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How to Communicate When Your Elderly Parent Can No Longer Speak

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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 sooth 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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JenJilks said
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 said
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 said
Jun 19, 2009

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

LaurenRN said
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 said
Jun 20, 2009

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

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