Effects of Infantilizing Communication (Elderspeak) on Patients with Alzheimer’s Disease

"Duh!" of the week......
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Resistiveness to care (RTC) in older adults with dementia commonly disrupts nursing care. Research has found that elderspeak (infantilizing communication) use by nursing home staff increases the probability of RTC in older adults with dementia. The current analysis used GSEQ software to analyze behavior sequences of specific behavioral events.

We found that older adults with dementia most frequently reacted to elderpeak communication by negative vocalizations (screaming or yelling, negative verbalizations, crying). Since negative vocalizations disrupt nursing care, reduction in elderpeak use by staff may reduce these behaviors thereby increasing quality of care to these residents.

The results clearly demonstrate that sequential analysis of behavioral events is a useful tool in examining complex communicative interactions and targeting specific problem behaviors.