A council of elders: creating a multi-voiced dialogue in a community of care

Katz, Arlene M.; Conant, Loring; Inui, Thomas S.; Baron, David; Bor, David H.

doi:10.1016/s0277-9536(99)00341-x

Cited by 39 publications

(36 citation statements)

References 5 publications

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“…The historical and technical expertise Cyril displays here indicates that, on this particular subject at least, he is epistemically privileged; the expert on his own experience (Katz 2000).…”

Section: Fig 2: Reinstating the Person With Dementia As 'Knower'mentioning

confidence: 80%

Challenging representations of dementia in contemporary Western fiction film. From epistemic injustice to social participation

Capstick¹,

Chatwin²,

Ludwin³

2015

Popularizing Dementia

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Section: Fig 2: Reinstating the Person With Dementia As 'Knower'mentioning

confidence: 80%

Challenging representations of dementia in contemporary Western fiction film. From epistemic injustice to social participation

Capstick¹,

Chatwin²,

Ludwin³

2015

Popularizing Dementia

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“…The sessions are generally controlled by the faculty who select the speaker(s) and the format, decide what topics should be covered (and which should not) and moderate the interaction. Student interactions with patients such as the elderly or mentally ill, designed to effect attitudinal change, may require a facilitated process in order to overcome stereotyping or mistrust and attenuate the intrinsic power differential between health professionals and patients, which is accentuated in higher academia (Katz et al 2000;Scheyett and Kim 2004).…”

Section: Roles and Locationsmentioning

confidence: 99%

A meeting of experts: the emerging roles of non-professionals in the education of health professionals

Towle

Godolphin

2011

Teaching in Higher Education

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Most academic programmes that prepare students for the health professions have a long history of involving patients in teaching and learning. Until recently such involvement has been largely passive, but the last 20 years have seen major growth in the number and diversity of educational initiatives in which patients play an active role as educators. This article describes how and why these changes have occurred, identifies some of the challenges of learning from those outside the academy Á and professions Á and explores some of the questions raised about the nature of 'professional' and 'lay' knowledge and expertise.

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“…During the course of the program, many of the young clinicians realized that their perceptions of the elderly were inaccurate, and they became acutely aware of their own stereotypes. Subsequently, this experience positively affected the clinicians' practices [87].…”

Section: Addressing Ageism In Medicinementioning

confidence: 99%

Too Old to Care?

2004

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Shortly before his death in 1995, Kenneth B. Schwartz, a cancer patient at Massachusetts General Hospital (MGH), founded The Kenneth B. Schwartz Center at MGH (http://www.theschwarzcenter.org/rounds.asp). The Schwartz Center is a nonprofit organization dedicated to supporting and advancing compassionate health care delivery, which provides hope to the patient and support to caregivers, and encourages the healing process. The center sponsors the Schwartz Center Rounds, a monthly multidisciplinary forum where caregivers reflect on important psychosocial issues faced by patients, their families, and their caregivers, and gain insight and support from fellow staff members.Ageism is a pervasive problem throughout society. It is rooted in language, attitudes, beliefs, behaviors, and policies. Aging profoundly influences physiology, challenging the medical community to accommodate but not discriminate. The elderly are at an increased risk of disease and disability. Sixty percent of cancer occurs in people aged 65 and older, and the population is aging. The treatment of cancer in the elderly is complicated by comorbidities and other physiological factors, particularly renal, bone marrow, and metabolic reserve. Caregivers have to treat patients in a manner that optimizes treatment and avoids anticipated harm. However, the caregiver is often faced with situations where they must balance their personal beliefs, professional values, and knowledge of medicine with their patients' preferences and needs. Discussion in the Rounds focused on age bias, drug toxicity, life prolongation, and symptom relief, with the role of the caregiver, and the relationship to the patient, being pivotal. The Oncologist 2004;9:343-352 LEARNING OBJECTIVESAfter completing this course, the reader will be able to:1. Discuss the competing issues in the use of cytotoxic chemotherapy in older patients.2. Identify the intrinsic biases in evaluating the elderly.3. Explain how to inform patients in the face of uncertainty.Access and take the CME test online and receive 1 hour of AMA PRA category 1 credit at CME.TheOncologist.com CME CME CASE PRESENTATIONMrs. L, an 84-year-old woman, was undergoing rehabilitation after hip and wrist surgery when a mass in her lung was detected on a hospital admission chest x-ray. Evaluation of the mass revealed that it was small cell lung carcinoma. She had a cough, occasional hemoptysis, chest This material is protected by U.S.

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A council of elders: creating a multi-voiced dialogue in a community of care

Cited by 39 publications

References 5 publications

Challenging representations of dementia in contemporary Western fiction film. From epistemic injustice to social participation

Challenging representations of dementia in contemporary Western fiction film. From epistemic injustice to social participation

A meeting of experts: the emerging roles of non-professionals in the education of health professionals

Too Old to Care?

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