Voicing Ageism in Nursing Home Dementia Care

Williams, Kristine; Shaw, Clarissa; Lee, Alexandria; Kim, Young Ho; Dinneen, Emma; Turk, Margaret A.; Jao, Ying Ling; Liu, Wen

doi:10.3928/00989134-20170523-02

Cited by 22 publications

(21 citation statements)

References 12 publications

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“…Collective pronoun substitution was the most frequently used type of elderspeak. This finding was similar to the findings by K. Williams, Shaw, et al (2017) in nursing home settings. Unique to the chiropractic study, the only category influenced by SP gender was tag questions.…”

Section: Discussionsupporting

confidence: 92%

Provider–Patient Interaction: Exploring Elderspeak in Simulated Preclinical Chiropractic Student Encounters

Cockrell

2020

Gerontology and Geriatric Medicine

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Objective: The purpose of this study was to identify whether or not elderspeak was evident in simulated provider–patient encounters in a chiropractic education program. This study was designed to answer the following three research questions (RQs): RQ 1: Is elderspeak present in simulated patient encounters in a chiropractic education program? RQ 2: If elderspeak is present, which categorization of elderspeak is most frequently used during simulated patient encounters? RQ 3: If elderspeak is present, is gender an influencing variable? Method: The presence of elderspeak in simulated chiropractic encounters was studied using a cross-sectional mixed methods observational research design. Results: A total of 331 occurrences of elderspeak were identified in 60 digitized recordings. The most common form of elderspeak was collective pronoun usage. Conclusion: Results indicated that the chiropractic industry is susceptible to elderspeak. Understanding elderspeak is important to prevent future ageist behaviors from affecting older adult patients and to improve their health outcomes.

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Section: Discussionsupporting

confidence: 92%

Provider–Patient Interaction: Exploring Elderspeak in Simulated Preclinical Chiropractic Student Encounters

Cockrell

2020

Gerontology and Geriatric Medicine

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“…It is also termed as infantilizing communication, secondary baby talk, over-accommodative speech or patronizing speech. The features of elderspeak include the use of very short sentences; slow speech, but elevated pitch; simple vocabulary and grammar; use of intimate words such as “good boy/girl” “sweetie” or “honey”; use of collective/plural pronouns (represented in italics), such as “Are we ready for our bath?” 7 , 16 ( Table 1 ).…”

Section: Elderspeak and Its Purpose In Clinicsmentioning

confidence: 99%

Elderspeak to Resident Dementia Patients Increases Resistiveness to Care in Health Care Profession

Zhang

Zhao

Meng

2020

INQUIRY

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Resistiveness to care is very common among patients of dementia as these patients do not take medicines, meals or bath very easily. Indeed, it is a very challenging task for health caregivers and there is a significant rise in time and cost involved in managing dementia patients. Amongst different factors, the type of communication between resident dementia patients and health caregivers is an important contributing factor in the development of resistiveness to care. Elderspeak (baby talk) is a type of communication in which health caregivers adjust their language and style while interacting with elderly and dependent patients. It involves the use of short sentences, simple grammar, slow and high pitch voice, repeating phrases to provide a comfortable and friendly environment to patients. Most of the time, caregivers tend to adapt elderspeak as they handle weak and fragile older patients for routine activities. Although elderspeak is meant to provide support, warmth and care to patients, yet patients perceive elderspeak as patronizing and it induces negative feelings about self-esteem. Scientists have found a correlation between the development of resistiveness to care and the extent of elderspeak in communication. Therefore, there have been strategies to develop alternative communication strategies by avoiding the use of elderspeak. Moreover, the beneficial effects of such communications have been documented as it improves the quality of life, reduces aggression, agitation and psychosocial symptoms. The present review discusses the scientific studies discussing the use of elderspeak in communication and development of resistiveness to care in resident patients of dementia.

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“…The interpersonal interactions and quality of the interactions that occur between staff and residents are central to providing care that can facilitate function, help manage psychosocial and behavioral symptoms, and optimize quality of life. [9][10][11] Staff competence and the way in which staff respond to behaviors impact residents' behavior once it occurs. 12 Conversely, interactions that do not address psychosocial needs and behavioral symptoms can result in distress and unhappiness among residents.…”

Section: Introductionmentioning

confidence: 99%

Testing the Impact of FFC‐AL‐EIT on Psychosocial and Behavioral Outcomes in Assisted Living

Resnick

Boltz

Galik

et al. 2020

J American Geriatrics Society

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BACKGROUND This study tested the impact of Function Focused Care for Assisted Living Using the Evidence Integration Triangle (FFC‐AL‐EIT) on: (1) care interactions between residents and direct care staff; and (2) behavior and psychological symptoms associated with dementia among residents. DESIGN This was a randomized controlled trial. SETTING A total of 59 assisted living facilities in Maryland, Pennsylvania, and Massachusetts participated. PARTICIPANTS The sample included 550 mostly White (98%), female (69%) residents with a mean age of 89.30 (standard deviation = 7.63) years. INTERVENTION The four‐step FFC‐AL‐EIT intervention was implemented by a function focused care nurse facilitator working with a facility champion over 12 months. The steps included: (1) environment and policy assessments; (2) education; (3) establishing resident function focused care service plans; and (4) mentoring and motivating. MEASURES Resident descriptive data (e.g., age, sex, education, and comorbidities), depression, agitation, resistiveness to care, and the quality of care interactions were obtained at baseline and 4 and 12 months. Treatment fidelity data included environment and policy assessments, performance of function focused care by staff, and service plan assessments. RESULTS There was a significant positive treatment effect related to depression, agitation, resistiveness to care, and quality of care interactions with either less decline or some improvement in these behaviors and symptoms in the treatment versus control group. CONCLUSION The study provides some statistical support, which may not necessarily be clinically significant evidence, for psychosocial outcomes of residents and care interactions between staff and residents in assisted living settings.

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Voicing Ageism in Nursing Home Dementia Care

Cited by 22 publications

References 12 publications

Provider–Patient Interaction: Exploring Elderspeak in Simulated Preclinical Chiropractic Student Encounters

Provider–Patient Interaction: Exploring Elderspeak in Simulated Preclinical Chiropractic Student Encounters

Elderspeak to Resident Dementia Patients Increases Resistiveness to Care in Health Care Profession

Testing the Impact of FFC‐AL‐EIT on Psychosocial and Behavioral Outcomes in Assisted Living

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