There are many ways in which we can help people who have cognitive-communication problems to communicate successfully:

  • Know and understand the person and the impact of their brain injury.
  • Follow treatment plans addressing cognitive problems, communication problems etc.
  • Be aware of the adverse impact of attention, information processing, memory and executive functioning impairments on the person’s ability to understand their situation, co-operate with care needs and communicate.
  • Remind the person of where they are and what has happened to them as necessary. Provide orientation material.
  • Support memory by providing information in written/pictured formats and support the use of memory aids e.g. timetable, diary, phone alerts.
  • Always make sure the person knows who you are: introduce yourself and wear name badge if appropriate.
  • Give the person extra time to respond; do not rush the person to complete tasks, follow information etc.  Try to avoid causing them to feel overwhelmed or anxious.
  • Explain things simply and clearly. Repeat/rephrase as necessary.
  • Say exactly what you mean to the person; avoid giving subtle ‘hints’.
  • Do not over load with information – give ‘bite sized’ pieces of information.
  • Give lots of opportunities for positive social communication/interaction. It is important that this is in addition to communication around their care needs.

Please see the cognitive problems section of the website for further information on how to help.

It may be appropriate to refer the person to a Clinical Neuropsychologist for further in-depth cognitive assessment and specialist advice.