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Communication difficulties that result in social isolation and lower quality of life are well known to occur in individuals with dementia. Kempler and Goral note that, in most cases, dementia impacts multiple areas of cognitive function, leading to impairment in language functioning secondary to deficits in memory, attention, and executive functioning, all of which in turn are linked to communication impairments such as anomia and sentence processing problems [1]. Families, friends, spouses and caregivers report the impact that reduced communication has on personal relationships. In their review on dementia’s impact on communication, Byrne and Orange [2] stated that communication is one of the first losses reported in dementia, with 24% of spouses listing breakdown of communication abilities as the most difficult part of the disease, ranking its effects above memory loss, aggression, and uncooperative behavior. Caregivers also report that the loss of communication and relationship is stressful and painPurpose: In this exploratory study, patterns of vocal communication elicited by different activities facilitated in a unit were examined. Research questions included: Do different activity types elicit more or less vocal communication? How do participants vary in terms of rate, type, and activity contexts for their vocal communication attempts? What patterns of interaction among residents and staff were observable during group activities?

Communicative Behaviors Elicited by Leisure Activities in Memory Care Units