In a novel twist on dementia care, Flinders University research reveals that tweaking everyday language can dramatically reshape care practices and strengthen bonds between staff, residents and families without costly structural overhauls.
The study, led by occupational therapist Dr Suzanne Dawson of the Caring Futures Institute and Southern Adelaide Local Health Network, tested a “flipping language” intervention in a specialised behavioural unit. Here, staff and families were invited to spot terms that “don’t land well for them,” play with alternatives, and replace clinical labels like “aggressive” or “wandering” with person-centred descriptions that honour each individual’s history and intent.
“The language we use in clinical settings doesn’t just describe reality—it shapes it,” explains Dr Dawson. “By consciously choosing words that focus on a person’s experience rather than labelling their behaviour, we’re able to connect more deeply, provide more personalised care, and create a culture that’s not just clinically safe but emotionally safe too.”
Carer Project Officer Jenie Aikman, whose own family experience underpinned the intervention, guided the shift on the unit. Drawing inspiration from the UK’s My Home Life programme, the team found that richer, descriptive language not only improved documentation but changed how staff approached care.
“Staff reported that while the old language may have been efficient, it didn’t actually accurately capture an individual’s behaviour,” says Aikman. “Flipping the language meant more descriptive language was used in handovers, increasing the understanding amongst the care staff, which they themselves noted led to a change in their care approach.”
Families also noticed the difference. “It hurt to hear their loved ones described in clinical terms that reduced them to symptoms—whereas the flipped language felt more respectful and empathetic, helping to humanise their loved ones,” Aikman reflects.
Perhaps most strikingly, this cultural pivot required no new wings or extra funding, only a commitment to reflection and relational care. “While the intervention was led by a staff member with lived experience of caring for a loved one living with dementia, we found all staff embraced the change,” says Dr Dawson. “They reported often engaging in informal conversations about language during handovers and team meetings, fostering a culture of openness, psychological safety, and mutual respect.”
The researchers urge testing the approach in other settings that rely on stigmatising language, such as mental health services. “This isn’t about policing people’s language; it’s about ensuring dignity for a vulnerable group of our population,” Dr Dawson says. “Small changes in everyday language can have a profound effect on relationships and outcomes and it should be a consideration for all who work in this space.”
Ritchelle is a Content Producer for Healthcare Channel, Australia’s premier resource of information for healthcare.
