Title: Dementia Care Users’ Resistance to Long-term Home Care Service: Taiwanese Care Workers’ Advised Communication Strategies
Stream: Language and Communication
Presentation Type: Virtual Presentation
Chin-Hui Chen, National Pingtung University of Science and Technology, Taiwan
Pei-yu Chen, National Pingtung University of Science and Technology, Taiwan
Population of older people living with dementia is expected to rise in Taiwan due to the dramatically ageing trend. Long-term home care service becomes increasingly needed to help family with older people diagnosed with dementia cope. However, due to the health condition, older people with dementia can be difficult to reason given the changes in cognitive competence and personalities. It is also possible to encounter their resistance to long-term home care service which is mainly practiced by strangers, that is, care workers. Dementia care communication comes into the picture to help professional care workers to deal with such scenarios. Thirty-five Taiwanese long-term home care workers with at least one year of dementia care experiences were interviewed. A number of communication strategies were identified for dealing with dementia care users’ resistance to care service. They can be divided into two main groups, leading to two different communication outcomes: first, to postpone instruction without forcing dementia care users (with strategies used to show empathy and to avoid enhanced resistance) and second, immediate compliance to instruction (strategies used to help care users to accept service/instruction with light-hearted mood and to relate to what is concerned by them). The implication and potentially problematic nature of the advised communication strategies are also discussed in the conclusion.
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