Tag: english

Dementia and English as a Second Language

Are you enjoying my blog posts? Grab a free download of one chapter from my audiobook here and also receive any future helpful tips and posts right to your inbox! I’ve had a number of clients and residents over the years lose their ability to speak. Sometimes this happens early in the disease process, and sometimes it happens pretty late. Sometimes it never happens at all. Other times, I’ve had residents who lose their ability to speak…English. What ends up happening, for many people who learned English as a second language, is that they’ll begin speaking their native language again. Even if they’d been speaking English for the last 50 years, their native language comes through. When this happens, I’ve found that the individual actually does understand English, but just responds in their first language. While friends and family may be confused as to what their loved one is saying, oftentimes the person living with dementia knows exactly what everyone else is saying to them. (Hence why you still don’t want to talk about the individual like they aren’t in the room!) Long-term memories are the ones that stick around. Knowing this, it makes sense why the language someone learned first would be the language that they retained the longest. If you have a loved one who is speaking another language, but you can’t understand it, don’t panic. You don’t need to download any translation apps or buy any books. Of course, it’s helpful if you understand a few words, but it’s not necessary. Here’s the thing: you can gather all the information you need by listening to body cues and facial expressions. It’s also important to note that I’ve had residents’ family members say to me, “I speak a little bit of Italian…and mom is just saying gibberish at this point.” Unlocking their verbal language isn’t going to unlock all the clues you need to assist your loved one. Just as many people living with dementia say nonsensical things in English, there’s a good chance they’re doing that again, just in their native language.  Sign up to receive my blog emails here!

The Same In Every Language.

Astrid was an 85-year-old woman who only spoke German.* She was also the only resident in our community who spoke German. Besides a few staff members, including myself, no one else spoke any German. It didn’t take a lot of work, however, to realize that she was very, very angry about being locked in a community.  Astrid stood, fists clenched, pounding on the front door.  “OPEN THE DOOR!” she screamed in her native language. Staff members crowded her, trying to calm her down. No mix of German or English was going to calm this woman. She only wanted out.  The best thing to do was to let Astrid be. Anytime someone attempted to speak to her, she would just start yelling. We kept an eye on her, but gave her some space.  Eventually, after she calmed down a little, I approached her. “Do you want to help me in the kitchen?” I asked in German. I knew that Astrid loved to cook, and we were baking brownies. She eyed me suspiciously, but followed me to the kitchen. She sat down with six other residents and immediately reached for the mixing bowl. A volunteer who was fluent in German came by to assist us in translating. Next thing you know, Astrid was enjoying herself. She was laughing, talking, and instructing me that the “mix was too dry.” Astrid spent the rest of the day in a much happier state than she had before. She spent nearly 45 minutes reading to the volunteer from her beloved Bible and ate one of the brownies we had baked. She enjoyed playing a ball game with the rest of the residents, and even liked the singer who came in to perform for everyone.  Dementia care is the same in every language.  Side note: Astrid’s family told us that she used to speak English, but no longer knows how. I know that she sometimes understands me when I speak English, but she does not seem to realize that she understands. When people have dementia, often they switch back to speaking in their native tongue, even if they do not realize that’s what is happening. *As always, details have been changed.

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Rachael wrote "16 Things I'd Want If I Got Dementia" in 2014 and it's circulated the globe many times over. Download your free copy here!