her he loved her. He spent hours just snuggling and holding her.

Slowly, the wife responded. This once angry, difficult woman became easy for the staff to handle. She was, once again, friendly, cooperative and generally happy.

This particular story was recent, riveting and poignant. However, human touch has long been known to soothe a being who cannot communicate. Babies who live in orphanages where they are not held and cuddled often die. That need for human touch never goes away.

Many of us are coping with elders who can no longer communicate. Whether from a stroke, Alzheimer's, Parkinson's or for some other reason, they have lost their ability to talk or seemingly respond in any manner to their loved one's efforts to communicate.

Caregivers want to communicate with them, but when they visit their elder and see them in this non-responsive mode, they tend to sit there uncomfortably watching the clock – putting in time, so to speak. There's a feeling, for many of, "what's the use?"

It's said that hearing is the last sense to go. I feel, just from what I've seen and read, that the sense of touch is right up there with hearing. Between the two, it's amazing what a caring person can do to help someone who seems lost to them.

We need to remember that someone who cannot talk is very vulnerable. She can't say what feels good or what she doesn't like. So, if you are using touch as a means to communicate, you need to be very tuned in to body language. The same goes for providing communication through hearing. Many times the two are connected. Watch the person's body language carefully to see what you should continue, or what you should change.

If you are providing any type of hands-on care for a person in this condition, speak soothingly and continuously, about what you are doing. Say things like, "I'm going to rub lotion on your arm now. Does that feel good?" or  "I'm going to brush your hair now. It will really look nice."

If you are not providing necessary physical care, you can still do pleasant touch therapy, such as lotion or massage oil on the arms and legs, saying, "I'm putting some nice warm oil on your arm now. Does that feel good?" Just keep the talk soothing and the touch light. Make sure any ointment you use is warm, but not hot. Think of what you would like if the situation were reversed.

If you are mainly there to converse, or if your elder doesn't seem to like too much touching, honor that. Perhaps you could hold his hand while you talk about familiar things such as family or events he would remember with pleasure. Gently hold his hand and perhaps lightly place your other hand on top. The idea is to connect in a pleasurable way.

 
 

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  •  Comments 1 to 8 of 8 
 
 

JenJilks

Give a Hug

Jun 18, 2009

This is an interesting topic. For caregivers, there are lessons in Jill Bolte Taylor's book, My Stroke of Insight.
In it, she explains the difference between left-brain, logical linear thought, and right brain holistic emotions and feelings. The right brain knows your emotions, and when the left brain shuts down, or off, the Fight or Flight response kicks in and stress ensues. If you approach care recipients with a soft, gentle approach they will understand your intent and feel your positive thoughts.Caregivers and mental, or Primary Care service providers must be fully present with their clients. If there is a left brain injury this presence is a comforting influence on the care recipient.

 
 

Angela

Give a Hug

Jun 18, 2009

It is a good topic when my husband was healthl ywe took a class on massage for couples to learn what each other liked and how to give good massages. Now that he has Alzheimers I still give him those massages and it work to calm huim and get him to sleep. PS any massage therapist want to increase your practice and develop loyal clients offer a free session to a group of caregivers you will develop some loyalty like you have never ever seen before!

 
 

JenJilks

Give a Hug

Jun 19, 2009

That is true! My dad's LTC home had a massage therapist come in regularly. He almost purred!

 
 

LaurenRN

Give a Hug

Jun 19, 2009

This article is right on. It is so important to "just be there" and even though a person has lost the ability to speak, they can still comprehend feelings. It is very important for the people who are providing care for the patient to continue to communicate the fact that they care about and respect the person, as well as using a gentle touch and quiet peaceful tone of voice. Thank you for providing good insight into this, as I'm sure the world becomes a scary place after the ability to speak is lost.

 
 

JenJilks

Give a Hug

Jun 20, 2009

And...even when in a coma, they still hear you.

 
 

sooz

Give a Hug

Jun 25, 2009

this has all been very interesting. our problem was from a different angle. my wonderful, brave, and upbeat husband was paralyzed throughout his body. that included his tongue. no speaking for many, many years. that didn't mean everyone should just stop talking to him, [like most people didn't]. quite the contrary. i would talk more and more to him about everything in this world with a happy possitive and excited tone and smile. he loved it when i'd get him up in the morning. just to hear me talk. when i needed to have answers about doing the taxes, or banking, or election day, we had a system in which i'd ask, he'd blink for 'yes'. sometimes hughly frustrating of both of us. on occasion it would take hours to figure out what he wanted me to do about something important to him. if i felt myself going crazy, i'd get my daughter to take over for awhile. surprisingly, she could often get to the bottom of it within a few minutes. sometimes a caregiver just needs help. in the meantime, when someone can't communicate, talk - talk - talk! laugh and touch. get descriptive with words and smile with them. not speaking, but still thinking, feeling, wanting and loving. AND, blinks can go a long way for both of you. never give up. just get help. sooz

 
 

sooz

Give a Hug

Jun 26, 2009

23 hours......still waiting for my writings to show up...........a-g-a-i-n!!

 
 

xmart

Give a Hug

May 14, 2011

I read a book called, "Talking To Alzheimer's" sorry, don't remeber the author. It addressed ways to alter usual communications patterns that we have come to accept as "proper or polite" which are not appropriate for persons in various stages of Alz. I was able to help my nieces and nephews understand Gram's inability to follow conversations and answer questions. It was very helpful learning how to effectively word statements rather than ask questions.

 
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