Communication Impairment in Adults

   Communication disabilities in adults result from a variety of causes including but not

limited to; stroke, parkinson's, dementia, M.S. , ALS, head injury and hearing loss.  Of

course some adults are born with a disorder that creates a communication impairment such

as cerebral palsy or cognitive impairments resulting from disorders such as Down's


 The ability to communicate is our most human characteristic. Human

communication is essential to learning, working, and social interaction. Impaired

communication can affect every aspect of a person's life. 

     My goal in working with adults is to get them enjoying pastimes again and playing.

I work with care givers by teaching them how to modify activities to include the adult

with a communication deficit.

  Instead of grandma or grand dad sitting alone as the family gathers, unable to keep up

with the pace and complexity of everyday converstion, the family learns to adjust the pace

and content of the conversation and play simple games and participate in activities designed

to encourage language and communication.




More information on Parkinson's Disease


Adult puzzles and Games 


Games for All Simplified

I  Simplified War    

The Object
: Be the player to capture the most cards.

Setting Up the Game
 Shuffle the cards.
 Deal the cards between the players.
 Players place their cards in a stack face down.

Playing the Game
Players turn over the top card of their deck and present it for "battle". 
Cards rank from 2 (lowest) to Ace (highest). 
Whoever turned over the higher valued card "captures" the opponent’s card and adds both cards to a new pile.  Both players turn over the next card and play continues.
 If both players present cards of equal value they both lay down 1 new card each and the player with the higher card wins, if both cards match again the process is repeated until someone wins.

Winning the GameThe player with the most cards in the new pile, when original decks are gone, is the winner.

II Checkers Modified

 Play the same way just use 4 or more checkers.

Less is easier and results in a shorter game.

III  Solitaire Variation.

Shuffle cards keep deck face down. Player turns over 1 card at a time. The

cards are placed in 4 piles by suite. Hearts, Clubs, Spades, Diamonds.

When all cards are sorted by suit in 4 stacks each stack is sequenced from 2- ace.

IV Puzzles Simplified 

Using square or rectangle puzzles

1-Put puzzle together on your own first.

2-Pick up one piece at a time row by row.

3-As you pick up each piece in row 1 mark the back with a 1 until whole row is complete.

4-Put a rubber band around the row.

5-Do the same for each row untill each row is banded individually.

6- Store puzzle with each row banded.

7- When you are ready to play with the person with language impairment do 1

row at a time. You could hand her or him the whole row to assemble or just 2

pieces that interlock at a time, building the puzzle 1 row at a time.

     It is easiest  to give them 2 pieces at a time. If they are up for the

challenge you can give them the whole row. Keeping the puzzle stored this way

makes it quicker for you and easier for them to participate.

V-Memory Match  

 This can be played with pairs of cards from 10 to 100 depending on the level

of the person.

-Materials: deck of cards that is in pairs.

-Place the pairs of cards face down on the table in even rows.

-Take turns turning 2 to10 cards over at one time

-Depending on level of simplicity you want;

 2 is difficult, the higher the number that you turn over at one time the easier it is.

-       As pairs are revealed they are removed and go to the one who revealed them. The one with the most pairs wins.

-       To further simplify if this game 5-10 cards are turned over, remove any pairs and leave pictures facing up that have no visible pairs. Take turns turning cards that are face down, up. As pairs are revealed continue to move them off the playing area and give them to the one who revealed it.