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Manners and Etiquette in LTC Print E-mail

 

This might seem a bit strange, why would anyone need to address manners and etiquette in long-term care facilities?  The generation of people currently in long-term care come from a more genteel age.  They believed that people should be addressed by their last names until such time as your were familiar enough with each other that you could then agree to use first names. 

 

Gentlemen opened doors for ladies, gentlemen paid the bills, “please” and “thank you” were part of everyday language and there was a hierarchy at places of employment meaning that the boss was referred to as “Sir” (there weren’t that many women bosses back in the day).  As people with dementia make their way into long-term care, they revert to what they know and remember and manners were ingrained.

 

If you notice your loved-one becoming difficult to deal with as they are having trouble remembering, call upon those manners that they taught you.  Gently link arms with your father and ask him if he would walk you to the dining room or offer your arm to your mother and ask if you can accompany her to the dining room.  Suddenly, you are no longer threatening and this is a scenario that your loved one will feel comfortable with. 

 

To someone who is having difficulty remembering, people who appear to be strangers coming in and out of their room and touching their stuff or even touching them is most alarming.  If the caregiver not only introduces themselves as Ms or Mr So-and-So but then addresses the senior using their last name, “Hello Mr Bronley, I’m Ms Nathan and I’m here to help you” the comfort level can be increased.  To the senior, everyone is being polite and they in turn will probably revert to familiar patterns.   In another scenario, the caregiver can ask for help: Ms Lawlor, would you please help me fold these towels?  Ms Lawlor feels that there is a level of civility that is acceptable to her and she can certainly help this nice person and the caregiver would follow through by saying thank you once the task is complete.

 

To people living and working in the 21st century, reverting to using last names and addressing people by their title of Mr or Ms can seem a bit silly but it provides a level of comfort to those seniors currently entering or already in long-term care.  Asking a resident “would you mind opening this door for me, Mr Bronley?” can seem time-consuming and irrelevant but to Mr Bronley, it can make the difference between feeling positive or feeling unsettled (“open the door!”).  Don’t discount manners in long-term care as they can allow caregivers an air of respect for the residents but also for themselves.