The number of cognitively impaired elderly in Canada has increased gre
atly during the past two decades; nearly all have Alzheimer's disease
(AD). The memory problems and changes in language and communication of
these patients place tremendous strain on physicians who are searchin
g for a differential diagnosis and are trying to communicate with them
. Reviewing the salient language and communication features of AD pati
ents leads to strategies for improving effective physician-patient com
munication.