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    ALZHEIMER'S AND COMMUNICATION
    Finding the words

    As Alzheimer's disease advances, those who have it slowly lose their ability to communicate needs, concerns and memories. As a result, a caregiver may face a continuing challenge of gauging the needs of their loved one based on words and behaviors that often don't make sense.

    A new language

    Changes in the ability to communicate are as different as each person with Alzheimer's disease. These commonly include repetition and the use of inaccurate and socially inappropriate words that may reflect jealousy, accusation, paranoia or impulsiveness. The ability to communicate may be compromised in the following areas:

    Recall of thoughts, names, memories

    Word usage

    Articulation and pronunciation

    Reading

    Comprehension - Understanding spoken instruction, taking directions too literally

    A person who was an avid newspaper reader may hold a newspaper upside down because the ability to read has been lost.

    People with Alzheimer's may curse or use language that the family finds shocking. This may be a sign that the person has lost inhibition and impulse control and now says the first thing that enters his or her mind. It's important to remember that this isn't intentional behavior.



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