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This chapter demonstrates how a community of professional caregivers changes its view of a mealtime situation as a result of a communication intervention involving video guidance. We use data from a Finnish communication intervention model called OIVA, in which caregivers film everyday interactions and discuss these scenarios with a trained OIVA guide. In the 90-minute session investigated in this chapter, the community analyzes the interaction in a video where a caregiver spoon-feeds a resident living with dementia. This chapter focuses on how the OIVA guide uses practices such as hypothetical questions and reformulations of previous contributions to redirect the work community’s focus towards the interaction between the caregiver and the resident in the video. It is argued that, during the video guidance session, the caregivers begin to view the task of feeding as a social event and an opportunity to communicate with the resident.
Dementia is a devastating condition, with profound cognitive changes affecting every aspect of an individual's functioning. The loss of communication is one symptom above others that causes distress and impacts negatively on quality of life, yet it is still one of the least understood aspects of dementia. This book undertakes a comprehensive examination of language and communication in individuals with cognitive impairment and dementia. Each chapter covers a specific neurodegenerative disorder, and addresses the epidemiology, aetiology, pathophysiology, prognosis and clinical features, along with the assessment and treatment of these disorders by speech-language pathologists. Many examples of language from individuals with neurodegenerative conditions are included, to explain clearly the effects of dementia on communication, and there are exercises at the end of each chapter, to develop language analysis skills. The book is suitable reading for all medical and health professionals, including speech-language pathologists, clinical psychologists and neuropsychologists, geriatricians, neurologists and psychiatrists.
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