Role of communication and interactions with individuals who have dementia Essay

1. How do psyches with frenzy communicate with their behaviour (1.1)Persons with mania whitethorn communicate through behaviours such asRepetition of actions or unbeliefs, this whitethorn communicate anxiety every array retention loss, boredom from in practise, to externalisek reassurance, picking at clo subject due to anxiety.Aggression, this whitethorn communicate depression, an in cogency to rationalise, impaired judgment, disembodied spiriting embarrassed and fearful of humiliation, thwarting that they argon unable to remember what they be meant to be doing or that others do non understand their need to accomplish tasks that they opinion to be important. nominate find no other port to express themselves.Pacing or walking, this may communicate a desire to visit a authorized place or person. Although the private may throw away forgotten who or where. They may be bored and attempting to implement up energy, uncomfortable from sitting, perplexity ab away w hat they argon meant to be doing or where they be, to enter in to one date(prenominal) routines of behaviour that once served an important purpose that the single(a) feels they need to accomplish. graceful suspicious of others, this may communicate that the single is experiencing memory loss and is having bar recognizing familiar facesPointing and vocalizing to communicate their intentions as the separate loses the use and concord of their vocabulary2. How you as a apprehensionr squeeze out misinterpret communication (1.2) non being attentive and missing behavioural communications such as picking at items, failing to make eye get hold of or being out of the persons view, non creating an surroundings conducive to communication (adequate liberaling, let out background noise levels etc)Not whollyowing the individual duration to passage tuition before continuing the conversation.Misunderstanding the intention behind a assumption response as the individual may mean one thing but say another. Individuals in a stomach team may fail to record dataand communicate with one another when they sport identified a need for a behaviour and the correct response to that need. i.e., the individual may pace because they are anxious remembering a forgotten routine (the need to catch the bus so they are not late for work).Asking open kind of than closed questions requiring a yes or no reaction. Making communication difficult.3. Explain the importance of hard-hitting communication with individuals with dementia (1.3)We all communicate to express call for and partake in information. In order for these necessitate to be met there must be just aboutone open to receive information and a undefendable milieu in order for information to be shared effectually. As a person with dementia already has a compromised baron to communicate, communication needs to be effectual and understood or the lymph gland may not understand what is being done to them, where they are being taking. It is important that for effective communication to take place the headache giverCreates an environment that verifys effective communication oAdjust lighting so you burn down be seen and you potbelly in tern see, adjust lighting, close curtains if excessively sunny etc.Reduce the astonishment of background noisesApproach communication when there is reduced or no distracting use in the surrounding environment oTry to make the individuals environment comfortable in terms of temperature, seating ar scorements, attempting to meet baser needs, food, drink, toileting.Presents themself in a way that supports communicationPosition yourself in a way that enables eye contact to be made (but not to invade individualizedized space or intimidate) oBe aware of your non-verbal bodily communication, allow the individual to see your body language as they leave behind be more receptive to this than speech, ensure your body language is in keeping with your intentions t o avoid combine messagesSpeechoRemain positive and present information in an enjoyable and pleasurable manner but avoid patronising oWhen assisting with tasks attempt to offer style by decompiling tasks to their funda moral components rather thenassuming the individual will recall how to carry out complex activities i.e. putting on shoes. airt the topic of conversation or activity if the individual bring abouts unhinged rather then arguing your point oAssume that the individual can understand what you are saying. If they are present musical composition other conversations are taking place, be respectful and intend dignity by not discussing them in their front man oAttempt to harbor as much of the persons autonomy as is possible by offer choices, i.e. food, clothes, activity. However keep choices simple, in the present and not abstract. Asses the individuals world power to choose as the illness progresses, simple choices can become overwhelming and may need to be revised.A ssisting with activitiesDo not boss the individual allow them time to attempt tasks at their stimulate pace. If state feel that they are being controlled they may resort to pugnacity or withdraw. oUse hand over hand techniques as hostile to carrying out tasks for individuals. Praise efforts and avoid highlighting errors.4. hear how 3 different forms of dementia can hazard the way an individual communicates. (1.4) Vascular DementiaCaused by a series of small disasters, Vascular dementia can compromise understanding of language, memory and powerfulness to follow instructions. Early symptoms may intromit slurring of speech ( bear upon the individuals ability to verbally express), dizziness (affecting stringency), short term memory (affecting the ability to take in new information, adjust to new situations, settings and people). more(prenominal) dominant symptoms affect a persons control over bladder and bowel movements compromising the ability to communicate these baser need s, ability to litigate information and abstract thought affecting a persons independence and autonomy.Dementia PugilisticaBrought upon by a repetition of concussions, the dementia normally effects a radioactive decay in mental abilities, lack of concentration (affecting a persons ability to hold a conversation, process information, attending to tasks). Personality disorders including psychomotor retardation (a slowing-down of thought and a reduction of bodily movements affecting processing skills, learning new information, recalling learnt information and ability to complete tasks), exacerbation of aggression, suspiciousness (effecting trust in relationships and inclusiveness), loquacity (becoming talkative). Huntingtons DiseaseA neurodegenerative genetic disorder that affects muscle coordination and leads to cognitive decline and psychiatric issues. Some of the symptoms and their effect on communication could be tug dysfunction, jerky, random, and uncontrollable movements may affect both the individuals effrontery in their ability to communicate and their ability to express and gesture. Slowed saccadic eye movements (quick, coincidental movements of both eyes in the same direction) may affect the individuals ability to make or maintain eye contact affecting attention, ability to read both facial and bodily expression. Rigidity, sinuate motions or abnormal posturing would affect the individuals ability to express themselves through body language. Abnormal facial expression, difficulties chewing, swallowing and speaking would affect both use of the spoken language and accurately conveying emotion and intent through facial expression. oSleep disturbances would leave the individual feeling tired, affecting concentration, temperament, attention and emotional state big businessman to correctly initiate bewitch actions and to inhibit in take into account actions could affect the individuals ability to gesticulate creating, misunderstandings and possi ble offence. Impairment in the range of short-term memory and famines to long-term memory may affect the individuals ability to retain information required to hold conversations in context, identity of others, whats their relationship, what are their intentions. 5/6. Give 3 examples of how you have positively moveed with clients with Dementia and exempt how these positive interactions contribute to their wellbeing. (2.1)(2.2)Although I do have experience of interacting with people who have dementia, this was at a time when I was not a support or care worker. As I used to be a cook in a large care home, I interacted frequently with persons with dementia I will use those experiences along with the information I have learnt as a result of this unit to answer questions 5 and 6.Example oneAs I would go closely(predicate) my work in the kitchen at the nursing home, there was a noblewoman re viewnt who would often stand at the kitchen door and would mutter to herself and at times lo ok at me and say short sentences that to me made no intelligence as I did not know the inwardness. Despite not conditioned much about dementia, I felt comfortable in this dolls company and felt that she was also comfortable with standing and chatting at the door her stance, demeanour, tone and facial expression back up this. I would constantly speak to her in a calm, clear pleasant manner as this was not only polite but reflected how she spoke in my presence. Id greet her when she came to the kitchen door and ask how she was, I would tell her about what I was doing as a running commentary (cooking, chopping, baking etc). Although she neer appeared to directly interact with me I spiritd that standing in a kitchen and chatting were both familiar and comforting for her, as she would spend frequent part of her day doing this. I felt it important to accommodate her presence and interact on her terms (not pushing for answers), using common politeness and manners, go information as a framework for my conversation. I believe this allowed her to feel comfortable in the loving situation while lacking companionable skills.Example 2 3The only part of my job eccentric that required me to assist individuals with daily living tasks was serving, describing and presenting their meals to them. I would assist the support provide in serving meals as dinner was a grumpy time. One gentleman in particular would often become injuryed when his meal was presented to him the nurse requested that when I write the meal choices on the menu board I present this particular individual with physical representations of the food for him to be better informed and have clearer expectations. Although it was not my place to help the patients make choices, the gentlemen when presented with the food items did take an interest in them and I presented him with his meal accordingly. Although the instances of anxiety still remained around dinner time they did until now significantly decre ase. I now know that the food items were used as objects of reference and I believe it would have been of greater benefit to all residents if they current a combination of a written menu, objects of reference, photographic or pictorial representations of meal choices according to their individual abilities around choice making. I also believe that with the information gained in this unit, in hindsight the gentlemen in question would have benefited from a smaller range of choice, 2 items as opposed to 4.7. Why is it important to involve clients with dementia in a range of activities, give three examples of how you have done this. (2.3)As stated in questions 5 and 6, I have no experience in financial support people with dementia. For the purposes of this question I will give three examples of activity that could be considered essential for most people.Humans are occupational and social beings, physically and mentally built to interact with their environments. Therefore activity would not only be a natural pursuit for all people, but, for individuals with dementia who are losing the ability to interact with the humanity around them, the use of activity would allow them both structure and purpose for interaction linking familiar experiences of the bygone to the unfamiliar experience of the present.Example1Supporting individual with their morning ablutions. This task would have taken place for almost every morning of the individuals lives, with guided and prompted support the individual may benefit from a nose out of pride in appearance that would have been culturally important for members of the cured generation. The support worker could reinforce the activity and the individuals attention to task by complimenting them on their appearance. There may be a range of ways in which the client chooses to invigoratedse themselves shower, bathing, or it may be appropriate for individuals of a certain generation to wash at a hand basin. The act of washing may ho ld some religious significance for the individual (Muslims are required to be clean when handling and reading the Quran) allowing them the benefits of their religious convictions.Example 2Accessing social make (tea at a village hall). The individual may benefit from time spent away from their home in the company of others from a familiar cultural generation. Socialising may combat isolation, loneliness, feelings of despair, suicidal thoughts, offer the individual an hazard to positively experience their identity.Example 3Accessing reminiscing sessions. This activity may immerse the individual in an environment filled with remnants of their formative days familiar objects, smells, clothing etc creating a sense of identity and safety, stimulating the wit and senses in a bid to prolong their cognitive abilities, believes that are supported by the Orientation Approach.8. Compare squareity Orientation Approaches to Validation Approaches. (2.4)The governing body approach attempt s to offer extremely disorientated individuals (predominantly the elderly at the end of their lives) an opportunity to express what are believed to be unresolved feelings and offers the care giver an cleverness in to the underlying meaningful reasons for what may be perceived as odd behaviours. The care giver attempts to empathise with the individuals behaviours, mannerisms and expressions, presenting themselves in a non-confrontational and non-judgemental way engendering trust and acceptance. Thus allowing the individual to communicate as they are able, rather than as they should.Unlike the validation approach, which attempts to enter the world of the disorientated individual, the orientation approach attempts to focus the individuals sciences in the real world. Using prompts such as calendars, clocks, current magazines or newspapers, menu boards, staff boards to orientate them in to the time and place that they currently occupy. It is thought that continual, crying reminders wil l keep the patient stimulated and lead to an increase in orientation.However, I have found through researching this topic that some care givers and providers have adapted the orientation approach (which advocates the present time) by creating and orientating individuals to the particular reality or time that they may be experiencing.9. joust the physical and mental health needs that may need to be considered when communicating with some one with dementia. (3.1)Physical needsEffects of stroke ( multiple TIAs bringing about vascular dementia) oParalysis on ether side of the bodyProblems with visionSpeech and language problemsMemory loss massiveness spasticityTremorsIncontinenceDisruptions in sleep patternsUnable to remain settled, pacing injustice of hearing and or tinnitusLoss or increase of physical sensation, touch, sight, smell.Ability to accurately form facial expressionsMental health needs falloffSense of agencyLoss of hope, experiencing despairLack in cite of familiar people or places resulting in possible suspicion Experiencing lickingHeightened sense of anxietyAggressive behaviourFeeling fearful picayune and long term memory lossBecoming withdrawn10 tell apart how a sensory impairment of someone with dementia can affect their communication skills (3.2)Visual impairmentThe individual may not be able to accurately gauge a persons body language or facial expressions, minimising the amount of information they receive. The reading of light fall on objects and surroundings may be reprobate resulting in perplexity and anxiety.Heightened sense of smell (Hyperosmia), this may affect how an individual smells both people and places around them, they may find bodily odours, perfumes, deodorants, and alter products offensive, reminiscent and confusing affecting the individuals tolerance of these smells and ability to concentrate on tasks such as communication.Loss of proprioception (bodys inner sensory network of muscle and movement), this may affect an indi viduals ability to express body language or gesticulate.Taste, an individual may cease to communicate their desire, choice, interest in food if eating has become a displeasurable or confusing experience due to a qualify in their taste.Change in the sense of touch, a heightened or dampened sense of touch may result in individuals recoiling from another touching them to show reassurance or gain attention as the sensory information received may relay pain, discomfort or not register at all.A change in sensory input of any of the senses may be distressing and confusing for the individual, affecting their concentration, perception and desire to communicate.11. Describe how an environment can have an affect on a client with dementia (3.3)A change in mental faculties, cognition, memory and mental health in a person with dementia coupled with an array of sensory impairments may affect the individuals perception of their environment in the following waysThe smell of the environment may dist ress individuals due to Hyperosmia.A loss of vision may alter the perception of visual stimuli, bright light from a window or light bulb may wash out the visual field, shadows may crap the illusion of people or objects, a change in sagacity perception may alter a persons ability to gauge depth of furniture.Reactions to the alterations in visual perceptions may be understand with fear, confusion, anxiety as objects may appear different to what they are, or the individual is unable to correctly identify or comprehend their purposeThe environment can be arranged to effect positive change, the dcor and items can be chosen to resemble familiar surroundings from a time or era that the individual is remembering. The Orientation Approach fills the environment with informatory and stimulating objects (present time frame) large clock, calendar, staff board, meal board, current literature.12. Describe how your behaviour and that of other carers can have an affect on a client with demen tia (3.4)The care giver needs to consider the way they speak whether it is positive or negative, does it show that you are attentive and caring, if a carer rushes their speech or does not allow the client time to respond, it may convey a lack of respect and that they dont trust to be there. The messages that the carers body language communicates must not be at odds with their verbal content this may create confusion and appear as insincerity. The carer must be focussed on the needs of the client, not becoming distracted by personal discussions with other carers at all times the chosen language must be that of the clients while in their presence. Interpersonal staff conversations conducted while staff are delivering care show a lack of respect and compassion, the client may not feel that they have a right to talk if they are not involved or may become distressed about the content of conversation and feel a need to become involved. Clients may feel that they can assist with a staff m embers personal problems, offering money or possessions, accepting gratuity is both wrong and would be in contravention of the code of conduct.This may be taken by clients as payment for preferential services or as theft after a client having forgotten there offering discovers their money or possessions gone. Carers need to remain professional and stick to their roles as described in their job descriptions if the client should request services that are in contravention of their role, the carer should politely decline the request and seek support/advice from their manager if they feel it necessary.13. Describe how the use of language can blank out positive interactions and communications. (3.5)Clients with dementia will be experiencing a deterioration in their cognition, attention, memory, producing and understanding language, learning, reasoning, problem solving. It is therefore necessary that the carer not only use their language and communication skills appropriately but th ey also recognise deficit in the clients abilities and change their approach accordingly. The clients deterioration in cognition will result in a struggle to comprehend both spoken and written language if a client does not understand information they are more probably to withdraw and accept their confusion with feelings of embarrassment and ineptitude rather than seek clarification. The carer should be attentive to the clients communication needs noticing if they are struggling to understand, offering the information in a more appropriate way. The carer should always adapt their vocabulary to that of the clients considering the use of slang, euphemism, colloquialism, allowing time to process and respond, realising that the clients may have lost the ability to ask questions and seek clarification.