Ageism and the State of Older People With Mental Conditions During the Pandemic and Beyond: Manifestations, Etiology, Consequences, and Future Directions

Ayalon, Liat; Peisah, Carmelle; Lima, Carlos de Mendonça; Verbeek, Hilde; Rabheru, Kiran

doi:10.1016/j.jagp.2021.06.017

Cited by 10 publications

(10 citation statements)

References 41 publications

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“…It is a social construct defined as prejudice, discriminatory practices and stereotypes toward people because of their age including situations that compromises an older persons' human rights. This discrimination may be worsened when the older person also has a mental health problem, but this population has been largely ignored in human rights frameworks ( 3 , 9 ). Elder abuse can be one of the devastating consequences of ageist attitudes.…”

Section: Discussionmentioning

confidence: 99%

“…This statement includes support for the United Nations Decade of Healthy Aging and convention on the rights of older persons where the focus is on safeguarding and prevention of discrimination against older people with mental illness ( 11 , 12 ). Preventative measures to address ageism and legal guidance for governments to ensure the realization of rights of older people are urgently needed ( 9 ).…”

Section: Discussionmentioning

confidence: 99%

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Ageism, human rights and ethical aspects of end-of-life care for older people with serious mental illness

Kotzé

Roos

2022

Front. Psychiatry

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There are many complex concepts to consider during end-of-life discussions and advance care planning, especially when vulnerable populations such as older individuals with serious mental illness are involved. This article aims to summarize some of these important concepts, such as the effects of ageism, preservation of human rights and dignity, supported or shared decision making and palliative approaches. It emerged from a study that found two thirds of 100 participants 60 years of age and older with serious mental illness had end-of-life decision-making capacity. This finding highlighted the individual and contextual nature of decision-making capacity, the importance of consideration of individual values and protection of human dignity during end-of-life care. Healthcare providers have a duty to initiate end-of-life and advance care discussions, to optimize decision-making capacity, and to protect autonomous decision-making. Chronological age or diagnostic categories should never be used as reasons for discrimination and all patients should receive end-of-life care in keeping with their preferences and values.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Ageism, human rights and ethical aspects of end-of-life care for older people with serious mental illness

Kotzé

Roos

2022

Front. Psychiatry

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“…Moreover, our findings raise important issues surrounding competing medical ontologies, systemic inequities and ageist health care assumptions transferable to other Sub‐Saharan Africa and less‐developed contexts. As Phelan (2008, p. 320) contends, even though ‘ageism influences the way human rights and citizenship are articulated for older people and is conceptualised as stereotypical views of older people leading to prejudiced attitudes, actions and societal marginalisation', societies continue to disadvantage and devalue older people on the basis of age (see: Ayalon et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

Aging, (un)certainty and HIV management in South Africa

Rishworth

King

2022

Population Space and Place

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Research within geography and cognate disciplines demonstrates how (un)certainty informs relational, emergent and open‐ended processes of healthy aging. Although (un)certainty shapes aging health inequities and possibilities for reconfiguration, research often centres on challenges for aging individuals, eliding more dynamic, complex and contradictory factors shaping the health and wellbeing of aging individuals and societies. This paper uses qualitative research with older women in South Africa to engage contradictions in (un)certainty. We argue that while advances in HIV/AIDS testing and treatment allow individuals to grow older with greater certainty, longer lives managing HIV rework new forms of ill‐health through contested disease etiology, indeterminant multitemporal processes, and dubious livelihood prospects. (Un)certain HIV landscapes can create new forms of disadvantage and subjection, while in other instances encourage opportunities for healthier lives and pragmatic social change. The findings highlight the importance of considering (un)certain aging, health and disease realities and the structures that assuage them.

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“…31 Additionally, some older adults experience multiple overlapping burdens of vulnerability including racism, ableism (prejudice against people with disabilities), mentalism (discrimination against people with mental conditions or cognitive impairment), sexism, and poverty. 5,7,17,32 The consequences of unethical care and age discrimination thus fuel the fire of ageism itself, leading to a cycle of increased admissions, longer lengths of stay, more readmissions, further alienation from society, and deterioration in mental health, cognition, and function for older adults in the healthcare system. 5,30,32 Strategies to address ageism in healthcare Although the above paints a dire picture, changing societal understanding and behaviour towards older adults is possible.…”

Section: Sources and Consequences Of Ageism In Healthcarementioning

confidence: 99%

“…5 Healthcare workers, older adults, and their families have witnessed the consequences, with widespread precipitous declines in health, frailty, cognition, and mental health. 6,7 Rabheru 5 posits that the combination of deeply entrenched societal ageism and the COVID-19 pandemic ‘has created a dual pandemic, leading to a widespread and devastating impact on older persons’ lives everywhere’.…”

Section: Introductionmentioning

confidence: 99%

We can do better: Addressing ageism against older adults in healthcare

Nemiroff

2022

Healthc Manage Forum

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Ageism in healthcare is a pervasive reality that leads to negative health outcomes for older adults. While it is often implicit, the COVID-19 pandemic threw explicit age discrimination in healthcare into sharp relief globally. In medicine, ageism translates into myriad forms of age discrimination that impact the provision of ethical care and range from ‘micro’ individual issues like paternalistic medicine or therapeutic nihilism to ‘macro’ system issues including barriers to timely and effective healthcare or exclusion from research trials. The culture of ageism in medicine can be unintentionally transmitted through role-modelling and the hidden curriculum. Strategies to combat ageism and provide ethical healthcare include intergenerational learning, educational programs, and strong leadership from organizations to enact policy and practice changes.

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Ageism and the State of Older People With Mental Conditions During the Pandemic and Beyond: Manifestations, Etiology, Consequences, and Future Directions

Cited by 10 publications

References 41 publications

Ageism, human rights and ethical aspects of end-of-life care for older people with serious mental illness

Ageism, human rights and ethical aspects of end-of-life care for older people with serious mental illness

Aging, (un)certainty and HIV management in South Africa

We can do better: Addressing ageism against older adults in healthcare

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