Adapting Communication Methods to Cognitive and Processing Difficulties in ABI
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Many people with acquired brain injury retain language ability but struggle with processing speed, attention and cognitive fatigue. When communication is delivered too quickly or with excessive information, understanding breaks down. Commissioners and inspectors expect ABI services to adapt communication methods to cognitive capacity.
This article focuses on adapting communication methods for processing difficulties in ABI. It should be read alongside Service Models & Care Pathways and Positive Risk-Taking & Risk Enablement.
Processing speed and comprehension
Reduced processing speed means individuals need more time to receive, interpret and respond to information.
Why standard communication fails
Rapid speech, complex explanations and multiple instructions increase overload.
Commissioner and inspector expectations
Expectation 1: Adjusted pace. Inspectors expect staff to allow time for processing.
Expectation 2: Reduced cognitive load. Commissioners expect information to be simplified and prioritised.
Operational example 1: One-step communication
An ABI service reduced multi-step instructions into single, clear actions.
Using repetition and confirmation
Checking understanding reduces error and frustration.
Operational example 2: Teach-back approaches
Staff asked individuals to explain information back in their own words.
Managing fatigue and timing
Communication should be timed to cognitive energy levels.
Operational example 3: Communication windows
Providers identified optimal times for important conversations.
Evidencing adapted communication
Providers should evidence:
- Adjusted pace and language
- Confirmation of understanding
- Reduced communication-related incidents
Why adaptation improves outcomes
Accessible communication improves engagement, safety and independence.
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