Active Listening: How Caregivers Can Make Communicating with Older Adults Easier



As Sherlock Holmes once said to his partner, John Watson, โ€œYou see, Watson, but you do not observe.โ€ Even though the quote is borrowed from fiction, there’s an uncanny truth to this statement in real life. In a similar way, active listening is about processing information and utilizing it โ€“ not just randomly absorbing facts.

What does this have to do with your aging loved one? Well, if youโ€™re like most people providing home care, you know how easily arguments and misunderstandings can occur. But with these simple listening techniques, you can make communicating with older adults more productive.

Key Active Listening Skills

Try using the techniques below to make your communication with your loved one easier and more productive:

Validate

This is often the first and most critical step in active listening. By normalizing a personโ€™s feelings, you can push past any emotional barriers that might prevent them from speaking honestly. For instance, if you visited your loved one later than expected and theyโ€™re upset, you should say something like, โ€œYou have every right to be disappointed that I was late.โ€

Name that Emotion

At times, we all have difficulty putting our feelings into words.[1 โ€œWhatโ€™s Art Got To Do With It?โ€ https://www.todaysgeriatricmedicine.com/news/ex_082809_03.shtml] By helping your loved one to recognize and name their emotions, you make them more manageable. Another tactic to addressing a tardiness issues is to say, โ€œI know that you’re upset that I didnโ€™t arrive when I said I would.โ€

Use โ€œIโ€ Statements

Youโ€™ve probably heard this one before, but it bears repeating: try to use โ€œIโ€ statements instead of โ€œyouโ€ statements. The latter can often seem accusing and defensive, and using “I” statements to share your own feelings can invite your loved one to do the same. For instance, using the example of being late: โ€œI feel upset when you criticize me for not arriving at exactly six oโ€™clock.โ€

Encourage

To elaborate on a problem or an emotion, your loved one may feel they need implicit โ€œpermissionโ€ from you to talk about it. This permission includes subtle cues that let them know itโ€™s okay to talk, and that you want to hear what they have to say. Try using brief prompts such as, โ€œGo on,โ€ “How did that make you feel?”, โ€œThen what?โ€, and โ€œTell me more.โ€

Inquire

To get to the heart of a matter, you may need to ask your loved one pointed questions. Examples include, โ€œWhat would you have done in that situation?โ€ and โ€œCan you think of any alternatives?โ€

Rephrase

Rephrasing is another key skill in active listening. It doesnโ€™t mean repeating precisely what the speaker just said. Instead, summarize their comments into your own words to show that youโ€™re listening. For example, โ€œYou said my being late makes you angry. It seems like this situation causes you a lot of stress.โ€

Reflect

Reflecting is another form of validating the speakerโ€™s opinion. Like rephrasing, it shows you are listening and processing the information received. โ€œWhen Iโ€™m late, it seems like that throws off your plans for the entire evening.โ€

Summarize

Summarizing, similar to rephrasing, is a good way to make sure you understand a situation correctly. At the end of a conversation, it’s always good to check that you understand what your loved one is trying to say. Beginning statements can include phrases like, โ€œLet me make sure I have this right,โ€ or โ€œSo, what youโ€™re saying is . . .โ€

Allow for Silence

Weโ€™re often taught that silence in a conversation is bad and to avoid it at any cost. But by allowing for silence during active listening, you open up a space for others to talk and think[2. โ€œThe Effective Use Of Silence,โ€ December 11, 2009, https://www.psychologytoday.com/blog/happiness-in-world/200912/the-effective-use-silence]. Donโ€™t be so quick to jump in with what you think the other person will say or force your own thoughts on them too soon. Silence in conversation can be one of the most important listening tactics that many caregivers forget.

Redirect

This is often a big part of actively listening to older adults, who sometimes veer off topic easily. By bringing their attention back to the matter at hand, you help them focus on whatโ€™s important, such as the subject being discussed, or the problem to be resolved. Case in point: โ€œI know you didnโ€™t enjoy the dinner you had tonight, but letโ€™s finish talking about my being lateย because I know thatโ€™s really bothering you.โ€

Start Communicating with Older Adults in a Whole New Way

Regularly using active listening can help you relate to your loved one in a whole new way. And it isnโ€™t just a great method for communicating with older adults โ€“ it works for almost all age groups. Who knows? By practicing this skill, you may end up having better communication with everyone you meet!
If you’re unsure how to best help an aging loved one, the trained and compassionate staff at the Institute on Aging is here to help you make that decision and gain the best in at-home care for older adults. Contact us to find out more.

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