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Recommended: Ageism theory
If the older patient’s complaints during a routine office visit are being ignored because of their chronological age, successful aging and quality of life will certainly be impacted by lack the of treatment for potential mental conditions. The fact that this ignorance can directly lead to suicide among this particular cohort more than any other group is frightening. Considering that social isolation is a primary reason for the onset of depression among older adults, the importance of physician and other health care provider identification of depression through screening and preventive measures are imperative. According to Blakemore (2009), 40 percent of older people who visit their general physician, half of older adult inpatients in general hospitals and 60 percent of long-term care residents have mental health problems and are often denied access to the same mental health services as younger adults including psychological therapist and drug interventions (p. 6). These numbers are astounding among a group of individuals whose physical health could be directly impacted by improved mental health care. Again, the ageism that influences screening and prevention among older adults is directly impacting the quality of life and chance at active aging among the older population.
Cancer
“Almost 60 percent of all new cancers and 70 percent of cancer-related deaths occur in people age 65 and older” (Hooyman & Kiyak, 2012, p. 131). The fact that older people are often denied preventive treatment for cancer based on their chronological age is another example of ageism. A survey completed in the United Kingdom actually found that half of 50 cancer clinical nurse specialists had worked with a patient who had been denied treatment fo...
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...with a review of staffing ratios in one local hospital demonstrating that the therapists who worked with older adults had double the caseload of those working with younger patients (Klein & Liu, 2010, pp. 342-343). This sort of unequal treatment most definitely impacts quality of care and is a direct result of the discriminatory patterns that have been conveyed by public policy throughout history. It has also been reported that attitude is not the primary factor related to a physician’s choice not to work with the oldest-old population; it is actually related to the negative pressures instilled by the health care system (Meisner, 2012, p. 68-69). “Physicians reported less control over the care they give because of the administrative and financial pressures…” (Meisner, 2012, p. 68-69). Medicare patients require more paperwork; there is less supportive staff and
University of California (2006). An Aging U.S. Population and the Health Care Workforce: Factors Affecting the Need for Geriatric Care Workers. University of California, San Francisco, Center for California Health Workforce Studies.
There have been problems within Long-Term Care and many of these abuses were turned over to the patients, there was hardly any direction on how to handle Long-Term Care. “Poor houses and Almshouses and developed in response to an impoverished, aging, and mentally and physically disabled population who lacked informal caregivers.” (Sarah Thompson, 2008 ) When Long-Term Care was in the infancy stage of developing there were many problems, issues that were created because there was not much direction. In developing in taking care of the elderly there were poorly trained nurses, medical workers and many of them were not qualified to work within the medical field. There were problems, many issues and multiple levels of abuse because of poorly trained medical workers where there was no direction.
African American senior citizens face a health care crisis too. They have worked all of their lives to secure retirement, but their retirement has been threatened because of the rising cost of long-term medical care. Insurance companies have failed to provide affordable long-term care, protection that most senior citizens need. This lack of long term care and affordability has been a serious problem for the health care system. In some cities, the shortage of hospital beds is so serious that it is common for patients to stay in emergency rooms before they can be admitted to an inpatient room (Drake 109). More than one thousand hospital beds are occupied by people who could be better care for in nursing homes or through home health care (Drake 110). Of the disabled elderly 1.3 million reside in nursing homes (Drake 10). These patients are unable to perform two or more of the basic activities of daily living without assistance.
Age and Ageism discrimination in the National Health Service is mirrors ageism and age discrimination in society at large. It is a major fact to appraise issues of ageism and age discrimination in the United Kingdom society as a whole. “Whenever a clinical stone is turned over, ageism is revealed.” (Young, 2006, Opinion) I have come to realise that ageism is broader than the unfairness among the elderly age, it refers to deeply rooted negative beliefs about older people and the way they age, which may influence age discrimination. (McGlone and Fitzgerald, 2005, Study)
There are profound effects of ageism that can be harmful to a patient’s overall health. Ageism can cause physicians to consistently treat older patients unequally compared to younger adults. Unequal treatment can be divided into the under-treatment of symptoms and the over-treatment of symptoms. The imbalance in how a physician would treat a geriatric patient is ageist because the older adult is not getting fair treatment in every case. Under-treatment and over-treatment are different; however, they are both equally as harmful to a patients health.
The way Medicare was originally organized, the concerns of physicians and their prerogatives were kept largely in mind. The federal government allowed physicians to remain autonomous in terms of how they ran their organization, and no state doctors were hired to provide competition. The purpose of Medicare was simply to offer a greater base of people the ability to benefit from health care and proper treatments for their conditions, thus offering physicians no competition from a rigid state system. Doctors could practice as they always did, but merely had a higher base of patients they could work on, their operations and procedures being paid for through government subsidies and Medicare. Medicare imposed much more change on an administrative level than a direct influence on the doctor’s practice, making their work relatively unchanged. Physicians were able to see as many elderly patients as they wanted without the fear of impoverishing them, and making sure that they themselves were also paid (Stevens 1998, p. 451).
By the year 2020, there is expected to be over 54 million senior citizens age 65 years or older. Despite medical technology and advanced medications, seniors older than age 65 have four times the number of hospitalizations days as compared to younger age groups (Curtain, 2007). Health care demands are increasing due to the aging United States population, and the present-day Medicare system is not capable of funding this. Health insurance emphasis is now on efficiency, profits, customer satisfaction, ability to pay, and competition (Curtin, 2007). Social and political aspects are major influencers of our health care. The shift of focus from patient care to a business model has caused hospitals to maintain a tight budget, often affecting nursing staff ratios. Lean staffing ratios is associated with an increase in malpractice suits due to adverse events (Curtin, 2007).
Attitudes are the foundation of quality of care for older adults. Among health care professionals, discrimination and stereotypical behaviors are very prevalent, even though more often than not these individuals do not realize their actions are ageist. “Ageism hinders people from seeing the potential of aging, anticipation their own aging, and being responsive to the needs of older people” (McGuire, Klein & Shu-Li, 2008, p. 12). Attitudes are directly correlated with how individuals age and whether individuals stay health and live longer (McGuire, Klein & Shu-Li, 2008, p. 12). The care that older adults receive from healthcare professionals is directly influenced by that provider’s attitude about growing older. All too often, health care providers rely on a patient’s chronological age rather than their functional age when determining their needs and what interventions are prescribed. Another issue lies in providers viewing the complaints of older patients as a part of “normal aging”, therefore potentially missing life-threatening problems that may have been easily resolved. “Age is only appropriate in health treatment as a secondary factor in making medical decisions, and it should not be used as a stand-alone factor” (Nolan, 2011, p. 334).
In today’s society, what was once said to be true and taken as fact regarding older people is no longer the whole story. As Laslett states, “At all times before the middle of the twentieth century and all over the globe the greater part of human life potential has been wasted, by people dying before their allotted time was up.” (1989a), and to a great extent a lot
Shaw, A. B. “In Defence of Ageism.” Journal of medical ethics 20.3 (1994): 188–194. Print.
As the population of the United States ages and lifespan increases, the U.S. is being faced with challenges that could either hurt the country or benefit it if plans are executed correctly. By the year 2050, more than thirty-two million Americans will be over the age eighty and the share of the 80-plus generation will have doubled to 7.4 percent. Health care and aging population has become a great deal considering the impact it is having on the U.S. The United States is heading into another century with an outstanding percentage of people within the aging population. Today’s challenges involving health care and the aging populations are the employees of health professions being a major percentage of the aging population, the drive into debt, and prevention and postponement of disease and disability.
(2007, November 7). Nearing Age 50 or Retirement? Watch Out for Age Discrimination. Ascribe Newswire: Health, p. 3. Retrieved from Health Source - Consumer Edition database
According to DeBrew, author of “Can being ageist harm your older adult patients?” stereotypes and discrimination are evident in various aspects of patient care. “Ageism [is] defined as stereotyping or discrimination aimed at older adults and a lack of knowledge about normal changes of aging and presentation of illness in older adults (. . .)” (DeBrew, 2015). DeBrew (2015) states, “research findings suggest that ageism is common in healthcare” (DeBrew, 2015). Ageism is not only an issue in the healthcare setting, but also among older adults as well as their families. When ageism is present in the healthcare setting it poses
The elderly represents a large amount of the population in our society and continues to grow each day. As the population grows, it is important to meet the demands and resolve the challenges that we encounter in regards to the overall quality of health and well-being of the elderly. Mental health of the elderly is a major issue but majority of the time goes unnoticed and untreated by caregivers and loved ones. About 20 percent of adults 55 and older are suffering from some type of mental health disorder, and one in three elderly adults do not receive any type of treatment (The State of Mental Health, 2008). Those suffering from mental illness are hesitant to seek out help or any type of treatment because of the stigma, services and cost for care that then comes with mental health disorders. Mental health issues that affect elderly include dementia, delirium, and psychosis. Some of the most common conditions include anxiety, mood disorders such as depression and bipolar disorder and cognitive impairment such as Alzheimer’s disease. Mental health is essential to the
Since I do interact with elderly clients as well, I can see how relationships and socialization are vital for their well-being and what happens when they do not get this socialization with others. Older people may have depression and not realize it or seek treatment. There are many things that can lead to depression, and the most common that I have seen are the loss of a spouse, family member, friend, chronic illness, and isolation. I have seen depression in older adults due to mostly these reasons, and their family members do not always realize the situation, but there are instances where family members can tell that their loved one is not adjusting well to either a loss or illness. It is so important for them to seek treatment because they could become further isolated if they do not. Counseling is all about trying to find different ways of coping and how to change negative behaviors to positively impact (and even change) a client’s life, and I think that sometimes the elderly are a bit overlooked when it comes to mental