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Elderspeak Communication

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Elderspeak is a common communication method that is used in nursing homes, acute care hospitals, and other settings where elders reside. It is also frequently used when we speak to older adults, regardless of the particular setting. This style of speech is characterized as being much slower, having an exaggerated intonation, elevated pitch and volume, greater repetitions, and incorporates a simpler vocabulary and grammar than normal adult speech. Research has shown that the speech pattern used typically with the elderly is based on stereotyping and myth as opposed to the reality of the aging process. A number of researchers have conducted studies where a brief educational program was designed to increase the awareness of Certified Nursing Assistants (CNAs) regarding their use of elderspeak and strategies that could potentially enhance communication. No research studies can be identified that include Registered Nurses (RNs) and their understanding and use of elderspeak. Educating nurses about elderspeak may serve to enhance the development of a positive relationship between the Registered Nurse and the older client, which could result in an improved therapeutic relationship and improved health status.

Social interactions, in all healthcare settings, can potentially make the difference between an individual who is able to be self-sufficient and the one who becomes a dependent member of the community. Social relationships have been described by Abraham Maslow’s hierarchy of needs, which “places the human need for affiliation second only to survival and safety” (Williams, Kemper, Hummert, 2004). Some older adults rely solely on health care providers for social contact, and therefore it is extremely important that nurses be sensitive to the social needs of patients while providing healthcare and promoting health. The literature reports that not all patient

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