Systemic inequalities in healthcare are a profound issue that extends across various demographics, significantly impacting the quality and accessibility of medical treatment for vulnerable populations. Among these, the elderly face unique and persistent challenges that parallel those experienced by women, particularly in terms of biased treatment and underrepresentation in medical research. Just as gender biases have historically marginalized women’s health needs, age-related prejudices have often relegated the elderly to a lower priority in healthcare systems.
The parallels between gender and age disparities in medical treatment are striking. Both groups have been subject to stereotypes and assumptions that diminish the quality of care they receive. Women have often been dismissed as overly emotional, leading to misdiagnoses and inadequate pain management. Similarly, the elderly are frequently seen as fragile and less deserving of aggressive treatment or intervention. This attitude not only affects clinical decisions but also influences the allocation of resources for research and development of age-specific treatments.
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Addressing the challenges in eldercare is crucial, especially as the global population ages at an unprecedented rate. By 2050, it is projected that the number of people aged 60 and above will exceed two billion. This demographic shift demands an urgent reevaluation of how we approach healthcare for the elderly. Ensuring that the aging population receives equitable and effective medical care is not just a healthcare imperative but a societal one. By examining the historical context of age bias in medicine and recognizing the ongoing disparities, we can begin to formulate strategies to provide better, more inclusive care for our elderly population.
Historical Context: Origins of Age Bias in Medicine
The neglect of aging-related diseases and conditions has deep historical roots, reflecting a longstanding bias against the elderly in medical practice. Historically, aging was often seen as a natural, inevitable decline that did not merit significant medical intervention. This perception led to the underdevelopment of treatments for diseases predominantly affecting older adults, such as Alzheimer’s, osteoporosis, and various cardiovascular conditions. The medical community’s focus was primarily on acute illnesses and conditions affecting younger populations, leaving chronic and degenerative diseases of the elderly inadequately addressed.
The evolution of geriatric medicine as a distinct field came late in the history of medical science. It was not until the 20th century that gerontology and geriatrics began to be recognized as essential disciplines. This late recognition stemmed from a combination of societal attitudes that devalued the elderly and a medical establishment that prioritized curative over palliative and preventive care. Consequently, early medical practices often failed to account for the unique physiological and psychological needs of older patients, leading to suboptimal care and poorer health outcomes.
Ageism in early medical practices has left a persistent legacy that continues to influence contemporary healthcare. Older adults were frequently excluded from clinical trials, leading to a lack of evidence-based guidelines for treating conditions common in this age group. This exclusion perpetuated the myth that older bodies could not handle the rigors of clinical research or that their inclusion would complicate study results. As a result, many medical treatments and interventions are still based on data derived primarily from younger populations, making them less effective or even harmful for older adults.
The persistent legacy of ageism in medicine manifests in various ways, from the underdiagnosis and undertreatment of serious conditions to the systemic underfunding of geriatric research. This enduring bias necessitates a critical reevaluation of medical practices and policies to ensure that the healthcare system can adequately meet the needs of an aging population. Only by addressing these historical and ongoing disparities can we hope to provide equitable and effective healthcare for the elderly.
Medicalization and Marginalization of the Elderly
The medicalization and marginalization of the elderly are critical issues that exacerbate the challenges they face in receiving appropriate healthcare. One of the primary problems is the normalization of aging-related ailments as inevitable rather than treatable. This perspective leads to a passive approach in managing the health of older adults, where symptoms of aging, such as chronic pain, fatigue, or cognitive decline, are often dismissed as natural consequences of getting older rather than conditions that warrant active medical intervention. This fatalistic attitude prevents the development and application of proactive treatment strategies that could significantly improve the quality of life for the elderly.
Another significant issue is the over-reliance on medication without addressing the underlying conditions that affect elderly patients. Polypharmacy, or the use of multiple medications, is rampant among older adults, often leading to adverse drug reactions and interactions that can exacerbate health problems. This approach tends to treat symptoms in isolation rather than addressing the holistic health of the patient. For instance, prescribing painkillers for chronic pain without investigating the root cause can lead to dependency issues and overlook potential underlying conditions like arthritis or neuropathy.
Inadequate pain management and the misdiagnosis of symptoms are also prevalent problems. Pain in elderly patients is frequently undertreated or misunderstood, leading to prolonged suffering and diminished quality of life. Studies have shown that healthcare providers may underestimate the pain experienced by older adults or attribute it to aging rather than seeking a definitive diagnosis. This can result in inadequate pain relief and a failure to identify and treat underlying causes such as fractures, infections, or malignancies. Additionally, the misdiagnosis of symptoms can occur when healthcare providers are not adequately trained in geriatric care, leading to conditions being overlooked or incorrectly treated.
The Social and Cultural Impact
Ageism in societal norms significantly influences healthcare practices, contributing to the marginalization of the elderly. Societal attitudes often devalue the lives of older adults, perceiving them as less productive or less deserving of intensive medical care. This devaluation is reflected in the allocation of healthcare resources, where treatments and interventions for the elderly may be deprioritized. Moreover, ageist stereotypes that depict older adults as frail, dependent, or cognitively impaired can lead to biased medical judgments, where their complaints are not taken as seriously as those of younger patients.
The intersectionality of age with gender, race, and socioeconomic status further complicates the healthcare experiences of elderly patients. Older women, for instance, may face compounded biases due to both their age and gender, leading to disparities in treatment and access to care. Similarly, elderly individuals from minority racial or ethnic backgrounds may encounter additional barriers, including cultural insensitivity, language barriers, and systemic racism within healthcare institutions. Socioeconomic status also plays a crucial role, as lower-income elderly individuals often struggle with access to quality healthcare, nutrition, and living conditions that support good health.
The portrayal of aging in media has a profound impact on eldercare perceptions. Media representations often focus on the negative aspects of aging, such as physical decline and dependency, while ignoring the diversity and potential for positive aging experiences. This skewed portrayal reinforces societal stereotypes and can influence public policy and individual attitudes towards the elderly. Positive images of aging, showcasing active, healthy, and engaged older adults, are less common but crucial for changing perceptions and promoting a more inclusive approach to eldercare.
Addressing these social and cultural impacts requires a concerted effort to shift societal attitudes and policies towards a more respectful and equitable treatment of the elderly. Promoting awareness and understanding of ageism, improving geriatric training for healthcare providers, and ensuring that media portrayals reflect the diverse realities of aging are essential steps in this direction. By tackling these issues, we can work towards a healthcare system that values and effectively cares for individuals at all stages of life.
Modern Residue of Historical Biases
The persistent ageism in contemporary biomedical research continues to undermine the healthcare provided to the elderly. Despite advancements in medical science, the focus remains predominantly on youth-centric research, often neglecting the specific needs and conditions prevalent in older populations. This bias stems from historical attitudes that prioritize the health concerns of younger individuals, considering them more valuable or productive to society. Consequently, many clinical trials and medical studies disproportionately include younger participants, leading to a lack of data on how treatments and medications affect older adults. This exclusion results in healthcare practices that are not tailored to the unique physiological and psychological changes associated with aging.
The consequences of this youth-centric focus are profound. Treatments and medications that are effective for younger populations may not have the same efficacy or safety profile for older adults, whose bodies process drugs differently and who may have multiple comorbidities. This can lead to adverse reactions, ineffective treatments, and a general distrust of medical interventions among the elderly. Moreover, conditions that predominantly affect older adults, such as osteoporosis, arthritis, and various forms of dementia, receive insufficient attention and funding, perpetuating a cycle of inadequate care and poor health outcomes.
Inadequate training in geriatric care for medical professionals exacerbates these issues. Medical education often provides limited exposure to geriatric medicine, leaving many healthcare providers ill-equipped to address the complex needs of older patients. This gap in training means that doctors may not recognize the atypical presentations of diseases in the elderly or may misattribute symptoms to aging rather than underlying conditions. Comprehensive geriatric training is essential to improve the diagnosis, treatment, and management of health issues in older adults, ensuring they receive the attentive and specialized care they require.
Diminished, Belittled, and Secondary: Elderly Needs in Healthcare
The underdiagnosis and mismanagement of chronic conditions in the elderly are pressing issues that reflect a broader systemic failure to prioritize their healthcare needs. Chronic conditions such as hypertension, diabetes, and arthritis are often underdiagnosed in older adults, partly due to the misconception that these ailments are an inevitable part of aging. This neglect results in untreated or poorly managed conditions, leading to unnecessary pain, disability, and a decreased quality of life. Regular and comprehensive screenings, coupled with a proactive approach to chronic disease management, are crucial to address this issue.
Disparities in the treatment of cardiovascular diseases, cancer, and mental health among the elderly further highlight the inequities in their care. Cardiovascular diseases are a leading cause of mortality in older adults, yet treatment protocols often do not account for age-related physiological changes. Similarly, cancer in the elderly is frequently diagnosed at later stages, and treatment options may be limited by assumptions about their ability to tolerate aggressive therapies. Mental health issues, such as depression and anxiety, are also under-recognized and undertreated in older populations, often dismissed as natural responses to aging rather than conditions requiring medical intervention.
Conditions like Alzheimer’s and Parkinson’s disease, which predominantly affect the elderly, are particularly under-researched and poorly managed. Despite the significant impact of these neurodegenerative diseases on individuals and families, funding and resources allocated to their study and treatment remain insufficient. This lack of attention results in delayed diagnoses, limited treatment options, and inadequate support for patients and caregivers. Enhanced focus on research and specialized care for these conditions is essential to improve outcomes and provide comprehensive support to those affected.
Addressing these disparities requires a multifaceted approach. Increasing funding for geriatric research, incorporating comprehensive geriatric training into medical education, and developing age-specific treatment guidelines are critical steps. Additionally, fostering a healthcare environment that values and prioritizes the needs of older adults will help ensure that they receive the dignified and effective care they deserve. By recognizing and addressing the unique healthcare challenges faced by the elderly, we can move towards a more equitable and inclusive healthcare system.
The ‘One-Size-Fits-All’ Approach to Elderly Healthcare
The exclusion of elderly subjects from clinical trials has significant repercussions, leading to inefficacies in treatment protocols and undermining the quality of care they receive. Clinical trials have historically focused on younger, healthier populations, under the assumption that results would be universally applicable. This approach fails to consider the unique physiological changes and comorbidities present in older adults, resulting in a knowledge gap regarding how treatments affect this demographic. Consequently, medications and interventions deemed effective for younger individuals may be less effective, or even harmful, when applied to the elderly.
Generalized treatment protocols that do not account for age-related differences can exacerbate these issues. For example, dosages that are appropriate for younger adults may be too high for older patients, leading to adverse drug reactions. Similarly, treatment plans that do not consider the presence of multiple chronic conditions common in older adults can result in ineffective or counterproductive care. This lack of tailored approaches contributes to the perception that certain health declines are inevitable with age, rather than potentially treatable with the right interventions.
The need for age-specific treatment guidelines and personalized care plans is clear. Personalized medicine, which tailors healthcare to individual characteristics, must be extended to include age as a critical factor. This involves not only adjusting drug dosages and therapeutic approaches but also implementing comprehensive care plans that address the multifaceted health needs of older adults. Such plans should consider physical, cognitive, and social aspects of health, promoting a holistic approach to eldercare that enhances quality of life and functional independence.
The Underrepresentation of Geriatrics in Medical Research and Leadership
The underrepresentation of geriatrics in medical research and leadership is a major barrier to improving healthcare for the elderly. Despite the growing aging population, medical research agendas have historically neglected aging and age-related conditions. This lack of focus means that many diseases and conditions prevalent among older adults are not studied extensively, leading to insufficient understanding and suboptimal treatment strategies. Research that does exist often fails to include older adults in sufficient numbers, further limiting the applicability of findings to this group.
Disparity in research funding exacerbates these issues. Age-related conditions such as dementia, osteoporosis, and arthritis receive less funding compared to diseases affecting younger populations. This funding gap results in fewer breakthroughs in prevention, diagnosis, and treatment options for conditions that disproportionately impact the elderly. Increasing funding for geriatric research is essential to develop effective interventions and improve health outcomes for older adults.
Furthermore, the necessity for more geriatric specialists and researchers cannot be overstated. Geriatrics is a field that requires specialized knowledge and skills to address the complex health needs of older adults. However, there is a significant shortage of healthcare professionals trained in geriatrics, partly due to the lack of emphasis on this field within medical education and research institutions. Encouraging more medical students to specialize in geriatrics and providing adequate support and funding for geriatric research can help bridge this gap.
Leadership in healthcare also needs to reflect the importance of geriatric care. Currently, the majority of healthcare leaders and decision-makers come from fields focused on other demographics, leading to policies and practices that may not prioritize the needs of the elderly. Increasing the representation of geriatric specialists in leadership roles can ensure that the healthcare system becomes more attuned to the challenges and needs of the aging population. This shift can drive policy changes, promote age-specific research, and ultimately improve the quality of care for older adults.
Addressing these issues requires a concerted effort to integrate geriatrics more fully into medical research agendas, increase funding for age-related conditions, and foster a healthcare environment that values and prioritizes the needs of the elderly. By doing so, we can develop more effective treatments, create comprehensive care plans, and ensure that older adults receive the high-quality healthcare they deserve.
Barriers Faced by Elderly Healthcare Professionals
Elderly healthcare professionals face significant age-based discrimination, which affects their careers and contributes to broader systemic issues within the healthcare industry. This discrimination can manifest in various ways, from subtle biases to overt actions that undermine their professional contributions and opportunities. Older medical professionals may encounter skepticism regarding their abilities or be perceived as less adaptable to new technologies and practices. These prejudices can diminish their confidence and reduce their opportunities for professional growth.
Ageism in healthcare also affects career advancement and job security for older professionals. Senior healthcare workers are often overlooked for promotions or leadership roles in favor of younger colleagues, despite their extensive experience and expertise. This not only affects their career trajectories but also deprives the healthcare system of valuable knowledge and mentorship. Furthermore, older healthcare professionals may face pressures to retire early or may be excluded from continuing education opportunities, which are critical for staying updated in their fields.
The underrepresentation of seniors in healthcare roles further exacerbates these challenges. Older healthcare professionals bring firsthand experience and a deeper understanding of the aging process, which translates into greater compassion and empathy for elderly patients. Their insights are invaluable in developing patient-centered care plans and advocating for the needs of older adults. When seniors are underrepresented in healthcare, the industry loses this crucial perspective, potentially leading to care that is less attuned to the unique challenges faced by elderly patients.
The importance of intergenerational learning and mentorship in medicine cannot be overstated. Older healthcare professionals bring a wealth of experience and practical knowledge that can greatly benefit younger practitioners. Encouraging intergenerational collaboration and mentorship fosters a culture of continuous learning and respect within the healthcare industry. By valuing the contributions of elderly professionals, the healthcare system can promote a more inclusive and effective environment for all practitioners, ultimately improving patient care.
The Way Forward: A Blueprint for Age Equality in Healthcare
Implementing comprehensive geriatric training for all healthcare professionals is a crucial step toward addressing age-related biases and improving care for older adults. This training should be integrated into medical education at all levels, ensuring that healthcare providers are equipped with the knowledge and skills necessary to address the unique needs of the elderly. Comprehensive geriatric training would include understanding the complexities of aging, recognizing atypical disease presentations in older adults, and developing appropriate treatment plans that consider the holistic health of elderly patients.
Encouraging interdisciplinary approaches to eldercare is also essential. Older adults often have multifaceted health needs that require coordinated care from various healthcare providers, including doctors, nurses, social workers, and physiotherapists. Promoting teamwork and communication among different disciplines can enhance the quality of care and ensure that all aspects of an elderly patient’s health are addressed. Interdisciplinary approaches can also foster innovative solutions to complex health issues, leading to better health outcomes for older adults.
Promoting diversity in medical research with an inclusive focus on age is critical for developing effective treatments and interventions for the elderly. Research agendas should prioritize the inclusion of older adults in clinical trials and studies to ensure that findings are applicable to this demographic. Additionally, funding for age-related conditions should be increased to close the gap in understanding and treating diseases that predominantly affect the elderly. By diversifying research and focusing on age inclusivity, the healthcare industry can develop more precise and effective medical practices that benefit patients of all ages.
Creating a healthcare system that values and supports the elderly, both as patients and professionals, requires systemic changes and a commitment to addressing ageism. By implementing comprehensive geriatric training, encouraging interdisciplinary approaches, and promoting diversity in research, we can work toward a more equitable and inclusive healthcare system. These steps are essential for ensuring that older adults receive the high-quality care they deserve and that elderly healthcare professionals are respected and valued for their contributions. This blueprint for age equality in healthcare not only improves the lives of older adults but also enhances the overall effectiveness and compassion of the healthcare system.
Policy Changes and Public Awareness
Advocating for policy reforms to protect elderly rights in healthcare is a critical step toward ensuring that older adults receive equitable and respectful treatment. Policies must be enacted and enforced to protect the rights of elderly patients, ensuring they have access to necessary medical care without discrimination. These reforms should include measures to prevent age-based rationing of healthcare resources, mandate the inclusion of elderly subjects in clinical trials, and promote the adoption of age-specific treatment guidelines. Additionally, policies should support the training and hiring of more geriatric specialists, as well as incentivize ongoing education for healthcare providers in geriatric care.
Initiating public awareness campaigns to combat ageism is essential to changing societal attitudes towards aging and the elderly. These campaigns can educate the public about the value and contributions of older adults, dispel myths about aging, and highlight the importance of treating elderly individuals with dignity and respect. Public service announcements, educational programs, and community outreach efforts can all play a role in fostering a more inclusive view of aging.
The role of social media and grassroots movements in driving change cannot be underestimated. Social media platforms offer powerful tools for raising awareness and mobilizing support for eldercare issues. Hashtag campaigns, viral videos, and collaborative efforts with influencers can reach a wide audience and create a groundswell of support for policy changes. Grassroots movements, often spearheaded by advocacy groups, patients, and healthcare providers, can put pressure on institutions and lawmakers to enact necessary reforms. These movements can use various tactics, from organizing protests and petition drives to lobbying for legislative change, ensuring that the voices of the elderly and their advocates are heard.
Cultural Shifts and the Future of Elderly Care
Shifting societal perceptions of aging and promoting positive aging are fundamental to improving eldercare. Positive aging emphasizes the potential for health, productivity, and happiness in later life, countering the negative stereotypes that often surround aging. Media representation plays a crucial role in this shift, as positive portrayals of older adults in film, television, and advertising can change public perceptions and encourage a more respectful attitude towards the elderly. Educational programs in schools and community centers can also help instill a more positive and realistic view of aging from a young age.
Integrating elder voices in healthcare decision-making processes is vital for creating a system that truly meets their needs. Older adults should be included in policy discussions, healthcare planning, and the development of new medical guidelines and treatments. Their firsthand experiences and insights can provide valuable perspectives that help shape more effective and compassionate healthcare policies. Advisory councils, patient advocate groups, and public forums are some ways to ensure that elderly individuals have a say in the decisions that affect their care.
Ensuring sustainable and empathetic eldercare for future generations requires a long-term commitment to systemic change. This includes investing in healthcare infrastructure that supports aging populations, such as expanding home care services, improving long-term care facilities, and ensuring adequate funding for geriatric research and education. It also involves fostering a culture of empathy and respect within the healthcare profession, where providers are trained to understand and meet the complex needs of elderly patients. By prioritizing these elements, we can create a healthcare system that not only addresses the immediate needs of today’s elderly but also lays the groundwork for better care for future generations.
In conclusion, achieving age equality in healthcare is a multifaceted endeavor that requires concerted efforts across policy, public awareness, and cultural change. By advocating for robust policy reforms, initiating impactful public awareness campaigns, leveraging the power of social media and grassroots movements, and fostering a cultural shift towards positive aging, we can create a more inclusive and compassionate healthcare system. Integrating elder voices into decision-making processes and ensuring sustainable and empathetic care will further ensure that the elderly receive the respect and high-quality healthcare they deserve.
Conclusion
The urgent need to address age inequalities in healthcare cannot be overstated. Our current healthcare system often marginalizes the elderly, failing to adequately meet their unique needs. This results in poorer health outcomes, reduced quality of life, and a sense of being undervalued among older adults. Addressing these disparities is not just a matter of improving medical care; it is a moral imperative that reflects our values as a society.
A comprehensive call to action is necessary for policymakers, healthcare professionals, and the public. Policymakers must enact and enforce reforms that protect the rights of elderly patients and ensure equitable access to healthcare. This includes mandating the inclusion of elderly subjects in clinical trials, developing age-specific treatment guidelines, and increasing funding for geriatric research. Healthcare professionals need to be trained comprehensively in geriatric care and encouraged to adopt interdisciplinary approaches to better address the complex health needs of older adults. The public must be educated to combat ageism and advocate for the rights and dignity of the elderly.
Emphasizing the human aspect of eldercare is crucial. Our elderly population is made up of individuals who have lived rich and varied lives, contributing significantly to society. They deserve to be treated with dignity, compassion, and respect. Recognizing the humanity of our elderly patients can drive more empathetic and effective care practices. It is not just about treating diseases and conditions but about enhancing the overall quality of life for older adults.
Moreover, the healthcare industry must recognize the need for greater representation of seniors within its ranks. Older healthcare professionals bring a wealth of firsthand experience, compassion, and empathy that can greatly enhance patient care. Their insights are invaluable in developing patient-centered care plans and advocating for the unique needs of elderly patients. Ensuring that seniors are represented in healthcare decision-making processes can lead to more inclusive and effective healthcare policies and practices.
In conclusion, achieving age equality in healthcare requires a collective effort across multiple fronts. Policymakers, healthcare professionals, and the public must work together to eliminate ageism and ensure that older adults receive the care and respect they deserve. By addressing systemic biases, promoting comprehensive geriatric training, and integrating elder voices in healthcare decision-making, we can create a more equitable and compassionate healthcare system. This is not just an issue of medical efficacy but a reflection of our societal commitment to valuing and caring for individuals at all stages of life. The time for change is now, and it is our collective responsibility to ensure that our elderly population is treated with the dignity and respect they have earned.
Reference Bibliography
Related Cielito Lindo Articles
Sims, J. M. (n.d.). Advocating for tailored elderly care in the telemedicine revolution. Retrieved from https://cielitolindoseniorliving.com/advocating-for-tailored-elderly-care-in-the-telemedicine-revolution/
Sims, J. M. (n.d.). The silver tsunami: A rosy outlook for baby boomers. Retrieved from https://cielitolindoseniorliving.com/the-silver-tsunami-a-rosy-outlook-for-baby-boomers/
Sims, J. M. (n.d.). The impact of legacy thinking on medical advances. Retrieved from https://cielitolindoseniorliving.com/the-impact-of-legacy-thinking-on-medical-advances/
Sims, J. M. (n.d.). The silver tsunami: The rising wave of the elderly and its impact on society. Retrieved from https://cielitolindoseniorliving.com/the-silver-tsunami-the-rising-wave-of-the-elderly-and-its-impact-on-society/
Sims, J. M. (n.d.). The gender gap in medicine: Unveiling healthcare inequalities for women. Retrieved from https://cielitolindoseniorliving.com/the-gender-gap-in-medicine-unveiling-healthcare-inequalities-for-women/
Sims, J. M. (n.d.). Aging gracefully: How to combat the most common non-infectious diseases. Retrieved from https://cielitolindoseniorliving.com/aging-gracefully-how-to-combat-the-most-common-non-infectious-diseases/
Sims, J. M. (n.d.). After 65: A balanced view on the gifts and struggles of aging. Retrieved from https://cielitolindoseniorliving.com/after-65-a-balanced-view-on-the-gifts-and-struggles-of-aging/
Sims, J. M. (n.d.). Unveiling the brain’s aging secrets: Adaptation and cognitive preservation. Retrieved from https://cielitolindoseniorliving.com/unveiling-the-brains-aging-secrets-adaptation-and-cognitive-preservation/
Articles and Guides
Altman, R. D. (2010). Age-related diseases: Common and treatable. Aging Health, 6(1), 81-87.
He, W., Goodkind, D., & Kowal, P. (2016). An aging world: 2015. U.S. Census Bureau, International Population Reports, P95/16-1. Retrieved from https://www.census.gov/library/publications/2016/demo/P95-16-1.html
Ouchida, K. M., & Lachs, M. S. (2015). Not for doctors only: Ageism in healthcare. Generations, 39(3), 46-57.
Websites
World Health Organization. (2021). Aging and health. Retrieved from https://www.who.int/news-room/fact-sheets/detail/ageing-and-health
National Institute on Aging. (2020). Health disparities and aging. Retrieved from https://www.nia.nih.gov/research/publication/health-disparities-and-aging
Research Papers
Williams, D. R., & Mohammed, S. A. (2009). Discrimination and racial disparities in health: Evidence and needed research. Journal of Behavioral Medicine, 32(1), 20-47. https://doi.org/10.1007/s10865-008-9185-0
Shiel, W. C., & Flegel, K. M. (2004). Treating older adults: Ageism, multimorbidity, and quality of care. Canadian Medical Association Journal, 171(10), 1231-1232. https://doi.org/10.1503/cmaj.1041603
Books
Butler, R. N. (2008). The longevity revolution: The benefits and challenges of living a long life. PublicAffairs. ISBN: 9781586485527
Levy, B. R. (2009). Mind matters: Cognitive and physical effects of aging self-stereotypes. Oxford University Press. ISBN: 9780195385512
Rowe, J. W., & Kahn, R. L. (1998). Successful aging. Pantheon Books. ISBN: 9780679442281
Additional Resources:
Video: The fight for age-friendly health care in America | 20-Minute Health Talk
Highlights:
0:05 – Michael Dowling emphasizes the importance of preparing for aging as the population of older adults continues to grow.
2:28 – The conversation begins with Michael Dowling and Dr. Maria Carney discussing the topic of aging.
6:27 – Dr. Maria Carney shares her inspiration for being a part of the book on geriatric healthcare.
7:54 – Michael Dowling discusses the role of Robert Butler in creating the field of geriatric medicine.
9:28 – Dr. Maria Carney shares a story highlighting ageism in healthcare and the importance of looking beyond age.
10:12 – Michael Dowling expresses his vision for Northwell to be a model of an age-friendly health system.
11:56 – Dr. Maria Carney explains the specialty of geriatric medicine and the fellowship program required after internal medicine or family medicine residency.
12:47 – The fellowship of geriatric medicine covers various aspects of care for older adults and exposes professionals to different care models.
14:05 – Michael Dowling emphasizes the importance of continuing education and communication in understanding aging and healthcare needs.
15:02 – By 2034, there will be more people over 65 than young people, posing challenges in healthcare and economics globally.
16:39 – Dr. Maria Carney discusses the unique focus of the book on healthcare accomplishments and individuals who have revolutionized care for older adults.
17:06 – Sandra Lindsay highlights the opposition faced by pioneers in geriatric medicine and the importance of their work.
18:09 – Dr. Maria Carney explains the impact of Medicare Advantage policies on healthcare delivery and quality of care for older adults.
19:27 – Michael Dowling encourages support for programs and initiatives that promote longer and healthier lives, advocating for progress in healthcare.
20:22 – Dr. Maria Carney stresses the importance of focusing on delivery of care at home and reinventing primary care for older adults.
22:21 – The goal at Northwell is to provide the right care at the right time and in the right place, striving to continuously improve.
Video: What Matters Most in Geriatric Care: The 5 M’s of Age-Friendly Health Care
The video discusses the 5 M’s of age-friendly healthcare, focusing on medications, mentation, mobility, multi-morbidity, and what matters most. Dr. Petrakos and Dr. Liggett emphasize the importance of patient-centered care, aligning treatment with patient goals, and minimizing inappropriate medications for older adults. Screening for cognitive issues and prioritizing patient preferences are key aspects of providing quality care in various healthcare settings. Research methods involving thematic analysis were used to understand patient values in skilled nursing facilities. The 5 M’s framework aims to enhance the quality of care for older adults by addressing their specific needs and preferences.
The discussion emphasizes the importance of aligning healthcare with patient values and preferences to enhance the quality of care for older adults. By focusing on what matters most to patients, healthcare providers can improve patient outcomes and overall quality of life. Practicing patient-centered care and prioritizing patient goals are essential in delivering personalized and effective healthcare services, especially in nursing facilities. Understanding and incorporating patient values into treatment plans can lead to better patient-provider relationships and more successful medical interventions.
View the video here
Highlights:
0:51 – Dr. Alexandra Petrakos explains the concept of “What Matters Most” in age-friendly healthcare, focusing on the 5 M’s: medications, mentation, mobility, multi-morbidity, and what matters most.
2:16 – Dr. Anna Liggett discusses the importance of realigning patient goals in skilled nursing facilities to focus on medications, mobility, and what matters most to the patients.
3:21 – Dr. Petrakos emphasizes the significance of reviewing medication lists and minimizing inappropriate medications for older patients to improve quality care.
4:14 – Dr. Petrakos highlights the importance of screening for dementia, delirium, and depression in older patients to provide comprehensive care.
4:31 – Dr. Petrakos explains the role of physical and occupational therapy in improving mobility and independence for older adults in post-acute care settings.
5:19 – Dr. Liggett describes the research methods used to understand what matters most to patients in skilled nursing facilities, involving thematic analysis of patient responses.
06:59 – Personal health goals and safety were key themes identified in patient surveys.
07:12 – Patients valued staff competence, professionalism, and kindness in skilled nursing facilities.
07:32 – Cleanliness, quality, and food were significant factors affecting what matters most to patients.
08:09 – Patients’ emphasis on cleanliness and food quality surprised and delighted Dr. Petrakos.
09:26 – Focusing on patient goals and preferences is crucial in providing quality care in nursing facilities.
10:18 – Patients in rehab need a supportive environment for healing and restoration.
11:28 – Practicing patient-centered care based on what matters most to patients is crucial for quality of life.
12:07 – Taking the time to understand what matters most to patients can deepen the provider-patient relationship.
12:42 – Understanding patients’ priorities can guide providers in delivering more effective treatment.
Video: Aging in the Health Care System | WebMD
The video discusses the challenges faced by an active 85-year-old individual in navigating the healthcare system. It highlights the importance of communication among healthcare providers, the need for better information on medications and their side effects, and the role of family support in managing healthcare. The individual expresses a desire to maintain mobility and independence while facing difficulties coordinating care among multiple doctors. The video underscores the significance of patient empowerment and involvement in managing one’s health effectively.
Highlights:
0:03 – Active 85-year-old with no hospital visits, used to snow ski and play tennis.
0:31 – Experienced mobility issues after hip replacement, wants to stay mobile and independent.
1:08 – Concerns about lack of communication among doctors.
1:36 – Takes charge of managing own health, including medication schedules.
1:54 – Looks up medication side effects online due to lack of information from doctors.
2:29 – Frustration with multiple doctors’ opinions not being coordinated.
3:01 – Difficulty in getting a cohesive healthcare plan without asking many questions.
3:10 – Emphasizes the importance of family support in managing healthcare.
Book Review: The Aging Revolution: The History of Geriatric Health Care and What Really Matters to Older Adults” by Michael J. Dowling, Charles Kenney, and Maria Torroella Carney, MD
Main Arguments: “The Aging Revolution” chronicles the evolution and transformation of geriatric health care in the United States, spotlighting the key figures, initiatives, and breakthroughs that have improved the quality of life for older adults. It builds on the foundational work of Dr. Robert Butler, who highlighted the challenges of aging in his 1975 book, “Why Survive: Being Old in America.” The authors argue that significant strides have been made in the field, yet there is still a long way to go to ensure comprehensive and equitable care for all older adults.
Key Findings:
- Historical Context and Influences: The book explores the pivotal role of Dr. Butler and his contemporaries in advocating for better care for the elderly. It highlights their efforts to bring attention to the plight of older adults, who were often neglected by the medical establishment.
- Innovative Care Models: The authors detail various innovative care models and programs that have been developed to address the unique needs of the aging population. These include the establishment of Geriatric and Palliative Care programs and initiatives that provide integrated primary care with home visits.
- Pioneering Individuals and Concepts: The book showcases the contributions of numerous individuals and organizations that have been instrumental in advancing geriatric care. It discusses the efforts to address major issues like delirium and falls, and the work of foundations dedicated to improving life quality for the elderly.
- Impact on Quality of Life: Advances in geriatric care have made chronic conditions more manageable and opened up new opportunities for older adults in work, education, leisure, and physical activity. The book emphasizes that many older adults now lead healthier and more fulfilling lives as a result of these advancements.
- Remaining Challenges and Future Directions: Despite the progress, the book acknowledges the ongoing challenges, particularly for poorer elderly populations. It outlines specific steps that need to be taken to continue the aging revolution and reduce the suffering of older adults in America.
Implications for Geriatric Health Care: The book offers a comprehensive blueprint for revolutionizing geriatric care, stressing the importance of continued innovation and advocacy. It calls for systemic changes to further integrate and expand successful care models, improve accessibility, and address the disparities that still exist in elderly care. The authors envision a future where aging is not synonymous with decline but is characterized by dignity, health, and enriched experiences.
Overall, “The Aging Revolution” serves as a critical resource for understanding the historical and current landscape of geriatric health care, and it provides actionable insights for policymakers, healthcare providers, and advocates aiming to improve the lives of older adults.
Rating: 5/5
“The Aging Revolution: The History of Geriatric Health Care and What Really Matters to Older Adults” by Michael J. Dowling, Charles Kenney, and Maria Torroella Carney, MD, deserves a 5 out of 5 rating for its comprehensive and insightful exploration of the evolution of geriatric care in America. The book excels in several key areas:
- Depth of Research: The authors provide a well-researched account, delving into the historical context and development of geriatric health care with meticulous detail.
- Engaging Narrative: The storytelling is compelling, bringing to life the struggles and triumphs of pioneering individuals and organizations in the field.
- Relevance and Practicality: The book not only celebrates past achievements but also highlights current challenges and offers practical solutions for future improvements.
- Holistic Perspective: By addressing both the medical and social aspects of aging, the book provides a rounded view of what matters most to older adults.
- Impactful Vision: The authors’ vision for a more equitable and effective geriatric care system is both inspiring and actionable, making it a valuable resource for policymakers and practitioners.
Overall, the book’s thorough analysis, engaging style, and forward-thinking approach make it an essential read for anyone interested in the future of geriatric health care.
About Us - Cielito Lindo Senior Living
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We are Cielito Lindo – a senior care facility in beautiful San Miguel de Allende and we serve as the assisted living and memory care component of Rancho los Labradores, which is a truly incredible one-of-a-kind country club resort-like gated community. Rancho los Labradores consists of individual villas, man made lakes, cobblestone streets, and a rich array of wonderful amenities (e.g., tennis, club house, pools, cafe, long and short term hotel suites, theater, Cielito Lindo, a la carte assisted living services).
What makes this place so amazing is not only the beauty and sense of community, but also the fact that you can have the lifestyle you desire with the care that you need as those needs arise… and all of this at a cost of living that is less than half of what it would cost comparably in the US.
Learn more about Cielito Lindo here
Download the Expatriate Guide for Senior Living in Mexico – For your convenience, the entire 50-page guide is available for download as a PDF. Send us an email us at information.cielitolindo@gmail.com or give us a call for any other information you might want
English speaking: 1.888.406.7990 (in US & CDN) 00.1.881.406.7990 (in MX)
Spanish speaking: 1.52.415.155.9547 (in US & CDN) 1.415.155.9547 (in MX)
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