Ageism and person centered care vcu health
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Transcript of Ageism and person centered care vcu health
• Ageism – stereotyping and discriminating against individuals or groups on the basis of their age (Butler, 1969)
• Aging Anxiety – the fear of growing old
• Gerontophobia – the fear of older adults/elderly
What forms might ageism take?
Aging Anxiety/Gerontophobia Internalized AgeismInternalized Microaggression
Explicit Bias Implicit Bias or Unconscious Bias Microaggression
Ageism – Explicit Bias
Explicit bias requires that a person has awareness of their judgments as well as the corresponding belief that their evaluation is correct in some manner
Examples Old people are grumpy
Old people can’t drive
The Language of Implicit Bias
She has a young spirit or a young
heart
He looks younger everyday
94 years old and still sharp as a tack
The Language of Internalized Ageism
I’m not old…I’m just more mature!”
76 years old and when asked if she considers herself to be old she says “Nope!” and then continues to refer to the other residents as “old people”
Health is for the young, when you are our age you do the best you can
What we say
Aging Tsunami
You’re too young to
remember this but…
Has a young spirit
Senior moment
What we mean
??
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??
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Why would ageism exist in assisted living?
• It’s in society. – But not widely recognized.
– Even when recognized, its harms are not.
• The setting may encourage it.
• Resident acuity may trigger it.
What we say:“Where do you think you’re going? That is not your room, silly girl! Give me your hand and we’ll find your room. Come on,sweetie.”
Instead, try this:“Mrs. W., it looks like you’re lost. Are you having trouble finding your room? ... All of these doors look alike. Your room is just down the hall. Let me show you the way.”
Why we do it:
• Highly Caring • “Keeping it light”
Why it’s ageist:
• Infantilizing • Causes embarrassment
What we say:It’s Mrs. B.’s 87th Birthday. “Happy birthday! Let me guess, you’re turning 29, right?” “I’m 87 today” “You look good for your age!”
Instead, try this:“Happy Birthday Mrs. B.! What do you have planned to celebrate your birthday today?”
Why we do it:
• Paying a compliment • To make someone feel good
Why it’s ageist:
• Ignoring life accomplishments • Placing a value on youth
What we say:An older couple are kissing and holding hands.
“Aw, look how cute they are!”
Instead, try this:“You can really see how much Mr. and Mrs. J. love each other. I think a love like that is beautiful.”
Why we do it:
• To acknowledge an older couple’s affection
Why it’s ageist:
• Infantilizing • Causes embarrassment • Disrespectful of mature relationships
What we say:Mr. J. is cognitively impaired. His family is concerned about his memory.
“When people get older they get dementia, but we provide them with the best care.”
Instead, try this:“I know you are concerned about your father’s memory. We can provide you with resources to help you understand his condition better.”
Why we do it:
• Attempting to put the family at ease
Why it’s ageist:
• Myth not fact • Generalizing • Us vs. Them