Clinical

Our clinical nursing articles aim to inform and educate nurse practitioners and students. This is achieved through the publication of peer-reviewed, evidence-based, relevant and topical articles.

Perceptions of the use of terms of endearment among older adults in an assisted living...

Why you should read this article: • To increase your understanding of ‘elderspeak’ and the use of terms of endearment with older adults • To recognise that acceptance or rejection of the use of terms of endearment may be a matter of opinion • 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.

Risk management and decision-making in dementia care

Risk management and decision-making in dementia care

Encouraging a proactive and person-centred approach to risk assessment and management

Using therapeutic lies – an ethical challenge for nurses when caring for people with dementia

Using therapeutic lies – an ethical challenge for nurses

White lies' can be useful when caring for people with dementia, but is it ethical to use them?

Exploring whether a diagnosis of severe frailty prompts advance care planning and end of life care conversations

Severe frailty diagnosis: advance care planning and end of life care conversations

People with severe frailty may be disadvantaged in terms of receiving appropriate end of life care

Exploring the professional nurse advocate role and restorative clinical supervision

Exploring the professional nurse advocate role and restorative clinical supervision

The role aims to provide clinical, educational and well-being support to nurses

Supporting shared decision-making in medicines use with people living with dementia and their carers

Supporting shared decision-making in medicines use with people living with dementia

Shared decision-making may help support people to make informed decisions about their treatment

Open access
Equipping the healthcare workforce to meet the complex health needs of older people in the community: a skills-led approach

Equipping the healthcare workforce to meet the needs of older people in the community

Explore the benefits of a versatile, multiskilled workforce for the wider healthcare system

Aesthetic ways of knowing: exploring mental health nurses’ experiences of delirium superimposed on dementia

Nurses’ experiences of identifying delirium superimposed on dementia

How aesthetic ways of knowing people can enhance patient assessment

Setting up a journal club for healthcare professionals in an older people’s residential care setting

A journal club for healthcare professionals in an older people’s residential setting

Such clubs can help develop staff members’ critical thinking and presentation and communication skills

Implementing music therapy interventions in a dementia inpatient unit: reflections and practicalities

Music therapy interventions in a dementia inpatient unit: reflections and practicalities

Learning points from therapy sessions including engaging individuals and staff, timing and benefits

Foot ulcers in older people with diabetes mellitus: prevention and management

Diabetic foot ulcers in older people: prevention and management

How to avoid the potentially devastating effects of foot ulcers

Who am I? Identity, person-centred care and dementia

Who am I? Identity, person-centred care and dementia

Actively seeking a person’s concept of self can help nurses deliver personalised care

A psychoeducation intervention for older people in an inpatient mental healthcare...

Such interventions may support patients to develop expertise regarding their own emotional...

Exploring staff’s views on the introduction of intergenerational playgroups in care...

Intergenerational playgroups are low-cost interventions with benefits for residents and the...
Open access

Dementia in care homes: increasing the diagnosis rate among undiagnosed residents

How a project created a transferable model of good practice on dementia assessments of care...

Ethical administration of as required antipsychotics to people with dementia in care...

Ethical theories and frameworks can help nurses to analyse the potential benefits and risks

Promoting resilience among older people in prisons

Interventions, practices and processes that can be used by healthcare professionals

Reflections on an interprofessional student placement initiative in care homes

Reflections on an interprofessional student placement initiative in care homes

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