Elderspeak is a form of baby talk that most adults would not ordinarily use in conversations with other adults. As a hospice volunteer in nursing homes, I noticed elderspeak being used often with older residents, especially those who had dementia. For example, “Hi, Mr. Smith. I hope you’re enjoying your day? Did you have a good dinner?” might become a singsong version of, “Hey, Handsome. Are you behaving today? Did you eat all your dinner veggies like a good boy? You did? That’s my baby!” Imagine what an everyday adult would think about being addressed in this manner. But some nursing home staff members, caregivers, and others think nothing of speaking to residents in this manner. Unfortunately, stereotypes about the elderly often result in adults using elderspeak when speaking to seniors in general, regardless of the location.
Use of elderspeak implies that the resident is not competent enough to be spoken to on an adult level. Even when residents get used to being spoken to in elderspeak and seem not to mind, their self-esteem may be lowered. In addition, using elderspeak perpetuates stereotypes about the elderly and encourages ageism. Research by the University of Kansas School of Nursing reports that elderspeak use by nursing home staff increased the probability of resistance to care in older adults with dementia. These residents responded frequently with screaming or yelling, negative comments, and crying. It is far more helpful to respectfully use adult speech with clarity, while keeping in mind the uniqueness of each individual.
Frances Shani Parker, Author
Thank you for addressing this. I find that language largely condescending and thoughtless.
ReplyDeleteThis is just one more reason we must demand that every dementia caregiver be provided special training for these most fragile of our loved ones. When my mom was in long term care, I remember her being called these "endearing" names like sweetie, MaMa, etc. Another issue was voice volume. Yelling at a dementia victim does nothing to help her better understand the words being spoken to her. Dementia is not a hearing disorder!
ReplyDeleteAlong these same lines, I have started a blog on the under-treatment of pain in dementia. Please visit and comment on this site - http://www.stoppainindementia.wordpress.com. We must be the voice for our dementia friends who are suffering in silence. Candy
I agree with Candy. We don't do enough formalized training in elder care.
ReplyDeleteWhile I agree that the condescending language and tone is unnecessary, both my mother and husband appreciated hearing an endearing name AFTER they knew the caregiver for a while. If not, mother would make faces behind their back and then talk just like them to their faces. They got the hint soon enough. Not all patients are as 'forgiving' as she was. ;-) Karen
ReplyDeleteIt is important to respect your elders. I admit, having someone live with me who has Alzheimer's, has made it challenging.
ReplyDeleteSometimes, the only way she will respond to what I want is if I talk to her in a sicky-sweet voice. But then there is my dad who is a proud, strong man with COPD who gets talked to like he is a little old man, and it ticks us both off!
That's why I work hard to be patient and kind to them (both in my care)... and why I have a website Here 2 Help Services with information for various subjects. Awareness is important.