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appalachiablue

(42,908 posts)
Thu Mar 7, 2024, 01:57 PM Mar 2024

Ageism In Health Care, More Common Than You Think. Bias, Discrimination Harm People: NPR

- Ageism in health care is more common than you might think, and it can harm people. NPR, March 7, 2024. - Ed.

A recent study found that older people spend an average of 21 days a year on medical appointments. Kathleen Hayes of Chicago can believe it. She has spent a lot of time lately taking her parents, both in their 80s, to doctor's appointments. Her dad has Parkinson's, and her mom has had a difficult recovery from a bad bout of Covid-19. Hayes has noticed some health care workers talk to her parents at top volume, to the point, she says, "that my father said to one, 'I'm not deaf, you don't have to yell.'"

Also, while some doctors and nurses address her parents directly, others keep looking at Hayes herself. "Their gaze is on me so long that it starts to feel like we're talking around my parents," says Hayes, who lives a few hours from her parents. "I've had to emphasize, 'I don't want to speak for my mother. Please ask my mother that question.'" Researchers and geriatricians say that instances like these constitute ageism - discrimination based on a person's age - and it is surprisingly common in health care settings.

It can lead to both overtreatment and undertreatment of older adults, says Dr. Louise Aronson, geriatrician & professor of geriatrics.

"We all see older people differently. Ageism is a cross-cultural reality," she says. Ageism creeps in, even when the intent is benign, says Aronson, who wrote the book, "Elderhood. "We all start young, and you think of yourself as young, but older people from the very beginning are other." That tendency to see older adults as "other" doesn't just result in loud greetings, or being called "honey" while having your blood pressure taken, both of which can dent a person's morale.

Aronson says assumptions that older people are one big, frail, homogenous group can cause more serious issues. Such as when a patient doesn't receive the care they need because the doctor is seeing a number, rather than an individual. She says the problem is most doctors receive little education on older bodies and minds. Aronson adds that overtreatment comes in when well-meaning physicians pile on medications and procedures. Older patients can suffer unnecessarily...

https://www.npr.org/sections/health-shots/2024/03/07/1236371376/bias-ageism-older-adults-geriatrics

14 replies = new reply since forum marked as read
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Ageism In Health Care, More Common Than You Think. Bias, Discrimination Harm People: NPR (Original Post) appalachiablue Mar 2024 OP
I wish I could rec this many times. DavidDvorkin Mar 2024 #1
And if you are female. . . niyad Mar 2024 #2
Doubly whammy. Old and female. Diamond_Dog Mar 2024 #4
Absolutely, double discrimination appalachiablue Mar 2024 #6
One thing I've definitely learned spinbaby Mar 2024 #7
We're referred to as GOMER's... agingdem Mar 2024 #3
I haven't had many problems so far Jilly_in_VA Mar 2024 #5
Yes on the list,,,, KarenS Mar 2024 #8
Always take it with you Jilly_in_VA Mar 2024 #9
hmmmm I think we should put the latest copy in the glove compartment KarenS Mar 2024 #10
Good idea Jilly_in_VA Mar 2024 #12
I WISH I could get health care providers to talk louder to me! ShazzieB Mar 2024 #11
Have you considered Jilly_in_VA Mar 2024 #13
Nothing helps DavidDvorkin Mar 2024 #14

spinbaby

(15,199 posts)
7. One thing I've definitely learned
Thu Mar 7, 2024, 02:59 PM
Mar 2024

When I was hospitalized recently, I quickly learned that no one listens to the old woman in the bed.

Jilly_in_VA

(10,890 posts)
5. I haven't had many problems so far
Thu Mar 7, 2024, 02:35 PM
Mar 2024

Maybe it's because I look younger than my stated age (a LOT younger, most people think I'm in my 60s) and maybe because I'm a nurse and know my stuff. I always show up prepared with my list of meds and conditions and it's up to date every time.

KarenS

(4,635 posts)
8. Yes on the list,,,,
Thu Mar 7, 2024, 05:14 PM
Mar 2024

mine has meds which doctor prescribed it, what it's for and what pharmacy,,,, diagnoses,,, each doctor's name, group, speciality, address & phone number,,,, as well as my medicare and insurance info,,,,

I went to the ER a couple of months ago and that list was wonderful to have,,,, the folks at the ER seemed pleasantly surprised to get all that info.

We have two plastic pouches on the Fridge one with my info and one with my Husband's info.

Jilly_in_VA

(10,890 posts)
9. Always take it with you
Thu Mar 7, 2024, 05:18 PM
Mar 2024

and keep it updated. Also any conditions, any surgeries you've had and when, new diagnoses, etc. If you're ever admitted, the nurses will be SO grateful to you! Take it from one who's been handed lists like that in the past.

KarenS

(4,635 posts)
10. hmmmm I think we should put the latest copy in the glove compartment
Thu Mar 7, 2024, 05:25 PM
Mar 2024

in the car,,,,, we already have copies of our medical POAs in there,,,,

The doctors offices like the list as well,,,,

I'm not efficient, I am profoundly lazy,,,, once you make such a list you can erase all that stuff from your brain

Jilly_in_VA

(10,890 posts)
12. Good idea
Fri Mar 8, 2024, 07:44 AM
Mar 2024

I keep mine on my computer, which my husband has access to. The last time I went to the hospital I was pretty badly brain-fogged as I was having a mild stroke and was in heart failure, but I managed it. He could have, though, as he knows where it is.

ShazzieB

(18,678 posts)
11. I WISH I could get health care providers to talk louder to me!
Thu Mar 7, 2024, 05:35 PM
Mar 2024

Last edited Fri Mar 8, 2024, 02:59 PM - Edit history (1)

I'm a little hard of hearing, and while my hearing aids make up for it in large part, there are still way too many people (including health care providers) who insist on speaking just above a whisper, talk too fast, pronounce their words like they have a mouthful of mush, or all of the above. And when you ask those people to slow down and/or speak up, 9 times out of 10, they repeat themselves at exactly the same volume and speed. It's exasperating!

I'm sure I wouldn't like being yelled at, but it might be worth it if it to be able to actually hear what they were saying.

Sorry to go off on a tangent like this, but that part of the story touched a nerve. As for the rest of it, I can truthfully say that I've not yet experienced being treated like I'm not "all there" by a health care provider. I've been told I look young for my age, so maybe that's why. Also, I've never been accompanied to an appointment by my daughter. It might be interesting to take her sometime, just to see what happens.

Jilly_in_VA

(10,890 posts)
13. Have you considered
Fri Mar 8, 2024, 07:47 AM
Mar 2024

getting a Medic Alert necklace or bracelet that says "Hard of Hearing"? You can flash that at them if they aren't speaking loudly enough. Or just keep saying, "Excuse me, I didn't hear that" until they do.

DavidDvorkin

(19,892 posts)
14. Nothing helps
Fri Mar 8, 2024, 01:13 PM
Mar 2024

People speak up when you say something, but then their tone drops back to the way they normally speak.

I understand that. It's hard to think about it all the time while speaking.

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