Ageism

Question 1

What is Gerontology nursing?

Answer 1

Care of older people

It is a nursing specialty focused on the health and well-being of older adults.

Question 2

Name the gerontological nursing standards.

Answer 2

• Relational Care
• Ethical care
• Evidence-informed Care
• Aesthetic/Artistic Care
• Safe Care
• Socio-politically Engaged Care

These standards guide the practice of gerontological nursing.

Question 3

Where does gerontology nursing occur?

Answer 3

• Acute
• Long-term care/Residential care
• Community/Home-care

These settings reflect the diverse environments in which older adults receive care.

Question 4

Define ageism.

Answer 4

Prejudicial attitudes towards older people, old age, and the ageing process

It includes discriminatory practices and institutional policies that perpetuate stereotypes about older individuals.

Question 5

What is dementia-ism?

Answer 5

Discrimination based on diminished cognition & agency

This term highlights the biases faced by individuals with cognitive impairments.

Question 6

What are the types of ageism?

Answer 6

• Institutional ageism
• Personal ageism
• Unintentional ageism
• Intentional ageism

Each type reflects different contexts and manifestations of age-related discrimination.

Question 7

What is elder abuse?

Answer 7

Any action by someone in a relationship of trust that results in harm or distress to an older person

Neglect is also considered abuse when it involves a lack of action leading to similar outcomes.

Question 8

List the types of elder abuse.

Answer 8

• Physical abuse
• Sexual abuse & exploitation
• Neglect
• Psychological or emotional abuse
• Economic or financial abuse
• Spiritual abuse

These categories encompass various forms of mistreatment that older adults may face.

Question 9

What are the most common forms of elder abuse?

Answer 9

• Emotional Abuse
• Financial abuse
• Physical abuse
• Neglect

These forms are frequently reported and can have severe impacts on older adults.

Question 10

What are signs of elder abuse?

Answer 10

• Fear, anxiety, depression, or passivity related to caregiver
• Unexplained physical injuries
• Dehydration, poor nutrition, poor hygiene
• Improper use of medication
• Confusion about new will or mortgage
• Sudden drop in cash flow
• Reluctance to discuss situation

Recognizing these signs is crucial for identifying potential abuse.

Question 11

What are the impacts of ageism and dementia-ism on health?

Answer 11

• Slower recovery
• Shorter lifespan
• Negative physical & mental health outcomes
• Increased social isolation & loneliness
• Reduced quality of life

These impacts highlight the importance of addressing age-related biases in healthcare.

Question 12

What percentage of middle adults provide informal care to older adults?

Answer 12

20%

Informal caregiving includes family, friends, and volunteers assisting older adults with health or physical limitations.

Question 13

What is the majority living situation for older adults?

Answer 13

Live at home in the community

This reflects the preference and need for older adults to remain in familiar environments.

Question 14

What is a failed care pathway?

Answer 14

Challenges in transitioning between care settings

It raises questions about decision-making and outcomes in the care of older adults.

Question 15

What is the broader field of Gerontology focused on?

Answer 15

The ageing process

Gerontology is interdisciplinary, involving nursing, psychology, and social work.

Question 16

What is the primary focus of Geriatrics?

Answer 16

Disease, diagnosis, cure

Geriatrics is a medical specialty distinct from gerontology.

Question 17

What certification is available for Gerontology nursing?

Answer 17

CNA certification

Organizations include CGNA and GNABC.

Question 18

List the Gerontological Nursing Standards.

Answer 18

• Relational Care
• Ethical Care
• Evidence-Informed Care
• Aesthetic/Artistic Care
• Safe Care
• Socio-Politically Engaged Care

These standards guide nursing practice in gerontology.

Question 19

In which settings does RN Roles in Gerontology occur?

Answer 19

• Acute care (hospitals)
• Long-term care
• Community/home care

Roles can be generalist or specialist.

Question 20

Who coined the term Ageism?

Answer 20

Robert Butler (1969)

Ageism includes prejudice toward older people and discriminatory practices.

Question 21

Define Dementia-ism.

Answer 21

Discrimination based on cognitive impairment

It involves loss of perceived agency.

Question 22

What is the difference between Stereotype, Prejudice, and Discrimination?

Answer 22

• Stereotype: generalized assumption
• Prejudice: negative opinion without knowledge
• Discrimination: unequal treatment

Stigma refers to negative labeling.

Question 23

List the Types of Ageism.

Answer 23

• Personal
• Internalized
• Institutional
• Intentional
• Unintentional

Each type has different sources and manifestations.

Question 24

What is Elder-Speak?

Answer 24

Oversimplified speech used towards older adults

Examples include terms like ‘sweetie’ and using ‘we’ language.

Question 25

What are the **types of Elder Abuse**?

Answer 25

* Physical * Sexual * Emotional * Financial * Spiritual * Neglect ## Footnote Elder abuse is harm caused by someone in a relationship of trust.

Question 26

What are the **most common forms of abuse** in elder care?

Answer 26

* Emotional abuse * Financial abuse * Physical abuse * Neglect ## Footnote Emotional abuse undermines self-worth, while financial abuse involves fraud.

Question 27

What are the **risk factors for Institutional Abuse**?

Answer 27

* Isolation * Dependency * Staff burnout * Low education * Poor job satisfaction ## Footnote Person-centred care can reduce these risks.

Question 28

List signs of **Elder Abuse**.

Answer 28

* Fear/anxiety around caregiver * Unexplained injuries * Poor hygiene * Dehydration * Sudden financial changes * Reluctance to talk ## Footnote These signs may indicate distress or harm.

Question 29

What are the effects of **Ageism on Health Outcomes**?

Answer 29

* Slower recovery * Shorter lifespan * Poorer mental health * Isolation * Reduced quality of life ## Footnote WHO promotes addressing ageism for better health outcomes.

Question 30

What are the **care needs in older adulthood**?

Answer 30

* Increased chronic illness * Functional decline * Increased dependence ## Footnote Key nursing focus includes assessing functional status.

Question 31

What percentage of middle adults provide **Informal Care**?

Answer 31

20% ## Footnote 70% of caregivers care for family, and 60% are women.

Question 32

What are the **risks associated with caregiving**?

Answer 32

* Burnout * Emotional strain * Physical stress ## Footnote Caregivers are often referred to as the 'hidden patient.'

Question 33

Which gender is more involved in caring for **aging parents**?

Answer 33

Daughters ## Footnote They provide both direct and indirect care.

Question 34

What is the **common pathway** for transitions across care settings?

Answer 34

Community → Acute → LTC ## Footnote Risks include poor coordination and functional decline.

Question 35

What are the **challenges of a Failed Care Pathway**?

Answer 35

* Poor discharge planning * Lack of communication * Inadequate follow-up * No fall prevention plan ## Footnote Better outcomes require early intervention and interdisciplinary planning.

Question 36

List ways to move **forward** in addressing ageism.

Answer 36

* Awareness * Behaviour * Connection * Inclusion * Age-Friendly Environments * Nursing Education ## Footnote These strategies promote engagement and support for older adults.

Question 37

What is the **Big Picture Summary** of the lecture?

Answer 37

* Ageism is deeply normalized * Dementia-ism compounds discrimination * Elder abuse is common and often hidden * Transitions between care settings are high risk * Gerontological nursing requires advocacy, safety, relational care, and awareness ## Footnote These points highlight the critical issues in gerontological nursing.