This from www.caring.com
Brain damage will make it increasingly difficult for the person in your care to ask for help. Part of the difficulty is in forming the thought and finding the right words. And partly it's a disappearing awareness of having any problems. What this means: You'll need to become an ever-better anticipator. You've probably already discovered the benefits of a predictable routine for the day and for each activity within the day. Adjusting your language helps, too. Avoid asking, "Are you ready to . . . " "Would you like me to . . . " "Are you hungry?" Instead, rephrase questions as matters of fact: "It's time to . . . " "Now let's . . . " "Your dinner is ready."
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