Ageism Concerns In an Ageing Population
Published: 15 January 2017
Published: 15 January 2017
Does this affect the way that you can provide nursing care to older people?
According to the World Health Organisation (WHO), the majority of people are oblivious to the stereotypes they have regarding older adults. Despite this, a large survey of 83,000 people in 57 countries exemplified that 60% of participants felt older people were disrespected (WHO 2016).
This poses several questions: Who is disrespecting older people? How much of the population is negative towards older adults? Does this ageist population include nurses?
This negativity towards older adults is particularly concerning, considering that older people discontent with ageing may be at risk of depression, social isolation, living 7.5 years less than optimistic older people and not rehabilitating as well from disability as positive older adults (WHO 2016).
WHO (2016) reminds us that by 2050 there will be 2 billion people in the world over the age of 60. To emphasise the significance of this, note that 15% of Australians were aged 65 or over in 2014, in contrast to just 9% in 1977 (AIHW 2018a). Clearly, a significant portion of the population is ‘aged’ and thus at risk of decreased quality of life from negative attitudes towards ageing.
In order to create healthy ageing, ageism needs to be eliminated (WHO 2016). This may lead you to question how this can be achieved, especially when it is apparently so widespread. Perhaps you may be wondering what is classified as ‘ageism’, and what is meant by an ‘ageing population’?
According to WHO (2016), ageism can take a variety of forms including media portrayal of older people as frail and needy, and policies demanding retirement of employees that reach a specific age. This is due to a lack of consideration regarding older adults' abilities, which leads to unfair assumptions based on generalisations. You can probably think of several examples of ageist depictions of older people in movies you have watched.
This is disappointing when noting that Australians are reportedly living longer and healthier lives than past generations (AIHW 2017).
Data from 2012 suggests that 53% of older adults are living with a disability. Only one in five older Australians are reported as having a severe enough disability to sometimes require help with one or more core activities (self-care, mobility and communication) (AIHW 2014).
Furthermore, Australians can expect to experience more years free from disability (AIHW 2017). Most older Australians report healthy living, with over 90% being current non-smokers (Tobacco in Australia 2020), over half being vaccinated (AIHW 2018b) and 13% working in paid jobs compared to 8% in 2006 (AIHW 2018a).
It is evident that there is plenty for Australians to be proud of in terms of current ageing outcomes. The increasing health, quality of life and longevity creates hope and optimism for future generations regarding ageing in Australia. Perhaps the awareness of improved ageing outcomes for Australians may lead to diminished ageist and negative attitudes towards older people.
As nurses, we are in a position to view improved health outcomes and ageing throughout our careers. Nurses need to value and respect all people regardless of their age. As a nurse, you should promote healthy ageing, build confidence and competence, and thereby help people become more optimistic towards the ageing process. If older Australians think more positively of ageing, perhaps other members of society will too, and ageism will decline.
What will you do to prevent ageism and promote healthy ageing?
Madeline Gilkes, CDE, RN, is a Fellow of the Australasian Society of Lifestyle Medicine. She focused her Master of Healthcare Leadership research project on health coaching for long-term weight loss in obese adults. Madeline has found a passion for preventative nursing. She has transitioned from leadership roles (CNS Gerontology & Education, Clinical Facilitator) in the acute/hospital setting to education management and primary healthcare. Madeline’s vision is to implement lifestyle medicine to prevent and treat chronic conditions. Her research proposal for her PhD involves Lifestyle Medicine for Type 2 Diabetes Mellitus. Madeline is a Credentialled Diabetes Educator (CDE) and primarily works in the academic role of Head of Nursing. Madeline’s philosophy focuses on using humanistic management, adult learning theories/evidence and self-efficacy theories and interventions to promote positive learning environments. In addition to her Master of Healthcare Leadership, Madeline has a Graduate Certificate in Diabetes Education & Management, Graduate Certificate in Adult & Vocational Education, Graduate Certificate of Aged Care Nursing, and a Bachelor of Nursing. She is working towards her PhD. See Educator Profile