|
Less diagnostic research
Unquestioned sexual history in the psychiatric evaluation of aged men(
16
).
Reduced histological verification rates(
17
).
Brief anamnesis(
18
).
Inadequate diagnostic investigations(
21
).
|
|
Restricted access to treatments
Fewer curative surgeries and chemotherapy(
17
).
Lower probability to receive statin, b-blocker or aspirin and other potentially beneficial treatments(
20
,
29
).
Inadequate treatment for sexual dysfunction(
21
).
Lower probability to receive timely cancer treatment. Unjustified delays(
31
).
Omission of information about disease status and treatment options(
46
,
49
).
|
|
Reduction of surgical interventions
Lower probability to receive treatment (surgery, radiotherapy, chemotherapy) of any kind(
19
).
Lower probability to access resources made available for cataract surgery(
24
).
Lower probability of breast reconstruction and less incentive to undergo immunotherapy(
36
).
Few conservative surgeries, regardless of the clinical severity of breast cancer(
39
).
People aged between 80 and 90 years old are less likely to be operated on when compared to patients aged between 65 and 79 years old(
52
).
|
|
Use of inappropriate language
Condescending and childish language(
34
,
37
).
Aged people were ignored and shunned, and privacy was not guaranteed(
37
).
Instructions in inaccessible language, inhibiting older adults’ participation(
41
).
Very short statements that express negative characteristics(
43
).
|
|
Low access to health services and resources
Lower probability to be screened to an Emergency Department resuscitation room(
13
).
Health professionals less willing to treat aged people with suicidal ideation(
14
).
Limited access to organs for transplantation due to age(
22
).
Aged people experiencing psychosis without access to relevant services, guidelines and funding(
28
).
Low probability of accessing rehabilitation services(
34
,
40
).
|
|
Inadequate care
Aged people feel that they do not access the same care, resources and guidance as younger individuals(
16
,
18
,
27
,
46
).
Suicide risk is not assessed(
18
).
Inattention to older adults’ needs(
26
).
Perception of incomplete, uncomprehending medical care and discriminatory practices during interactions between physicians and aged people(
30
).
Aged people with no cure possibility through medical treatment are also less prioritized in basic Nursing care(
33
).
Rushed service during clinical consultation(
41
).
Aged people receive less intensive care during cardiac arrest when compared to younger groups(
44
).
Lack of investment in care and lack of consideration related to the holistic needs and contextual challenges faced by older adults(
50
).
|
|
Inattention to family members
Aged people’s relatives receive less psychological support, regardless of prognosis(
38
).
|
|
Anti-aging behaviors
Negative and anti-aging attitudes on the part of employees towards old age(
25
).
Social devaluation(
30
).
Embarrassment in caring for aged men with a sexually transmitted infection(
41
).
Aged men, older adults and people with lower schooling levels felt discriminated against because of their age in clinics and hospitals(
45
).
Jewish health professionals showed more anti-aging attitudes than Arabs, even those who specialize in the field(
47
).
Older nurses reported high frequency of negative age-related behaviors in everyday life(
51
).
General hospital nurses have anxiety and fear of old age(
53
).
|
|
Beliefs and stereotypes
Health professionals are more likely to feel that suicidal ideation in older adults is normal and not to use therapeutic strategies(
14
).
Rural physicians have a negative perception of people over 85 years old, regardless of all the information about health status and functional and cognitive capacity(
23
).
Perception of aged people as weak and sick, with diminished mental abilities, intolerant and inflexible, disabled and difficult to adhere to treatments(
32
).
Beliefs that aged people are less sexually active and are uncomfortable talking about sex(
35
).
Negative affect towards aged people, less interest in treating them, perception that treatments are not successful and have worse prognosis(
48
).
|
|
Violent approach
Aged people were treated as objects and responsibility for their care was transferred to the family(
37
).
Health professionals yelled at, were rude to and accused aged people of wasting their time and taking medications that should be intended for younger individuals; they criticized for not listening and understanding the guidelines, not following the protocols and considering the illegitimate complaints; older adults were disrespected, devalued and labeled as uncooperative and unintelligent(
42
).
|
