Johnson Christopher, Kelch Jordan, Johnson Roxanna
Department of Sociology, 601 University Drive, Texas State University, San Marcos, TX 78666-4684, USA.
Gerontologist and Dementia Specialist, Aging Consultants, Austin, TX 78733, USA.
Behav Sci (Basel). 2017 Jul 9;7(3):42. doi: 10.3390/bs7030042.
People with dementia are not dying; they are experiencing changes in the brain. This paper utilizes a symbolic interaction theoretical perspective to outline communicative alternatives to polypharmacy. There is a growing interest in sociological interventions to untangle the "disordered discourses" associated with dementia. Such practices challenge common stigmas attached to dementia as an "ongoing funeral" or "death certificate." Changing the expectations, attitudes and communication patterns of family care partners can positively impact them and the person living with dementia at the end of life. This paper delineates multiple non-verbal communication interventions (e.g., the trip back in time, dementia citizenship and sensory engagement modalities) to explore techniques to engage persons with advanced dementia.
患有痴呆症的人并非正在死亡；他们正在经历大脑的变化。本文运用符号互动理论视角概述了针对多重用药的沟通替代方案。社会学干预措施越来越受到关注，旨在理清与痴呆症相关的“混乱话语”。此类做法挑战了附着于痴呆症的常见污名，即把它视为一场“正在进行的葬礼”或“死亡证明”。改变家庭护理伙伴的期望、态度和沟通模式能够对他们以及处于生命末期的痴呆症患者产生积极影响。本文阐述了多种非言语沟通干预措施（如时光回溯、痴呆症公民身份及感官参与方式），以探索与晚期痴呆症患者互动的技巧。
