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As the population of older adults increases, there is a corresponding increase in the number of individuals with communication disorders resulting from brain damage. The purpose of this article was to describe the effects of aphasia and dementia on language and communication, and to suggest support systems for improving communication and maximizing residual language abilities. For both these disorders, we address the psychosocial environment, the roles of professionals and caregivers, individual versus group therapy, and support groups. Finally, we report on 2 specific support groups, one for aphasia and one for Alzheimer's dementia, with which the authors have been involved for many years. [ABSTRACT FROM AUTHOR]

The use of effective communication strategies with persons with Alzheimer's disease has been shown to benefit not only the residents of nursing homes, but staff, administration, and families as well. Yet certified nursing assistants (CNAs), the persons who supply 80% to 90% of residents' care, do not use these strategies consistently and are often not well trained in their use. This article explains the importance of providing good communication training for CNAs and makes six suggestions for conducting successful training. [ABSTRACT FROM AUTHOR]

Developed at the Jewish Home and Hospital for the Aged in Bronx, New York, the Breakfast Club is a highly structured group communication therapy for person's with Alzheimer's disease. This article provides specific steps for establishing and running a program, what to expect in costs and materials, along with outcomes and recommendations. [ABSTRACT FROM AUTHOR]