Granny, Grandma, Mamma? Sweetie, dearie, honey?

We’ve all heard it—and maybe even said it—but elderspeak in dementia care might be doing more harm than we realize. Clarissa Shaw, a dementia care researcher at the University of Iowa College of Nursing, explains that elderspeak is “communication to older adults that sounds like baby talk.” It stems from an ageist assumption of frailty and dependence. And the truth is, it’s not just what we say—it’s how we say it.

According to the article Honey, sweetie, dearie: the perils of elderspeak, elderspeak often involves speaking more loudly, using shorter or overly simplified sentences, and using exaggerated, singsong tones that are more appropriate for toddlers. A staggering 84% of interactions between staff and residents living with dementia involved some form of elderspeak, as shown in the study Voicing Ageism in Nursing Home Dementia Care.

To be fair, most of this speech is well-intended. Staff often build strong bonds with residents, and these terms of endearment can become habitual. But the consequences can be significant. Research found that when staff communicated using a regular tone and adult language, residents with dementia were far less likely to resist care. You can read the full study in A Communication Intervention to Reduce Resistiveness in Dementia Care.

So, what can you do? Consider checking out CHATO (Changing Talk: Online), an online training course designed for caregivers. The program offers several one-hour modules, includes an evaluation, a post-test, and even awards a certificate of completion—with 3 nursing contact hours as a bonus! You can explore the course details at Changing Talk: Online (CHATO).

Let’s think twice before we call someone “sweetie.” Changing our tone—and our mindset—can help reduce resistance to care, improve dignity, and ultimately enhance elderspeak in dementia care outcomes.

Stay well and stay informed!