Talking Aphasia

RACHAEL PODCAST COVER – Season 4

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One of my favorite things is when someone with dementia, who doesn’t normally speak, speaks to me.

It happens every once in a while. I’ve had a few residents with aphasia, which means that they have (usually) the inability to communicate verbally. Interestingly, I’ve found that even though these residents usually can’t speak, they make complete sense when words to come out of their mouths.

I think a lot of people give up trying to talk to people with dementia who have aphasia. I make it a point to continue talking to them as if we’re having a two-sided conversation. You never know when that person is going to talk back.

A couple days ago I was outside with Amanda. Amanda doesn’t speak, usually, but she’s very physically active: she loves walking up and down the hallways, cleaning, and picking up objects. Because she is so active and on-the-go, I decided to offer her a seat in a nearby rocking chair.

She touched the wooden chair and said to me in a quiet voice, “I can’t sit there, it’s hot!” 

Joyfully I responded, “It’s not that bad, Amanda!”

“No, touch it with your hand. It’s very warm,” she disagreed. I loved that her sentence made complete sense. It was almost as though she spoke every single day. Perhaps, in her mind, she was “talking” every day. 

Amanda seemed to shrug and went to sit in it anyway. As she settled in, she began to tap her feet on the ground, rocking the chair back and forth slowly.

She closed her eyes, enjoyed the constant, slow movement, and went to sleep.

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Rachael Wonderlin is an internationally-recognized dementia care expert and consultant. She has a Master’s in Gerontology and is the author of two published books with Johns Hopkins University Press. Rachael owns Dementia By Day, a dementia care consulting and education company.

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