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Canadian Family Physician logoLink to Canadian Family Physician
. 1994 Jun;40:1160–1168.

Alzheimer's disease. Physician-patient communication.

J B Orange 1, D W Molloy 1, J A Lever 1, P Darzins 1, C R Ganesan 1
PMCID: PMC2380218  PMID: 8019193

Abstract

The number of cognitively impaired elderly in Canada has increased greatly during the past two decades; nearly all have Alzheimer's disease (AD). The memory problems and changes in language and communication of these patients place tremendous strain on physicians who are searching for a differential diagnosis and are trying to communicate with them. Reviewing the salient language and communication features of AD patients leads to strategies for improving effective physician-patient communication.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Beck C., Heacock P., Mercer S., Thatcher R., Sparkman C. The impact of cognitive skills remediation training on persons with Alzheimer's disease or mixed dementia. J Geriatr Psychiatry. 1988;21(1):73–88. [PubMed] [Google Scholar]
  2. Bourgeois M. S. Communication treatment for adults with dementia. J Speech Hear Res. 1991 Aug;34(4):831–844. doi: 10.1044/jshr.3404.831. [DOI] [PubMed] [Google Scholar]
  3. Bourgeois M. S. Enhancing conversation skills in patients with Alzheimer's disease using a prosthetic memory aid. J Appl Behav Anal. 1990 Spring;23(1):29–42. doi: 10.1901/jaba.1990.23-29. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Bourgeois M. S. Evaluating memory wallets in conversations with persons with dementia. J Speech Hear Res. 1992 Dec;35(6):1344–1357. doi: 10.1044/jshr.3506.1344. [DOI] [PubMed] [Google Scholar]
  5. Buckwalter K. C., Cusack D., Kruckeberg T., Shoemaker A. Family involvement with communication-impaired residents in long-term care settings. Appl Nurs Res. 1991 May;4(2):77–84. doi: 10.1016/s0897-1897(05)80059-x. [DOI] [PubMed] [Google Scholar]
  6. Cummings J. L., Benson F., Hill M. A., Read S. Aphasia in dementia of the Alzheimer type. Neurology. 1985 Mar;35(3):394–397. doi: 10.1212/wnl.35.3.394. [DOI] [PubMed] [Google Scholar]
  7. Cummings J. L., Houlihan J. P., Hill M. A. The pattern of reading deterioration in dementia of the Alzheimer type: observations and implications. Brain Lang. 1986 Nov;29(2):315–323. doi: 10.1016/0093-934x(86)90051-9. [DOI] [PubMed] [Google Scholar]
  8. Flicker C., Ferris S. H., Crook T., Bartus R. T. Implications of memory and language dysfunction in the naming deficit of senile dementia. Brain Lang. 1987 Jul;31(2):187–200. doi: 10.1016/0093-934x(87)90069-1. [DOI] [PubMed] [Google Scholar]
  9. Horner J., Dawson D. V., Heyman A., Fish A. M. The usefulness of the Western Aphasia Battery for differential diagnosis of Alzheimer dementia and focal stroke syndromes: preliminary evidence. Brain Lang. 1992 Jan;42(1):77–88. doi: 10.1016/0093-934x(92)90057-l. [DOI] [PubMed] [Google Scholar]
  10. Horner J., Heyman A., Dawson D., Rogers H. The relationship of agraphia to the severity of dementia in Alzheimer's disease. Arch Neurol. 1988 Jul;45(7):760–763. doi: 10.1001/archneur.1988.00520310066019. [DOI] [PubMed] [Google Scholar]
  11. Huff F. J., Corkin S., Growdon J. H. Semantic impairment and anomia in Alzheimer's disease. Brain Lang. 1986 Jul;28(2):235–249. doi: 10.1016/0093-934x(86)90103-3. [DOI] [PubMed] [Google Scholar]
  12. Kempler D., Curtiss S., Jackson C. Syntactic preservation in Alzheimer's disease. J Speech Hear Res. 1987 Sep;30(3):343–350. doi: 10.1044/jshr.3003.343. [DOI] [PubMed] [Google Scholar]
  13. Kirshner H. S., Webb W. G., Kelly M. P. The naming disorder of dementia. Neuropsychologia. 1984;22(1):23–30. doi: 10.1016/0028-3932(84)90004-6. [DOI] [PubMed] [Google Scholar]
  14. Nebes R. D., Boller F., Holland A. Use of semantic context by patients with Alzheimer's disease. Psychol Aging. 1986 Sep;1(3):261–269. doi: 10.1037//0882-7974.1.3.261. [DOI] [PubMed] [Google Scholar]
  15. Nicholas M., Obler L. K., Albert M. L., Helm-Estabrooks N. Empty speech in Alzheimer's disease and fluent aphasia. J Speech Hear Res. 1985 Sep;28(3):405–410. doi: 10.1044/jshr.2803.405. [DOI] [PubMed] [Google Scholar]
  16. Pedersen B., Bundgaard Larsen B., Dahl R., Lindqvist N., Mygind N. Powder administration of pure budesonide for the treatment of seasonal allergic rhinitis. Allergy. 1991 Nov;46(8):582–587. doi: 10.1111/j.1398-9995.1991.tb00627.x. [DOI] [PubMed] [Google Scholar]
  17. Rabins P. V., Mace N. L., Lucas M. J. The impact of dementia on the family. JAMA. 1982 Jul 16;248(3):333–335. [PubMed] [Google Scholar]
  18. Ripich D. N., Terrell B. Y. Patterns of discourse cohesion and coherence in Alzheimer's disease. J Speech Hear Disord. 1988 Feb;53(1):8–15. doi: 10.1044/jshd.5301.08. [DOI] [PubMed] [Google Scholar]
  19. Ripich D. N., Vertes D., Whitehouse P., Fulton S., Ekelman B. Turn-taking and speech act patterns in the discourse of senile dementia of the Alzheimer's type patients. Brain Lang. 1991 Apr;40(3):330–343. doi: 10.1016/0093-934x(91)90133-l. [DOI] [PubMed] [Google Scholar]
  20. Shulman M. D., Mandel E. Communication training of relatives and friends of institutionalized elderly persons. Gerontologist. 1988 Dec;28(6):797–799. doi: 10.1093/geront/28.6.797. [DOI] [PubMed] [Google Scholar]
  21. Simpson M., Buckman R., Stewart M., Maguire P., Lipkin M., Novack D., Till J. Doctor-patient communication: the Toronto consensus statement. BMJ. 1991 Nov 30;303(6814):1385–1387. doi: 10.1136/bmj.303.6814.1385. [DOI] [PMC free article] [PubMed] [Google Scholar]

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