Why you should read this article:

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To increase your understanding of ‘elderspeak’ and the use of terms of endearment with older adults

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To recognise that acceptance or rejection of the use of terms of endearment may be a matter of opinion

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To enhance your practice by considering and acknowledging each individual’s communication preferences

Background ‘Elderspeak’ has been defined as a form of communication overaccommodation used with older adults that typically involves inappropriate simplified speech. One aspect of elderspeak is the use of terms of endearment such as ‘honey’, sweetie’ and ‘dear’. There is disagreement regarding the use of terms of endearment with older adults, with differing views on whether it is beneficial or harmful.

Aim To explore the perceptions of older adults residing in an assisted living facility on the use of terms of endearment by healthcare staff.

Method This qualitative study used a descriptive phenomenological design. Semi-structured interviews were undertaken with 15 older adults regarding their perceptions of the use of terms of endearment. The data were analysed to identify themes.

Findings Two themes emerged from the interview data: ‘it’s a matter of opinion’ and ‘context matters’. Not all older adults viewed terms of endearment negatively; some liked them, others were neutral and some viewed them as childish or disrespectful.

Conclusion Perceptions regarding the use of terms of endearment appear to differ among older adults. Therefore, the use of such terms should be individualised based on the preferences of the older adult.