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Ageism in Nursing
In an article written by Eymard and Douglas (2012), there is a growing discrimination against older people affecting the way they are treated in the health care setting. Moreover, Eymard and Douglas (2012) referred to this type of stereotyping and mistreatment as ageism. What is more, Eymard and Douglas (2012) cited multiple studies linked ageism to poor delivery of care. Since there is a prediction of significant growth of the older people, 65 years old and above, population in the near future, Eymard and Douglas (2012) stressed the need for health care providers to eliminate biases and work on improving health outcomes of this aging population. To start, reflecting on one’s culture, societal practice, and experiencing the older adults’ situations can lead to deeper insights of the older adults’ health needs.
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For example, in the Asian culture during the late 60’s, elderlies are honored and cared for with great respect. This is probably due to the great amount of sacrifice, discipline, and dedication involved in their parenting tasks, which were then witnessed and appreciated by their children. In fact, mothers usually stayed at home and parenting from that generation involved active teaching, disciplining, and correcting their children. Moreover, the schools in the community reinforced good manners and right conducts taught at home through strict discipline and appropriate punishments, creating healthy fear of authorities among young children. Thus, older adults were valued and loved for their wisdom and sacrifice and usually treated with great care at home during their time of
Elderly Culture and Nursing Homes Nursing homes offer a wide range of long-term care assistance for older adults to be able to meet their everyday needs. Older adults from different cultural backgrounds experience conflict with their decision to participate in a nursing home, catalyzing the underlying stigma different cultures hold towards nursing homes. In many cultures, older adults look for family as their primary source of care. However, when their needs cannot be met due to disability and mental health issues, it begins to take a toll on the person’s instrumental activities of daily living (IADL). IADLs are complex daily actions that are needed to live (Cavanaugh & Blanchard-Fields, 2015).
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.
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).
“If I can buy enough pills, cream, and hair, I can avoid becoming old” (Esposito, 1987). Western cultures are champions of stigmatizing the complex, delicate, remarkable process that is aging. Generally, people rely on physical cues to categorize each other in races, genders, and ages. What comes to mind immediately when the word “old” or “elderly” comes about? Quick identifiers like white hair, wrinkles, and slow-moving, are always associated with the elderly. Simply, the labels that are given i.e. elderly, old people, seniors, and senior citizens contribute to the categorization of this group of people. Like prejudice or discrimination, “ageism” refers to the adverse attitudes, stereotypes, and behaviors focused toward older adults based
...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
As the years pass and we began to age we all notice a change and this change that comes is not the apparent physical change but rather the attitudes and personification people have as we enter our old age. It seems as though, as we begin to age we notice that a sense of respect begins to build from the younger generation. According to the book “social perspectives on aging, “ it states that ‘today most social gerontologists prefer activity theory, which assumes that older people benefit both themselves and their society if they remain active and try to continue to perform the roles they had before they aged.” In other words the elderly are benefiting from what they built on their own over their lifetime and they are also benefiting from society
Kick, Ella. "Overview: Health Care and the Aging Population: What Are Today's Challenges?" The Online Journal of Issues in Nursing. N.p., n.d. Web.
(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
Someone’s age should not define the type of care they receive. Often times you see elderly patients mistreated or not put as a priority. I will treat all of my patients equally not matter their age. Every life matters, everyone deserves the best treatment and care. I will all of my patients needs young or old. One scenario is if I had an elderly lady come in for a check-up I would treat her with respect and give her the same care that I would give the younger patients before her. No one should ever be mistreated or put aside because of their
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).
Aging is universal and it is a process that everyone has to go through. The only difference is that everyone goes through this process at their own pace influenced by factors that will be discussed later on in this paper. When we think about factors that have an influence on older adults and how their life may be affected, we must consider the different social institutions while analyzing influences from social factors, cultural factors, and personal values. Abuse to older adults, stereotyping and informal care and technological advancements that affect older adults are the three topics that will be discussed in this reflection. Furthermore, will connect the three topics I have chosen to the knowledge that I have gained from my interaction
First of all, there are the misconceptions about aging that the majority of older people are sick and health promotion is futile since the older adult has no future (Tabloski, 2014). The care given to the older adult is lacking in quality due to the negative feelings many nurses have with patients of this age. One negative viewpoint is that nurses think this is not a highly skilled specialty and that there is a lack of career advancement. Another view is that older people are more irritable, touchy, and are not pleasant. Finally, the working environment is not adequate, often depressing, and is not favorable in recruiting or keeping nurses (Kydd, Touhy, Newman, Fagerberg, & Engstrom,
Gerontologists study the aging process and focus on the period between middle age and later life (“Medical Scientists,” 2014; Rizza & Langer, 2010). Classically, gerontology has been divided into sub-disciplines covering the psychology of aging, social sciences of aging, health gerontology and the biology of aging (O’Neil, 2012). This wide-ranging field addresses normal mental, physical and social challenges as well as the inevitable frailty, illness and death that people experience as they age (O’Neil, 2012). Gerontologists also evaluate the societal changes that result from an aging population (“Sociologists,” 2014). They apply this knowledge to programs and policies to improve the quality of life for the elderly (O’Neil, 2012). Given the multidisciplinary interests of gerontologists, professional work is found in various fields and employs graduates from mixed educational backgrounds (“Medical Scientists,” 2014; O’Neil, 2012; Psychologists,”2014; Rizza & Langer, 2010; “Sociologists,” 2014).