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How to Draw on Narrative to Mitigate Ageism.

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Ageism in US healthcare often goes unnoticed, affecting older adults

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Area of Science:

  • Gerontology
  • Medical Ethics
  • Healthcare Disparities

Background:

  • Ageism is deeply embedded in US healthcare systems, often overlooked by clinicians.
  • This systemic bias negatively impacts the medical care and overall well-being of older adults.
  • Clinicians may lack the time or motivation to consider older adults' perspectives, particularly those with mental illness.

Purpose of the Study:

  • To propose a narrative-based ethical approach to address ageism in clinical practice.
  • To shift clinicians' perceptions of older adults from passive recipients of inevitable aging to individuals with needs for dignity and growth.
  • To highlight the potential for personal growth and continued development in older populations.

Main Methods:

  • This is a commentary on a case study.
  • It proposes a narrative-based ethical framework.
  • The approach aims to reframe the perception of aging and older adults' experiences.

Main Results:

  • Clinicians may inadvertently infantilize older adults.
  • Preferences, values, and growth potential of older adults can be dismissed or pathologized.
  • A narrative-based ethical approach can foster a more person-centered view.

Conclusions:

  • Addressing ageism requires a conscious shift in clinical perception.
  • Older adults require dignity and opportunities for continued personal growth, not just management of age-related decline.
  • Ethical frameworks can help clinicians recognize and counteract ageist assumptions in healthcare settings.