American Baptist Homes of the Midwest

14850 Scenic Heights Rd - Suite 125
Eden Prairie, MN 55344
Phone: 952-941-3175
Fax: 952-941-8567

When Words Get Hard: Tips for Communicating with a Loved One Who Has Alzheimer’s

Navigating the challenges of Alzheimer’s disease can be incredibly difficult, especially when it comes to communication. It often feels like a silent thief, gradually taking away the ability to connect as you once did with your loved one.

Finding the right words can become more challenging, turning simple exchanges into complex puzzles. However, by using thoughtful strategies, you can strengthen your bond and maintain meaningful connections despite the changes you face together.

How Alzheimer’s Changes Communication

Alzheimer’s affects a person’s ability to understand and express language. You may notice they struggle with:

  • Finding the right words to express themselves
  • Understanding and processing what others say
  • Staying engaged in longer conversations
  • Organizing thoughts in a way that makes sense
  • Remembering details from recent discussions
  • Tuning out distractions like background noise

In some cases, individuals with Alzheimer’s may lose proficiency in a second language and revert to their first language. This can create additional communication challenges for caregivers and family members.

Supporting a Loved One Who Is Aware of Their Memory Loss

With earlier diagnoses, many individuals recognize their cognitive changes. This awareness can lead to frustration, anxiety, or sadness. If your loved one expresses concern about their memory, listen with empathy and patience. Acknowledge their feelings and provide reassurance without dismissing their experience.

Key Strategies to Enhance Communication

Helpful Approaches:

  • Maintain eye contact and use their name when speaking.
  • Position yourself at their level to create a more comfortable, respectful conversation.
  • Be mindful of your tone and body language; a calm, reassuring demeanor fosters security.
  • Encourage them to share their thoughts and feelings when they’re able.
  • Allow time for them to respond—avoid rushing or interrupting.
  • Use gentle physical gestures, such as holding their hand or offering a light touch for guidance.
  • Ask clear, specific questions; provide simple choices rather than open-ended ones.
  • Rephrase statements if they don’t understand—try explaining differently.

What to Avoid:

  • Speaking about them as if they aren’t in the room.
  • Using an overly simplified or childlike tone.
  • Reacting with frustration if they struggle to find the right words.
  • Correcting them too harshly or insisting on precise details.
  • Assuming they have a hearing impairment—speaking too loudly can feel like yelling.
  • Using slang or figures of speech, such as “no use crying over spilled milk,” which may be taken literally.
  • Asking too many questions—focus on encouragement rather than interrogation.

Practical Alternatives

Small wording adjustments can make a big difference. Consider these examples:

Instead of This…Try Saying…
“What do you want to eat?”“Would you like soup or a sandwich for lunch?”
“You’re doing that wrong.”“Let’s try another way and see if this helps.”
“How are you feeling?”“You seem a little quiet—are you comfortable?”
“Are you hungry?”“I’ve made your favorite meal—let’s eat together soon.”

The Power of Nonverbal Communication

As verbal abilities decline, nonverbal cues become increasingly important. Facial expressions, body language, and gestures can help convey emotions and understanding. A warm smile or gentle touch can provide comfort and connection, especially when words are difficult.

Human Connection and Emotional Support

At American Baptist Homes of the Midwest, we understand how important human connection and emotional support are during this journey. Our commitment is to ensure that every individual in our care feels heard, valued, and supported.

If you’re looking for a compassionate environment for your loved one, reach out to us today. Let’s talk about how we can help.