“Elderspeak” Can Negatively Affect Health of Older People

(NaturalNews) It is quite common that many of us speak to older folks in a different manner and with a different tone. "Elderspeak" bears many traits which are similar to "baby talk", and these include simplified grammar and vocabulary, as well as overly intimate terms of endearment. And recent research has shown that such a communication style may not only be exasperating and insulting to many of the elderly, it can even negatively affect their health.

About Elderspeak

What is elderspeak? Broadly speaking, it is a style which is assumed to accommodate the perceived communication needs of elderly people. It involves speaking slowly, restrictions on vocabulary, simplified syntax, as well as exaggerated prosody.

The fundamental assumption behind elderspeak is that the elderly are cognitively impaired, and thus need some "help". It can be said to be patronizing and disrespectful to the older adult.

Researchers have also defined elderspeak as overly caring, controlling and infantilizing communication.

Findings from Studies

In a study led by Becca Levy, a professor at the Yale School of Public Health, it was found that elderly folks who were exposed to negative stereotypes commonly associated with ageing, enforced by condescending phrases and attitudes, performed significantly worse when tested for memory and balance.

In one particular town in Ohio, her study team found that those who were above 50 and held positive perceptions about ageing went on to live 7.5 years longer than their peers who did not. This was after other health-affecting factors were already accounted for.

Those attitudes were affected even by apparently harmless words and phrases and, profoundly, they supposedly had a greater impact than important factors such as smoking and exercise.

Elsewhere, Kristine Williams, R.N., Ph.D., an associate professor at Kansas University, studied the effect of elderspeak on Alzheimer's patients with dementia. The interaction between staff and 20 residents of a nursing home, aged between 69 and 97 years and having moderate levels of dementia, were videotaped.

The study found that the patients were more likely to resist care after they were spoken to using elderspeak, instead of the usual adult-to-adult form of communication. When resisting care, they would carry out actions such as saying no or crying out, turning away, grabbing onto someone or something, pulling their limbs tightly toward the body, or hitting and kicking.

"There's the suggestion that these people are unable to communicate that their needs aren't being met. And because they can't communicate verbally, they may respond in these other nonverbal ways," Dr Williams said. And, according to her, the need in question could just be the wish to be treated as an adult who is worthy of respect.

And, perhaps somewhat ironically, the biggest culprits of elderspeak are often healthcare workers, including doctors and nursing staff.

The Problem with Elderspeak

The problem with elderspeak, is that it hurts the self-esteem of those to whom it is used on. Worse, it can literally grind them down and send them on a self-fueling downward spiral toward ill health and even premature death. That, after all, is what we get when we communicate to people that they are weak, a liability, incompetent or even useless – they often prove us right!

"Elderspeak is indicative of general negative stereotypes of the elderly. It is another example of how people are treated differently based on their age in healthcare, in the workforce and in everyday life. And we have found a clear connection between how the elderly are treated and their health and functioning," said Dr Levy.

The Bottomline

"Daily we are witness to, or even unwitting participants in, cruel imagery, jokes, languages and attitudes directed at older people," said Dr Robert Butler, president of the International Longevity Centre-USA, who first coined the term "ageism" some 40 years ago.

With populations ageing in the US and in many developed nations, the need to avoid elderspeak becomes all the more significant. In the US, the 85-and-above age group is the fastest-growing one.

Ms Elaine Smith, a 78 year old retired Chicago schoolteacher, who was subject to elderspeak when she was hospitalized for two months after suffering a fall, said that people can become quite indignant when she tells them she is offended by such a communication style. And she has an interesting viewpoint regarding elderspeak.

"But I believe that the people who heap these endearments upon us are reacting to their own fears of ageing in a youth-oriented culture," she said. Her advice? Get over it.

So, the next time we want to use terms such as "dear", "good girl" and "sweetie" on the elderly, or speak very slowly and in overly simplified language to them, we better think again.

Main Source

Talking down to the elderly is bad for their health, medical study finds (http://www.telegraph.co.uk/health/article3256340.ece)

About the author

Reuben Chow has a keen interest in natural health and healing as well as personal growth. His website, All 4 Natural Health, offers a basic guide on natural health information. It details simple, effective and natural ways, such as the use of nutrition, various herbsherb remedies, supplements and other natural remedies, to deal with various health conditions as well as to attain good health. His other websites also cover topics such as depression helpomega 3 fatty acids, as well as cancer research and information.

 
Located and submitted by Gabriela F. Brown, CSA, Constant Companions Home Care http://www.constantcompanions.net

Dementia Care - Constant Companions 360 approach

Dementia Care

Dementia is a broad term that describes the process of a decline in cognitive abilities that interferes with activities of daily living. The most recognized and prevalent form of dementia is Alzheimer’s
Disease which accounts for 50-70 percent of all dementias. There are, however, other causes of dementia:

  • Depression
  • Vascular disorders, such as multiple strokes in the brain
  • Infections that affect the central nervous system, such as HIV dementia complex and Creutzfeldt-Jakob disease
  • Chronic drug/alcohol use
  • Hydrocephalus – Accumulation of fluid in the brain that can result from developmental abnormalities, infections, injury, or brain tumors
  • Degenerative neurological diseases, such as Alzheimer’s, dementia with Lewy bodies, Parkinson’s, and Huntington’s

See More information on Dementia

Our 360 approach:

By the time our office receives a call to provide dementia care to a senior the family has usually been very involved for an extended period of time, providing most of the daily care. The call comes because the family is in need of support and guidance. Our 360 approach is just that, an all-encompassing circle of support for the entire family. During our extensive intake process, we identify where the home care worker can provide support for family members as well as the senior themselves.

We don’t aim to replace the family, we are there to support and only take over the duties that prevent family members from enjoying their time together, due to caregiver fatigue. If you are in need of a helping hand, call us. At Constant Companions,

“It is our mission to enrich the lives of each of our clients by providing the best in compassionate care, second only to family.”

Hearing Loss – Bringing Seniors Back into the Conversation


 

Nearly one-third of people over the age of 65 are hard-of-hearing while nearly 50% of people over the age of 85 suffer from some form of hearing loss. Because hearing loss is usually a gradual process that begins in one's forties, it is commonly not recognized until it is significant. It is important to be able to recognize signs of hearing loss, have it diagnosed and treated.

Symptoms of hearing loss:

• Have trouble hearing over the telephone

• Find it hard to follow conversations when two or more people are talking,

• Need to turn up the TV volume so loud that others complain,

• Have a problem hearing because of background noise,

• Sense that others seem to mumble, or

• Can't understand when women and children speak to you.

Hearing loss in seniors can lead to others mistakenly thinking that seniors are confused, difficult or apathetic. Additionally, the senior may be embarrassed by the loss and resist seeking out medical help. The inability to fully communicate can lead to frustration and isolation. The key here is communication and enlisting the following strategies to bring these seniors back into the conversation:

• Make sure that you are looking at the listener and you are in a well-lit area.

• Don't shout, this can often create increased sound distortion.

• If there are 2 or more people present, make sure that only one person is speaking at a time.

• Address them directly by saying their name before starting a conversation so they have time to focus.

• Many people with hearing loss rely on lip-reading. Keep your hands away from your mouth and avoid smoking, chewing gum or eating while talking.

• Slow down a little but not too much. A natural and unhurried rate of speech allows the hearing impaired person to capture more words, read lips and facial expressions.

• If one ear is better than the other, make sure you are directing your speech to the better ear.

• Hearing loss can include certain sound distortions. They may hear your voice but not be able to decipher certain words or pitches.


• Minimize extra noise in the environment when have a discussion, like turning the TV or dishwasher off.

• If possible, avoid having discussions in settings that may have sudden loud sounds like busy streets, near construction areas or near airports.

• Depending on the level and type of hearing loss, certain words are almost impossible to understand, try rephrasing the sentence or find a different word. Don't repeat the word or sentence over and over again.

• Avoid sudden changes of topic. When the subject is changed clearly state the new topic and look for acknowledgement before proceeding.

• Write specific information, such as appointments, directions and schedules down, if you are talking over the phone, have them repeat the information back as many words and numbers sound similar.

• Understand that illness or tiredness may affect any person's ability to follow a conversation.

• If the listener looks confused, clarify that they understood what you were saying.

The best course of action to take if you suspect hearing loss is to see a doctor as soon as possible to determine the cause and treatments available. If you suspect hearing loss in a senior that you are caring for or that you care about, remember to be compassionate about discussing the possibility of hearing loss. It is important to be supportive regarding the options and opportunity for treatment. Motivation for the decision to seek treatment should be to increase their quality of life by providing the ability to participate in all social interactions to the best of their ability.


Helping Aging Parents: Taking Charge Without Taking Over

As your parents age and need assistance with life's tasks – anything from balancing a checkbook to dealing with insurance claims – its hard to know how to take charge, without taking over. How do you help your parent, without making them feel as if they're losing their independence? How do you get the job done without condescending, or making them angry?

How many times have you found yourself "showing" someone how to do something by doing it for them? It's human nature. But while it might make sense to show by doing when you are "teaching" someone younger or less familiar with a particular topic than you are, it usually leads to anger when you do this when you are "assisting" someone with a task that he previously has been perfectly capable of handling himself.

It was probably hard enough for your mom to agree to let you help her pay her bills and balance her checkbook after your dad died. And even once she agreed, it wouldn't be surprising if she told you that she didn't know why you were insisting on helping her since she is perfectly capable of doing it herself.

The truth is that acknowledging that you need help with the business of life is really, really hard for most seniors. If they come to the point where they need your help, they are confronted with their own limitations. And those limitations won't "get better" in most cases. Deep down, your mom knows that this is the beginning of the end of her independence as she has come to know it.

So, how do you take charge without taking over?

1. Let them take the lead

If possible, do the tasks alongside your mom rather than doing it for her. While this approach might take longer than doing it yourself, you allow mom to retain some self esteem by letting her take the lead.

2. Ask what they need help with

Let your dad tell you what aspects of a particular activity he needs your help with, and if possible, try to limit your assistance to just those things, at least for now. Of course, if your dad doesn't have a realistic picture of what he can do for himself, you will need to gently find a way to help him see your perspective.

3. Be respectful

Ask permission before you just jump in. For example, when you take your parents to a doctor's appointment, don't just assume that they want you to come into the examining room with them. Instead, ask them if they'd like you to be there the whole time, or if perhaps you can just be called in toward the end of the visit to make sure that YOUR questions are answered.

4. Set up invisible safety nets

For example, if you come every Sunday and set up your mom's medications in a weekly medication management system, you can have some expectation that she will take the correct medications at the right time. But it wouldn't hurt to also have a way of checking that once or twice during the week. This might take the form of a medication management visit by a home care company or trusted friend or relative or perhaps daily medication reminder phone calls from you.

5. Ensure safety

Make a distinction between safety and everything else. When your dad's safety is on the line, you might just have to take charge by taking over. On the other hand, if you'd just prefer that something be done a certain way or at a certain time, there might be an opportunity to loosen the grip a bit.

Your job as your parent's caregiver is to keep them safe, comfortable, and happy. As long as you keep that in perspective you should have no trouble taking charge without taking over.


Sheri Samotin is a Certified Professional Daily Money Manager, Certified Professional Coach and founder of LifeBridge Solutions, a one-stop shop for family transition coaching, caregiver coaching, medical billing advocacy, money management, household transition services, and estate administration support.

Constant Companions Dementia Care

Dementia is a broad term that describes the process of a decline in cognitive abilities that interferes with activities of daily living. The most recognized and prevalent form of dementia is Alzheimer’s
Disease which accounts for 50-70 percent of all dementias. There are, however, other causes of dementia:

·       Depression

·       Vascular disorders, such as multiple strokes in the brain

·       Infections that affect the central nervous system, such as HIV dementia complex and Creutzfeldt-Jakob disease

·       Chronic drug/alcohol use

·       Hydrocephalus – Accumulation of fluid in the brain that can result from developmental abnormalities, infections, injury, or brain tumors

·       Degenerative neurological diseases, such as Alzheimer’s, dementia with Lewy bodies, Parkinson’s, and Huntington’s

See More information on Dementia 

Our 360 approach:

By the time our office receives a call to provide dementia care to a senior the family has usually been very involved for an extended period of time, providing most of the daily care. The call comes because the family is in need of support and guidance. Our 360 approach is just that, an all-encompassing circle of support for the entire family. During our extensive intake process, we identify where the home care worker can provide support for family members as well as the senior themselves.

We don’t aim to replace the family, we are there to support and only take over the duties that prevent family members from enjoying their time together, due to caregiver fatigue. If you are in need of a helping hand, call us.

“It is our mission to enrich the lives of each of our clients by providing the best in compassionate care, second only to family.”

 

 

Meet the Founder of Constant Companions Home Care, San Diego

Founder

Gabriela F. Brown, the CEO and Founder of Constant Companions Home Care, has over 20 years of experience working with the elderly and their families, beginning in 1987 working as a nursing aid at Escondido Convalescent Center after graduation from Mt. Carmel H.S. in San Diego, CA.

From 1988-1992 she worked as a home care companion while attending Mary Baldwin College in Staunton, VA.

After graduation from college in 1992 she took an administrative position at a The University of Texas Medical Branch Home Health in Galveston, Texas.

In 1997 she accepted a position in Washington State with Evergreen Hospital in the department of Home Health and Hospice care.

For a brief time in 1998 she worked with a Skilled Nursing Facility, this emphasized for her that her passion was for the delivery of care in the home.

In 1998 a private Medicare home health company recruited her in North Seattle area, where she continued to develop her skill and knowledge base.

In 2001 a national non-medical home care agency asked her to head up the development of their fledgling San Diego branch. After a year and half, she was convinced that she could integrate the systems she learned in Medicare Home Health with the more intensive personal care aspects of non-medical home care.

In 2003, Constant Companions was founded, integrating the years of experience and knowlege she gained working at many levels in the continuum of care.

This experience has formed a comprehensive understanding of the emotional, psychological and clinical aspects that are involved in making a decision to use home care not just for the client but for their entire family.