Alzheimer’s Society 2019 report that it is best to talk in clear

Alzheimer’s Society (2019) report that it is best to talk in clear and calm way and at a slightly slower pace than what is considered normal; this will give time for the information to be processed. Nurses have to be constantly aware of non-verbal communication that Jon expressed. This was done analysing his movement, the way he was sitting and the look in his eyes. Jon’s verbal communication was not consistent to hold a complete verbal conversation. The Commission for Social Care Inspection (CSCI 2008) suggest that it is not negative forms of communication that can lead to the feelings of distress, but it could also happen when ‘neutral’ styles of communication are taking place. This can happen because professionals tend to look at the job in hand instead of focusing on empathy and radiating warmth. If the nurses used this information to care for Jon they may have seen an improvement in mood and flow of conversation. CSCI (2008) found that those least engaged with activities were more likely to develop severe communication problems and disabilities. Jon did not take part in activities on the ward and so if nurses encouraged him to take part this may of made a positive difference. The Tidal Model states that genuine interest from professionals around Jon’s story could help him to communicate his thoughts. The Code states in sections 7.1 and 7.4 that terms that the individual understands should be used and also the practitioner should check the individuals understanding from time to time. A care plan could be done slowly and patiently with Jon. G. Morris and J. Morris (2010) said that others often take over because of the low expectation that is commonly held by those with this diagnosis. They have also said that it is hard to balance empowerment and vulnerability concerns because of attempting to maintain self determination rights but also being mindful of potential risks and legislative issues. However there are cognitive deficiencies associated with dementia that create communication difficulties. With an impaired short term memory it is important to understand that Jon may need some information to be repeated. The Tidal Model states nurses should communicate to the patient of the purpose to all of the processes involved in their care. Jon prefers to speak to everyone in Welsh, and the ward made sure that a Welsh speaking staff member was providing care to Jon – one of the commitments of the model is that the individual should be allowed to express wishes through a language of their choice but it is also a legal requirement under the Welsh Language (Wales) Measure 2011.

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