The use of photos, Makaton basic sign language and lifr story work.
Morning Farrand,
I worked with people with very difficult communication needs and we would often create a small photograph book of essential things such as a photograph of the toilet,
their favourite cup for tea, a glass of milk, bag of crisps etc. Things that were important to the individual.
We also used a very basic sign language called Makaton (linked to British Sign Language) specially designed for people with learning disabilities.
I believe that as our loved ones lose more of their abilities that a number of aids and approaches used for people with learning disabilities can be useful and sites such as Mencap may be worth a look.
My partner has V Dementia and I have created a life story photo book with photos of his family, bedroom pets etc. There is writing under each photo which helps others communicate and it is a great tool to distract and re focus if anxious.
A seperate album is linked to day to day living eg, there is a photo of a bowl of porridge, a plate with toast and jam, a banana. I just take a digital photo of these individual items as we make them. If he is confused and struggling he finds the photo of what he wants, having some 'choice' in life is so important.
Another benefit is with regards to things like his shaver, house key, hair brush etc. In the past I have spent ages trying to find an item referred to as 'you know' getting the book out and going through the photos lets me know what we are looking for.
AVOID TO MANY PHOTOS JUST GO FOR THE MOST IMPORTANT ONES.
With regards to the forthcoming day centre attendance if you could get a photo of the transport, the keyworker or link person there then you could use these to reassure.
It may be that none of these suggestions are of any use, but just thought I would flag them up.
Cheers L & L