The silent impact of ageist communication in long term care facilities: Elders' perspectives on quality of life and coping strategies

Communication is an essential component of any caregiving relationship. This is especially the case for institutionalized elders who need to maintain strong and empowering social bonds with caregivers. Previous studies have shown that communication can be a powerful transmitter of age-based stereotypes and as such, can lead to psychological disengagement and lowered self-esteem. In light of these results supporting the postulates of Communication Accommodation Theory, the main goal of the current study is to gain a better understanding of the role and impact of communication in the context of a caregiving relationship. Precisely, this study explored the extent to which institutionalized elders perceive daily communication with caregivers as being ageist, as well as the impact of such perceptions on quality of life in the facility and coping strategies used by elders. To do so, a total of 33 in depth and semi-structured interviews were conducted with elders living in long-term care facilities in the province of Quebec. Results of qualitative and quantitative data analyses suggest that communication with caregivers is indeed perceived as ageist by the majority of elders and that such perceptions diminish the perceived quality of life in the facility; furthermore, most elders seem to cope with ageism by accommodating caregivers, a strategy that may ironically reinforce patterns of ageist communication.

► The study explores elders' perceptions of ageist communication in a caregiving context. ► It assesses the impact of ageist communication on elders' perceived quality of life in the nursing home and on coping strategies. ► A total of 33 interviews were conducted with elders. ► Findings suggest that perceptions of ageist communication has a negative impact on quality of life. ► Most elders seem to cope with ageism by accommodating caregivers, a strategy that may reinforce patterns of ageist communication.