Therapeutic Communication

Therapeutic Communication with a patient who has Dementia

o Be Positive
o Keep if brief
o Familiarity
o Don’t talk down to them 

o No need to shout

o No sarcasm/irony 

o Limit distractions 

o Speak slowly
o Smile

o Approach from the front so you don’t startle them
o Acknowledge their feelings when upset then redirect 

o Use their name as a memory trigger
o If mad don’t make it worse
o If wrong, let them be wrong in the moment.

10 Rules

1. Always Agree-Never argue
2. Always Redirect- Never reason 3. Distract-Don’t shame
4. Reassure-Don’t lecture
5. Don’t say “remember”
6. Repeat
7. Encourage-Don’t say “you can’t” 

8. Ask-Don’t command
9. Praise-Don’t condescend
10. Reinforce

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