10/20/2025
I walk in on a Monday…
…and hear a caregiver say, with the warmest smile, “Oh, you’re just the cutest little thing.”
Her tone is sweet. Her heart is kind. But something about it makes me pause. Not in judgment — in awareness.
Because this is how it happens. Not through cruelty or neglect, but through comfort. Through the words we reach for when we’re trying to be gentle, or get through a busy moment, or make a connection.
You’ve heard them, too — “sweetie,” “honey,” “little lady,” or even “grandma/grandpa.”
When we have a family visit the community, we refer to everything as “little” — “here’s our little gym,” “little activity room,” “they do the cutest little paintings,” etc.
Or that easy “we” that rolls off the tongue:
“Are we ready to go to the bathroom?”
“Let’s take our medicine now, okay?”
“We’re not going to do that, are we?”
They sound kind. Familiar. Even affectionate. But they carry weight.
Dr. G. Allen Power writes about this in Dementia Beyond Disease. He calls it ElderSpeak — language that feels caring on the surface but can quietly chip away at a person’s sense of self. It’s not just that it sounds like how we speak to children. It’s that it changes the dynamic. The speaker holds the authority, and the elder is subtly placed beneath it.
Once you start hearing it, you can’t un-hear it. It shows up when we’re tired, when we want things to go smoothly, when we’re reaching for cooperation instead of connection.
But we’re not caring for children. We’re caring for adults — people who have lived entire lives, who have loved, lost, built, fought, and contributed. People whose brains may be changing but whose dignity should never be in question.
This isn’t about blame. It’s about noticing. Because the words we choose don’t just describe someone — they shape how we see them. And how we see them shapes how we care for them and with them.
So on this Monday, I’m thinking about language — and how the smallest words sometimes tell the biggest stories about what we believe.
Have you ever caught yourself using “ElderSpeak”? What helped you notice it and shift? Or maybe there’s a phrase you still wrestle with — one that’s hard to unlearn.
I’d love to hear your thoughts. Drop a comment below…