Communicating with aphasia

If your loved one suddenly developed difficulty with speaking, they probably have aphasia, typically from a stroke or traumatic brain injury. Struggling with slow or garbled speech can be frustrating for everyone involved. Following the advice of speech and occupational therapists will help your relative recover their abilities faster. Meanwhile, your support is invaluable in terms of bolstering their self-worth and confidence.

Try these aphasia communication tips:

• Remove distractions. Turn off the TV or radio. Move to a room that is quiet.
• Allow time. It takes effort to organize thoughts and form words.
• Let them find the right words. Filling in and guessing what is meant may seem helpful, but it actually undermines self-esteem.
• Listen patiently. Communication is more than an exchange of facts. It’s a way to express personality and competence. As a listener, relate as if you have all the time in the world.
• Confirm your understanding. Repeat back what you think was said.
• Keep it simple. Speak in short sentences. Avoid a long string of ideas or requests. Ask “yes” or “no” questions.
• Use nonverbal communication. Drawings, gestures, writing, and facial expressions can all be used to supplement or even replace speech.
• Consider apps. There are many mobile- and tablet-based apps for aphasia. Some provide assistance with speech exercises. Others offer symbols your relative can point to instead of speaking. Some even help your loved one stay engaged with others by sending emails and texts based on the symbols.

Create a communication card

To help your relative stay engaged and be independent, create a “business card” they can pass to waiters, receptionists, merchants, or service providers. Personalize it appropriately:

• I have aphasia: I have trouble speaking.
• No need to shout: I am not deaf.
• I do not have dementia: I think very clearly.
• Please be patient: Give me time to find my words.

Try to avoid overprotecting your loved one. Your intentions may be good, but leaving them out of conversation and decision making can have a negative effect on their self-esteem and autonomy.

Is communication difficult?
You are not alone in feeling frustrated. As the Roanoke and Lynchburg experts in family caregiving, we at Gentle Shepherd Hospice can help you and your loved one find easier ways to continue relating even in the face of aphasia. Give us a call at 1-800-789-0586 (toll-free).