Communicating with Seniors through Observation
Dec 30, 2020 04:19PM ● By Kristen Nebel
Whether we live near or far from our aging
loved ones, it is important to remember that the distance does not measure how
much we care nor our ability to care. No matter the distance, there is one
simple action that can help us succeed—communication.
Communication is not just about words or
sounds. Some older adults may rely on behavior to communicate. Adults that were
once skilled at speaking or writing may no longer be able to due to medical
problems or dementia. Sometimes behavior gets labeled as bad or good, and the
reason for it gets missed. Being aware of words, sounds and behaviors will help
to identify the needs of our loved ones, and guide us to the resources for
success.
Know What They Aren’t Telling Us
Understanding what a loved one isn’t telling
us involves the communication skill of observation. Notice any actions, words or deeds that raise
doubts. This isn’t about trying to trick or test a loved one, but about being
alert for things that aren’t being said.
When an aging parent who still drives has
more and more minor scratches or dents that are noticeable on the rear bumper
and corners of her car, ask her to explain. If she says she backed up into
something or blames it on someone who wasn’t paying attention, take notice. Passing
the blame is a common strategy to hide decline.
Loved ones want to maintain their
independence at all costs. If falling is a concern, an occupational therapy
home safety evaluation can be helpful to reveal hazards that lead to falls. A
physician can investigate medical reasons for falls, such as low blood
pressure, low blood sugar or medication side effects. A physical therapy
evaluation may be needed to help improve walking and determine if the use of a
cane or walker is needed.
Sensory impairment is also something to
consider. Any level of decrease in senses, such as hearing loss, impairs how someone
interacts with their environment. It is best to treat hearing loss when it is
first noticed. Untreated hearing loss increases the risk for dementia as those
pathways in the brain lose their connection. The longer the hearing loss
exists, the less likely it can be improved with hearing aids.
Understand How Aging Affects Our Loved Ones
Older adults may act okay but could be
covering up something. They may self-isolate to prevent others from seeing their
decline and to avoid embarrassment. They may also experience depression, but it
often goes undiagnosed. Certain generations are less likely to share depressed
feelings.
Grieving is caused by the many types of
loss that happen due to aging. Older adults may lose their spouse and sell
their home or downsize, which means they move into new environments with new
faces and routines.
They lose their physical functioning,
which increases isolation. Worry over losing control of their bowel or bladder
adds to isolation. Sometimes physical and mental functions don’t age at the
same time. Someone may want to do more, but their body simply can’t. Disagreeable
behaviors not previously seen frequently begin as the difference in physical
and mental abilities increase, which is often the case with dementia.
Offer compassion, love and care. What
comes across as being argumentative or demonstrating disagreeable behaviors may
be our loved one’s reaction to a sense of further loss. For us to have any
chance of understanding what our they are going through, we need to take time
to hear, see and feel it. Navigating the senior waters without a clear course
or advocate is challenging. Help is available; we have the choice to ask for
help on behalf of our loved ones and ourselves.
Dr. Kristen Nebel, board-certified in both
family and geriatric medicine, is the owner of Peace Of Mind Aging &
Wellness Specialists. Her passion is to help guide patients and families
through aging using a holistic approach that recognizes the physical, mental,
social and spiritual changes. She combines in-home senior primary care and
aging-in-place services to help patients meet their goals of staying at home.
She also offers senior health consultations and aging-in-place evaluations. For
more information, call 717-723-8531 or visit PeaceOfMindAging.com.