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Semin Speech Lang 2001; 22(4): 305-316
DOI: 10.1055/s-2001-17428
Copyright © 2001 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Indirect Interventions to Facilitate Communication in Alzheimer's Disease

Tammy Hopper
  • National Center for Neurogenic Communication Disorders, The University of Arizona, Tucson, Arizona
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Publication History

Publication Date:
27 September 2001 (online)

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ABSTRACT

Indirect interventions are designed to maximize the functioning of individuals with Alzheimer's disease (AD) through training of caregivers, modifying the physical environment, and developing therapeutic routines and activities. In this article, characteristics of AD caregivers are described, caregiver communication strategies are discussed, and examples of caregiver communication training programs are provided. Environmental modifications and routines and activities to improve communication are detailed.

KEYWORD

Alzheimer's disease - caregiver training - environment - communication - activities

REFERENCES

  • 1 Clark L W. Interventions for persons with Alzheimer's disease: strategies for maintaining and enhancing communicative success.  Top Lang Disord . 1995;  15 47-65
    CrossrefPubMedGoogle Scholar
  • 2 Bayles K A, Tomoeda C K. Improving Function in Dementia and Other Cognitive Linguistic Disorders.  Austin, TX: Pro-Ed; 1997
    Google Scholar
  • 3 Dunkin J J, Anderson-Hanley C. Dementia caregiving burden. A review of the literature and guidelines for assessment, and intervention.  Neurology . 1998;  51(Suppl 1) S53-S60
    PubMedGoogle Scholar
  • 4 Mace N L, Rabins P V. The 36-Hour Day.  Baltimore, MD: Johns Hopkins University Press; 1999
    Google Scholar
  • 5 Almberg B, Grafstrom M, Winblad B. Major strain and coping strategies as reported by family members who care for aged demented relatives.  J Adv Nurs . 1997;  26 683-691
    CrossrefPubMedGoogle Scholar
  • 6 Donaldson C, Tarrier N, Burns A. The impact of the symptoms of dementia on caregivers.  Br J Psychiatry . 1997;  170 62-68
    PubMedGoogle Scholar
  • 7 Katon W, Kleinman A, Rosen G. Depression and somatization: a review. Part I.  Am J Med . 1982;  72 127-135
    CrossrefPubMedGoogle Scholar
  • 8 Kinney J M, Stephens M AP. Caregiving hassles scale: assessing the daily hassles of caring for a family member with dementia.  Gerontologist . 1989;  29 328-332
    PubMedGoogle Scholar
  • 9 Bayles K A, Tomoeda C K. Caregiver report of prevalence and appearance order of linguistic symptoms in Alzheimer's patients.  Gerontologist . 1991;  31 210-216
    PubMedGoogle Scholar
  • 10 Donaldson C, Burns A. Burden of Alzheimer's disease: helping the patient and caregiver.  J Geriatr Psychiatry Neurol . 1999;  12 21-28
    PubMedGoogle Scholar
  • 11 Sigman S. Conversational behavior in two health care institutions for the elderly.  Int J Aging Hum Dev . 1985;  21 147-163
    PubMedGoogle Scholar
  • 12 Lee V K. Language changes and Alzheimer's disease: a literature review.  J Gerontol Nurs . 1991;  17 16-20
    PubMedGoogle Scholar
  • 13 Bohling H R. Communication with Alzheimer's patients: an analysis of caregiver listening patterns.  Int J Aging Hum Dev . 1991;  33 249-267
    PubMedGoogle Scholar
  • 14 Pietro M J. Assessing the communicative styles of caregivers of parents with Alzheimer's disease.  Semin Speech Lang . 1994;  15 236-246
    PubMedGoogle Scholar
  • 15 Kempler D, Curtiss S, Jackson C. Syntactic preservation in Alzheimer's disease.  J Speech Hear Res . 1987;  30 343-350
    PubMedGoogle Scholar
  • 16 Schwartz M, Marin O, Saffran E. Dissociations of language function in dementia: a case study.  Brain Lang . 1979;  7 277-306
    CrossrefPubMedGoogle Scholar
  • 17 Bayles K A, Kaszniak A W. Communication and Cognition in Normal Aging and Dementia.  Boston: Little, Brown; 1987
    Google Scholar
  • 18 Kempler D, Almor A, Tyler L K, Andersen E S, MacDonald M E. Sentence comprehension deficits in Alzheimer's disease: a comparison of off-line versus on-line sentence processing.  Brain Lang . 1998;  64 297-316
    CrossrefPubMedGoogle Scholar
  • 19 Bayles K A, Tomoeda C K. The ABCs of Dementia.  Austin, TX: Pro-Ed; 1993
    Google Scholar
  • 20 Small J A, Anderson E, Kempler D. The effects of working memory capacity on understanding rate-altered speech.  Aging Neuropsychol Cogn . 1997;  4 126-139
    PubMedGoogle Scholar
  • 21 Almor A, Kempler D, MacDonald M C, Andersen E S, Tyler L K. Why do Alzheimer patients have difficulty with pronouns?.  <~>Working memory, semantics, and reference in comprehension and production in Alzheimer's disease. Brain Lang . 1999;  67 202-227
    CrossrefPubMedGoogle Scholar
  • 22 Small J A, Kemper S, Lyons K. Sentence comprehension in Alzheimer's disease: effects of grammatical complexity, speech rate, and repetition.  Psychol Aging . 1977;  12 3-11
    PubMedGoogle Scholar
  • 23 Tappen R M, Williams-Burgess C, Edelstein J, Touhy T, Fishman S. Communicating with individuals with Alzheimer's disease: examination of recommended strategies.  Arch Psychiatr Nurs . 1997;  11 249-256
    CrossrefPubMedGoogle Scholar
  • 24 Ripich D N, Ziol E, Fritsch T, Durand E J. Training Alzheimer's disease caregivers for successful communication.  Clin Gerontol . 1999;  21 37-56
    PubMedGoogle Scholar
  • 25 Hopper T, Bayles K A, Tomoeda C K. Using toys to stimulate communicative function in individuals with AD.  J Med Speech Lang Pathol . 1998;  6 73-80
    PubMedGoogle Scholar
  • 26 Feil N. The Validation Breakthrough: Simple Techniques for Communicating with People with Alzheimer's-Type Dementia.  Baltimore, MD: Health Professions Press; 1996
    Google Scholar
  • 27 Luterick A M, Altman R. An empathetic approach to dementia.  Provider Magazine . 2001;  April 43-44
    PubMedGoogle Scholar
  • 28 Brush J A, Camp C J. Using spaced-retrieval as a therapeutic intervention during the rehabilitation process (J Chitwood, director). In: CK Tomoeda (producer), Telerounds. Tucson, AZ: The University of Arizona; 1998
    Google Scholar
  • 29 Albert M L, Sandson J. Perseveration in aphasia.  Cortex . 1986;  22 103-115
    PubMedGoogle Scholar
  • 30 Buckingham H W, Whitaker H, Whitaker H. On linguistic perseveration. In: Whitaker H, Whitaker H, eds. Studies in Neurolinguistics, Vol 4 New York: Academic Press 1976: 329-352
    Google Scholar
  • 31 Santo-Pietro M J, Rigrodsky S. Patterns of oral-verbal perseveration in adult aphasics.  Brain Lang . 1986;  29 1-17
    CrossrefPubMedGoogle Scholar
  • 32 Sloane P D, Davidson S, Knight N, Tangen C, Mitchell C M. Severe disruptive vocalizers.  J Am Geriatr Soc . 1999;  47 439-445
    PubMedGoogle Scholar
  • 33 Cariaga J, Burgio L, Flynn W, Martin D. A controlled study of disruptive vocalizations among geriatric residents in nursing homes.  J Am Geriatr Soc . 1991;  39 501-507
    PubMedGoogle Scholar
  • 34 Cohen-Mansfield J, Werner P, Marx M S. Screaming in nursing home residents.  J Am Geriatr Soc . 1990;  38 785-792
    PubMedGoogle Scholar
  • 35 Ryan D P, Tainsh S MM, Kolodny V, Lendrum B L, Fisher R H. Noise making among the elderly in long-term care.  Gerontologist . 1988;  28 369-371
    PubMedGoogle Scholar
  • 36 Clavel D S. Vocalizations among cognitively impaired elders. What is your patient trying to tell you?.  Geriatr Nurs . 1999;  20 90-93
    CrossrefPubMedGoogle Scholar
  • 37 Hallberg I R, Edberg A K, Nordmark A, Johnsson K. Daytime vocal activity in institutionalized severely demented patients identified as vocally disruptive by nurses.  Int J Geriatr Psychiatry . 1993;  8 155-164
    PubMedGoogle Scholar
  • 38 Boucher L A. Disruptive behaviors in individuals with Alzheimer's disease: a behavioral approach.  Am J Alzheimer's Dis . 1999;  14 351-356
    PubMedGoogle Scholar
  • 39 Ripich D N. Functional communication with AD patients: a caregiver training program.  Alzheimer's Dis Assoc Disord . 1994;  8(Suppl 3) 95-100
    PubMedGoogle Scholar
  • 40 Ripich D N, Ziol E, Lee M M. Longitudinal effects of communication training on caregivers of persons with Alzheimer's disease.  Clin Gerontol . 1998;  19 37-55
    PubMedGoogle Scholar
  • 41 Ripich D N, Kercher K, Wykle M, Sloan D M, Ziol E. Effects of communication training on African-American and white caregivers of persons with Alzheimer's disease.  J Aging Ethnicity . 1998;  1 163-178
    PubMedGoogle Scholar
  • 42 Clark L W, Witte K. Dealing with Dementia in Long Term Care. Presentation for the New York State Speech, Language and Hearing Association, Kiamesh, New York, 1989, cited by Clark LW. Interventions for persons with Alzheimer's disease: strategies for maintaining and enhancing communicative success.  Top Lang Disord . 1995;  15 47-65
    CrossrefPubMedGoogle Scholar
  • 43 Clark L W. Caregiver stress and communication management in Alzheimer's disease. In: Ripich D, ed. Handbook of Geriatric Communication Disorders Austin, TX: Pro-Ed 1991: 127-142
    Google Scholar
  • 44 Cleary S. Management of Feeding and Swallowing in Patients with Dementia.  Austin, TX: Pro-Ed; 1998
    Google Scholar
  • 45 Santo Pietro J M, Boczko F. The Breakfast Club: results of a study examining the effectiveness of a multi-modality group communication treatment.  Am J Alzheimer's Dis May/June. 1998; 
    PubMedGoogle Scholar
  • 46 National Alzheimer's Association. Website: www.alz.org. 
    Google Scholar
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