Speaking to elderly parents the right way

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Speak Distinctly

Some older adults do not like to admit that they cannot hear or understand the conversation around them.  The higher pitch of women's voices may be a problem for older adults; consciously think to lower the voice pitch. Remain calm and talk in a gentle, matter-of-fact way, keep sentences short and simple, focusing on one idea at a time.

Don't Condescend

Make sure your attempt to "turn up the volume" and slow down your speaking patterns doesn't come across as condescending. Even if your parent suffers from dementia or extreme hearing loss, don't speak to them as you speak to a child. Patronizing is a sure way to start an argument.

Choose the Right Environment

Avoid competing noise or activities such as TV or radio. Face the person as you talk to them. When talking in a group, make sure that the elder is not on the end of the row.  It is better to place the senior in the middle so that the conversation is around them. Or perhaps a quiet walk works best for your elderly parent.

Consider What It Is Like To Be Old

Most seniors experience a series of losses during their later years and are trying desperately to stay in control of themselves and their environment. Letting others help feels to them like giving away control of things.

Pick Your Battles

Most elderly face multiple challenges as a result of growing older. The most common include mobility limitations, decreased stamina, living alone and memory problems. You will need to prioritize the issues you want to address and hope for small victories.

Laugh When you Can

Laughter really is the best medicine. Even in a difficult and stressful caregiving situation, there are some humorous moments. A shared laugh can ease tension while building closeness. However, be sure to laugh with your family, not at their expense.

 
 
 

Comments

 
  •  Comments 1 to 10 of 31 
 
 

Missybu

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Jun 23, 2010

Great advice about communicating with the elderly!

Missy

 
 

reagor

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Jun 23, 2010

I am wondering how to respond when my mother says she has been places, seen movies, done things I know she has never done. This is happening a lot lately. I am wondering if it makes her feel more secure to think that current experiences are not new? At first I challenged her but I am not doing that as much lately; there is some eye-rolling among my husband, our 11-year-old son, and me. Our son is definitely noticing the behavior.

 
 

IsabelCares

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Jun 23, 2010

Thanks for a terrific article and reminders of respect in aging care.

 
 

IsabelCares

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Jun 23, 2010

reagor, how is your Mom's health otherwise? If it is a new symptom for her, it may be good to alert her doctor. If it is not a new symptom and it causes no harm, I agree with your not challenging what she has to say. If you do challenge, her will feel a need to save face which is reasonable. One thing you might consider is asking her whether she would like to do whatever it is she may be talking about having done, or asking her what she enjoyed the most about the experience she has just shared with you. Ask her what she likes about movies, etc., and whether she would enjoy a home movie night, or going out to select a movie rental with you one day. Also ask her if she could go on a day trip, where would she enjoy going. If she opens up, it may help. It's hard for us when we know differently, but challenging seldom solves anything, in my experience only. If she is becoming confused, remind your husband and son that it happens and compassion goes a long way.

 
 

IsabelCares

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Jun 23, 2010

Sorry, was trying to say, If you do challenge her, she will feel a need to save face which is reasonable.

 
 

reagor

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Jun 23, 2010

@IsabelCares: I have not started talking to her doctor independently, as I have been trying to respect the considerable independence she still has. She is in good health and still drives. She was 90 in March. She moved in with us 15 months ago.

 
 

mami

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Jun 23, 2010

The other family members and yes even small children can respect the changes in behavior. It has often been said that the regression of mental status is the reverse that we see in children. Encourage your son to engage his grandmother in the fantasy. Both will enjoy the stories that they create together. It may even spark a writer in him. Your husband is facing the reality of the aging process. Let him express his concerns and talk about a plan for the two of you to develop for your own aging. You only have one son to count on in your latter years. You are all in my thoughts.

 
 

vstefans

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Jun 23, 2010

About the mom with the confabulations - when my dad startied doing this, we figured out that it was things he WISHED he had done. And really, some of those things which were just not possible for him or other family members invovled, it was a very sweet thing, a sliver lining in the dark clouds of his dementia, to know that he would have done those things if he could have. He would have been in the Navy, would have adopted my adopted children if I hadn't, he would have had lunches downtown with a brother who moved away and was not really in touch for many years, etc.... so if there are any of those things you could really do, it would likely be a real gift! Then again, my mom has more scary things like this, mostly from dreams or nightmares that she thinks really happened, and our ability to convince her otherwise varies from time to time. It helps us see that she has spent most of her life worriyng about disasters that would probably never happen, playing it "safe" on her own mind, but then missing the opportunity to prevent the real ones that did and limiting everyone else's enjoyment of life in the process. .

 
 

reagor

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Jun 23, 2010

It is interesting to see how many flavors of this are out there. Sometimes my mom seems to be saying she's seen a movie 10 times to mean she is bored and wants to leave the room. Other times, maybe when I mention being at a restaurant, she seems to be wanting to enter into the story/experience, to identify with it in some way. I will listen for the Opportunities Missed flavor and see what I can do to help her catch some. It does seem like the range of things she really enjoys is getting narrower.

 
 

vstefans

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Jun 23, 2010

My mom no longer wants to read or watch TV and even refused some chocolate. She enjoyed eating some other foods when her appetite came back ( had to adjust some meds) . We keep forgetting to put her glasses back on, her vision problem now is more form a stroke than from her eyes and there is less of a fix for that... it is getting really sad.

 
  •  Comments 1 to 10 of 31 

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