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Ageism and health care
Ageism and health care
Negative impacts on ageism
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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.
One consequence of a caregiver having an ageist attitude can be the overmedication of geriatric patients. Overmedication can occur if medical providers offer misguided health recommendations based
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Under-treatment is common because of the misguided perceptions many healthcare providers have for older adult patients. In Dr. Erdman Palmore’s Ageism Survey (2001) of community-dwelling older adults ages 60 to 93, 43% of respondents reported that “a doctor or nurse assumed my ailments were caused by my age,” and 9% said they were “denied medical treatment because of age.”(cite) Situations like these are detrimental because if the symptoms are because of a legitimate problem that is overlooked due to old age, a patient’s health can worsen and a small problem can grow into something fatal. Furthermore, a patient who is told that a symptom is because of their old age can internalize those negative feelings that the physician expresses, and can then become depressed due to believing that they are helpless. Negative attitudes affect people’s physical and mental health. A few opinions that healthcare providers have about older patients that cause under-treatment are evident in a current cross-sectional survey, the Expectations Regarding Aging Scale, which assessed perceptions of aging. The majority of providers surveyed were primary care providers (PCP). PCP’s include nurse practitioners, physician assistants, and physicians. Over 60% of PCPs agreed with the statements “Having more aches and pains is an accepted part of aging” and “The human body is like a car: when it gets old, it gets worn out” (61%). Another 52% agreed that one should expect to become more forgetful with age, and 17% agreed “mental slowness” is “impossible to escape,” (cite). An example of under-treatment of a symptom in an older adult is back pain. Pain is commonly under-treated among older adults. While patients may already have ageist expectations about the
...teract. Many of the medications are very powerful in and of themselves. This article also presents additional approaches to medicating the elderly, including focus on reduction of number of medications prescribed. Both articles present the importance of considering the normal physiological changes within geriatric patients.
overcoming elderspeak. Journal of Gerontological Nursing, 30(10), 17-25. Retrieved from CINAHL Plus with Full Text database.
As we grow up, we develop as people, and learn things from others around us. In these selections from East Asia, there’s different elements of growing up. From these stories and poems from Korea, China, and Japan, there is experience coming of age in more than one way. There are instances of young love, war, passing friendship, and overall life in these foreign places. Through these instances there is growing up and coming of age in places never experienced. From the literature of East Asia, the process of growing up and coming of age through the use of life lessons, metaphors, and imagery.
With healthcare in the United States advancing so rapidly, there are new ways to treat just about any kind of illness every day. With being able to treat illnesses in new ways, and also the advancement of medical equipment, comes the possibility of a lot more people living up into their 90’s, and maybe even getting to reach 100. The aging population, which keeps growing every so rapidly, will be using up a lot more sources as the years go by. This means, that we need to educate more doctors and nurses, etc., and also make more living facilities for older adults. The question that comes up in my mind, is when is “old” actually”. Most people stereotypically consider ages 75 and older old, but that doesn’t mean they are actually “old”, does it?
Elderly, 1991. American Journal of Public Health, 84(8), 1265. Retrieved from Academic Search Complete database.
The term “ageism” is not easily understood by most of the population because of its acceptance as normal behavior due to the ingrained attitudes that most people develop in their youth, but health care workers must fully embrace the term within their profession in order to avoid becoming a contributor to the historical prevalence of prejudices and discrimination. The term ageism is defined by Klein and Liu (2010) as “the discrimination of individuals based solely on age” (p. 334). “Ageism is a social construct that is internalized in the attitudes, beliefs, and behaviors of individuals” (Klein & Liu, 2010, p. 334). Robert Butler, a well-known gerontologist, coined the term “ageism” citing that the discrimination and prejudice associated with this term is often based on the lack of a person’s experience with older people (Ferrini & Ferrini, 2013, p. 6). Ferrini and Ferrini (2013) refer to the strong influence that cultural beliefs and attitudes as well as a person’s current age influence the perception of aging (p. 6). Everywhere within society there are influences that encourage ageist attitudes such as media conveyances through movies, books, television, greeting cards, magazines and the Internet (Ferrini and Ferrini, 2013, p. 6). These negative connotations related to growing older begin to influence all people at a very young age and therefore impact their attitudes as they make career decisions. This has directly impacted the number of health care providers who specialize in geriatrics as well as the attitudes of those who do provide services for older adults. These false perceptions and negative attitudes are currently impacting the q...
Older adults are a very knowledgeable population and have had a lot of life experiences. As people age, things start to change physically, mentally, and socially. It’s important to understand the process of aging, so that older adults can be taken care of properly. I interviewed P.R. who is a 71-year-old male that lives alone in his home. P.R. is a retired coal miner, and is currently living off his social security and savings. He lives close to both his daughter and son, who frequently help him out with things that are needed. P.R. was able to give me a lot of insight about specific challenges that he has experienced in his life that is associated with aging. I will be discussing challenges that P.R experienced physically, mentally,
It is a fact; the older adult population is living longer. While many older adults are fit and healthy, others are frail and weak requiring necessary medication. It is more important than ever for all of the healthcare community to be conscious of safe prescribing and the proper use of medicine when taking care of older adults.
...th professionals, were significantly more cynical toward and distrustful of older adults” (p. 63). The findings in Meisner’s (2012) conveyed that physicians demonstrated attitudes about older patients including feelings of these individuals being “disengaged and unproductive” while assuming that these characteristics applied to all of the older patients regardless of each person’s actual abilities (p. 63). Combing all older adults into one category defined by disability and dysfunction is detrimental to the well-being of each patient. Chronological age is not the determining factor relative to treatment; functional age is a better testament to expected outcomes for a patient. It is imperative that physicians understand what is “normal aging” rather than searching for pathologies based on symptoms that are just part of this aging process. According to Meisner
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.
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
Today, the world’s population is aging at a very fast pace and the United States is no exception to this demographic change. According to the U.S Census Bureau, senior citizens will account for 21% of the American population in 2050 (Older Americans, 2012). Although living longer lives may not seem like a negative sign, living longer does not necessarily mean living healthier. Older adults of today are in need of long-term health care services more than any generation before them (Older Americans, 2012). Because of the growing need for senior care, millions of families are facing critical decisions on how to provide care for their parents.
As individuals age they will come to a point in their lives where they are considered to be in middle adulthood. According to Zastrow and Kirst-Ashman (2016), middle adulthood is the range from 30-60 which involves physical and health changes (p. 477). Some individuals may take this time to reflect on their lives and be happy will all of the things they have done and look forward to what is still to come and there may be others who feel that should have changed things or even may experience a “midlife” crisis. AllPsychologyCareers website (2016) states, “Midlife crisis is a time of great emotional upheaval, anxiety, and drastic changes in behavior (para. 13). Middle adulthood can be a time of contentment or even regret.
The Elderly individuals face problems like Ageism. The older society is not given the same options in treatment as the younger society. The Elderly who battle cancer do not receive chemotherapy like the younger generation. Some people believe that doctors are genuinely worried about their patients and others believe that age discrimination is the reason of treatment discrepancy (Dockter & Keene, 2009).