AFT: Communicating With Confused or Sensory-impaired People - Guidelines for Volunteers

Linda Hume, LPN, AFT Specialist
Northeast Rehabilitation Hospital

The Person who is Confused:

ChaseVisit in a quiet, distraction free environment, if possible. Simplify your topic, ask "yes," "no," or alternate choice questions. Approach the person slowly, from the front, touch them before talking, and use their name periodically during the conversation. Speak clearly, not too quickly, and at eye level. Never talk about a person in their presence without including them in the conversation, or talk to them as if they were a child, patting them on the head or using baby talk. Some people may have short attention spans, watch for signs of restlessness, agitation, or tuning you out, and end the visit on a positive note with a sense of closure. Encourage reminiscence, which can serve as a source of comfort as well as an 'anchor' to a more attractive "reality". Always remember to maintain your sense of humor, and cultivate a positive, accepting attitude.

The Visually Impaired Person:

JakeWhen you enter the room, speak to the person, telling them who you are in a normal voice. It is helpful to describe your dog, what he looks like , his personality traits, and his body expressions or posture as the visit progresses. Be sure to encourage the person to touch the dog, as tactile stimulation and touch as a means of gathering information is extremely important to the visually-impaired. Always tell the person when you are leaving, giving him a chance to give the dog a goodbye pat.

Hearing Impaired Persons:

Visit in a distraction free environment, with as little background noise as possible. Don't shout, instead speak in a slow clear voice, facing the person, at eye level. Use gestures, facial expressions, and touch to facilitate understanding. Never abruptly begin a conversation- first get the persons attention by facing them and lightly touching arm or shoulder.


Last Updated: 09/07/05 | ©2005 Northeast Rehabilitation Health Network
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