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Honey, sweetie, dearie: The perils of elderspeak

  • Researchers analyzed 80 video-recorded interactions between staff and dementia patients, finding that 84% involved elderspeak, a patronizing speech style in nursing homes.
  • Elderspeak arises from ageist assumptions of frailty, incompetence, and dependence, incorporating terms like 'honey,' 'dearie,' and 'sweetie' to soften messages but sometimes feels controlling.
  • A study conducted in multiple nursing facilities across Kansas and Missouri found that elderspeak was used in nearly 35% of interactions prior to CHAT training, but this decreased to approximately 20% following the training; additionally, the program was linked to reduced reliance on antipsychotic medications.
  • Experts advise addressing older adults formally unless they prefer otherwise, and note that elderspeak need not be adversarial since some terms of endearment might not imply intellectual underestimation.
  • Ongoing nationwide research is assessing CHAT training in about 200 nursing homes to evaluate its broader effects on communication quality and medication use in elder care.
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The TrentonianThe Trentonian
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Honey, sweetie, dearie: The perils of elderspeak

By Paula Span, KFF Health News A prime example of elderspeak: Cindy Smith was visiting her father in his assisted living apartment in Roseville, California. An aide who was trying to induce him to do something —  Smith no longer remembers exactly what — said, “Let me help you, sweetheart.” Related Articles These researchers are trying to diagnose CTE during life. They’re recruiting former football players First at-…

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Boston Herald broke the news in Boston, United States on Sunday, May 11, 2025.
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