….welcome to….

“the joy of mother’s tongue”

“YES, you CAN communicate effectively with clients of non-English speaking background

by hendrika johnson, nursing educator and language teacherOYO – australia

www.oyo.net.au yes, you CAN !!!

session objective

to show you the way,

and empower everyone

in communicating

and having fun

with CALD clients with dementia

www.oyo.net.au yes, you CAN !!!

language issues for CALD clients

• doesn’t speak/read english• speaks/reads english on basic level• have forgotten English (dementia) • go back to mother’s tongue or partially• understands english but can’t express it (eg. due to stroke)• can’t hear english (hearing impaired)• chooses not to use English• can understand English, but can’t speak it • no language materials with pictures / pronunciation available

• profound feelings of loneliness, helplessness, boredom• THEY DON’T KNOW WHAT IS GOING ON!!

www.oyo.net.au yes, you CAN !!!

language problems for workers who care for non- English speaking clients

qualified interpreter is not available / too costlylong waiting time for interpreters

misunderstandings and mistakesfrustration / irritation / / anxiety / anger despair

dependence on family for interpreting

no language tools available

WORKERS have FEELINGS OF BEING POWERLESS, being NEGLECTFUL, FAILING in DUTY of CARE,

wasting precious time, having to cope with “behaviour problems”

www.oyo.net.au yes, you CAN !!!

Communication is the biggest BARRIERin care: what do YOU do?just body language ? why/why not

bi-lingual worker ? why/why not

interpreter ? why/why not

language tool ? why/why not

do the client and the worker get a fair go with the above?

www.oyo.net.au yes, you CAN !!!

legislation states: equal access for all

clients have the legal RIGHT to express themselves and be understood

about physical, emotional, social needs and preferences

NO…..we DON’T treat people equally we provide an EQUAL OUTCOME!!!!

so we do things differently when needed

www.oyo.net.au yes, you CAN !!!

Alzheimers Association QLD Initiative

Since 5 years Alzheimers Association QLDlend out through their library

OYO language tools to enable CALD clients with dementia

and health professionals to communicate effectively

and giving clients assistance and joy by using their mother’s tongue

www.oyo.net.au yes, you CAN !!!

language kitAlzheimers Association QLD

together with OYO has created a language support kit,which is an informative tool in their

education and support programs about dementiaIt contains language guides, cue cards, games,

signs in multi languages andhelping professionals to determine what they need

philosophy behind the OYO communication system

• is to provide a simple transliteration system

• for basic communication

• to enable transfer of meaningrather than linguistic perfection (in grammar)

• by empowering all stakeholders about choices, consent, daily activities, sharing information in care environment

• provide pictures, English word, foreign word and two-way pronunciation

• presented in a group they belong to groups such as: clinical procedures, medication , daily activities, time, food, dentist, feelings, civilities, hobbies, pain, professionals, family, bodily functions, body parts, directions, daily things, clothing, health aids, transport, danger, health problems, etc

• no previous knowledge of foreign languages required

why pictures ?what we hear is not necessarily what we “see”

we “think” in pictures NOT in spoken language

when we hear a word, we “translate” that sound into a picture.

as long as we know which sounds representwhich picture,we’ll get the meaning.

pictures provide meaning, understanding, pleasure

clients and students will identify the picture with its meaning in one glance: it enhances the learning and remembering process.

using multiple wordsyou can just communicate one word (e.g. “breakfast” ! (page 73)

or a small sentencee.g." you” (page 2) “want” (page 2) “to sleep” (page 23) (or simplify with “sleep?”

“please” (back-cover) I (page 1), blood pressure (page 36) (or simplify with blood pressure? pointing from myself to client

www.oyo.net.au yes, you CAN !!!

questions ?in all languages one can ask a question simply by:

- saying the word and let pitch go up at end of word and/or

- raise eyebrows

- so:coffee? soap? pain? later? toilet?

?

www.oyo.net.au yes, you CAN !!!

range of CALD friendly tools for dementia care

• language books (40 languages)• laminated cue cards• laminated cue cards in multi-languages• laminated cue cards in multi-languages for

DTs• signage in multi-languages• 9 different CALD bingo games• custom made language aids

set of 30 bi-lingual cue cards for clients and personal carers

- 15 two-sided A5-size cards on a carry-hook for quick access of the most important words in daily care,

- in english and oneforeign language, eg english-spanish,

- laminated (as protection from sticky fingers)

multi-lingual cards for carers andDTs (Diversional Therapist)

• cue cards (quick reference cards) with 30 of the most commonly used words.

• cover 12 languageswith pronunciation

• are laminated to protect them from sticky fingers

multi-lingual signage• signage informs people,

especially the ones who are forgetful or are new to the place. It’s also a necessity in big facilities.

• To be informed is being engaged, feeling at home and in control.

• Multi lingual signage covers words such as: dining room, toilet, bathroom, elevator, stairs, veranda, living room, exit, kitchen, laundry, office, etc

the world can play together

whatever one’s language we can play OYO picture games (based on “bingo”),TOGETHER

promotes: inclusion, togetherness, fun!!!combats: loneliness, boredom

OYO’s universal bingo (numbers)instead of calling out the bingo numbers you show a number on a large laminated card which has the number written in the three main alphabets: “western”, arabic, “eastern”THE WORLD PLAYS

TOGETHER !

OYO’s universal bingo games• choice of 8 picture-

based bingo games:• instead of calling out

numbers the caller shows a picturewhich the player will try to match with the pictures on his card

• easy-to-see A4 size cards are laminated

sample of OYO bingo card

12 11110

9

6

32

54

78

which health recipients will benefit ?

• CALD (Culturally And Linguistically Diverse) clients(don’t know the words)

• hearing impaired (can’t hear the words)

• speech impaired (can’t speak the words)

• stroke victims (can’t express the words)

• dementia sufferers (can’t remember the words)

benefits for all stakeholders• saves time• reduces anger / frustration /mistakes• cost-effective (reusable), client-centered• instantly available• increased client independence• reduced family/interpreter-dependence• promotes client consent• culture / religion friendly• accreditation friendly• it’s entertaining!• it’s easy

• helps people to help themselves

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and………

students and workers of non-English speaking background use it to learn aged care related english vocabulary:

• spelling• pronunciation• meaning

www.oyo.net.aulet us help you

to make a difference

in making this world a better,

more inclusive,and happy place

FOR ALL !!!

041 875 4288 hendrika johnson

extras

pronunciation guidelines• pronunciation as in English; • but take note of the

following: • a = u in but• ā- aa = long a• ai = ai in aisle• e = e in met• ē = long e• ee = ee in meet• u / er = u in urgent / her• ey = ey in grey• g = always hard like g in

goat

• kh = ch in Scottish loch• ng = ng in singer • o = o in hot• ō = long o• oh/ ou / oa = oa in boat• oo = oo in book• ow = ow in cow• oy = oy in toy• sy / sh = (ship)• ü = ew in few• w = w in water• zh = s in pleasure• y = yes

pronouncing foreign words: you can do it !!!

few rules: (bold = stress) a (bath), i (it) ey (grey),y: yes), zh (soft sh), o (hot), u (urgent) ou (dough)

• french (goodbye) au revoir ou re-vwar • german (hearing aid) höhgerät hu-ge-reyt • greek (cold) κρύο kri-o• russian (to sleep) спaльня spal-nya • polish (to drink) pić peech• croatian (walking stick) štap shtap

samples of OYO communication

pronunciation advice: in kh = ch in loch; u = u in urgent, ey = ey grey, bold = stress

www.oyo.net.au yes, you CAN !!!

(to) shavesjeev

skhi-runscheren

(to) use toiletjooz toj-lit

twa-let khu-brey-kuntoilet gebruiken

signaturesiq-nu-tjuhand-tey-ku-ninghandtekening

bingobing-qoobing-khoabingo

dementiadi-men-sja

dey-men-tseedementie

you try (pronounciation “codes”):

ow = now; a = bath; e = met; y = yes; ey = grey; o = hot

bleeding бли-дын

kro-vo-tye-chye-nee-yeкровотечение

towelmów-jēen

毛巾

wastevésztse-meyt

szemét

R prescriptionprī-skrip-šenre-tsep-terecepte

(to) understandαν-ντα-στεντka-ta-la-ve-no

καταλαβαίνω