Progressive disorders - delaying the impact of communication difficulties

When diagnosed with a progressive illness it is often difficult to predict the course of the disease, everyone is different. However, it is a good idea to plan ahead, investigate what communication issues you may face and also investigate other assistive communication or technology options.

Speech Difficulties

Language Difficulties

Aphasia and language difficulties are often more difficult to come to terms with, and to apply effective strategies. For some adults, understanding language will be an ongoing problem and expressing their needs, just as difficult. For those with dementia the difficulties will be progressive. When Individuals have these severe difficulties it is important to focus on a total communication environment. This means using every means possible to help with expression and understanding. It also means that those around the individual have to be much more aware of their own communication.

See our online Download Centre for more information relating to language difficulties and a Total Communication approach.

Reading and Writing difficulties

Dyslexia and dysgraphia are also difficulties that can arise from neurological problems. These problems may occur because of a difficulty with language or because physical problems make it harder to read and write because of reduced motor control or difficulties with vision. The use of assistive devices, software, and some simple strategies can facilitate and prolong the ability to read and write effectively.

Visit our online Download Centre for a more comprehensive article relating to reading and writing difficulties which provides strategies, information and a suggested reading list.

Cognitive Functioning

• Get into a routine so things become a habit.

• Use a diary, calendar and lists and get used to checking them several times a day. Write everything you need to remember. Put lists down the side of the page and tick the things off as you do them. Put the diary somewhere obvious so you can see it.

• Have systems for everything, have a filing system for paperwork, use calendars, daily planners, sticky notes, noticeboards, set alarms on your mobile phone as a reminder for appointments etc.

• Always put things in the same place – diary, keys etc.

• Home information centre with a notice board for reminders, bills, keys etc

• Set aside time each day for planning

• Use timers and a Dictaphone for reminders

• Use step by step checklists

• Do not attempt tasks or try to discuss important issues when you feel tired

• Create a home environemt that is free from distraction and noise