In the realm of hospital dementia care, the challenge of rejection of care (RoC) by persons living with dementia (PLWD) is a significant concern. Recent research highlights two modifiable factors that can help reduce RoC: elderspeak communication and pain severity. Understanding these elements can enhance the quality of care provided to PLWD in acute settings.
Understanding Elderspeak Communication
Elderspeak is a form of communication often used by caregivers when interacting with older adults, characterized by simplified language, exaggerated intonation, and a patronizing tone. While it may be well-intentioned, elderspeak can inadvertently lead to increased resistance from PLWD. The study "Elderspeak communication and pain severity as modifiable factors to rejection of care in hospital dementia care" found that nearly all recorded interactions included some form of elderspeak.
The Impact on Rejection of Care
The research demonstrated that a 10% decrease in elderspeak was associated with a 77% decrease in the odds of RoC. This finding underscores the importance of training healthcare providers to adopt more respectful and age-appropriate communication styles. By minimizing elderspeak, caregivers can foster a more cooperative environment, reducing resistance and improving patient outcomes.
Pain Management as a Key Factor
Pain is another critical factor influencing RoC behaviors. The study revealed that a one-unit decrease in pain severity could lead to a 73% reduction in the odds of RoC. Effective pain management strategies are essential for minimizing discomfort and resistance among PLWD.
Strategies for Practitioners
- Training in Communication: Healthcare providers should receive training to recognize and reduce elderspeak. Emphasizing clear, respectful communication can significantly impact patient cooperation.
- Pain Assessment Tools: Utilizing validated pain assessment tools tailored for PLWD ensures accurate identification and management of pain.
- Person-Centered Care: Adopting person-centered care approaches that focus on individual needs and preferences can improve overall patient experience and reduce RoC.
Encouraging Further Research
The findings from this study highlight the need for continued research into effective communication strategies and pain management techniques in dementia care. Practitioners are encouraged to stay informed about emerging research and integrate evidence-based practices into their daily routines.
By addressing these modifiable factors, healthcare providers can enhance the quality of care for PLWD, leading to better outcomes and improved patient satisfaction.
To read the original research paper, please follow this link: Elderspeak communication and pain severity as modifiable factors to rejection of care in hospital dementia care.
