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We are currently enrolled in the 4th year of BScN Nursing at Lakehead University and are
writing influentially independent. We have received education on geriatric care and normal ageing
changes. This education has increased our awareness of the detrimental impact of ageist beliefs and
myths of older adult care. Through this awareness we reflected on our experiences and observed
that some healthcare providers explicitly and implicitly direct their care in accordance to these
ageist beliefs. Both nursing and medical scholars agree on the necessity of having educated
healthcare providers (Boltz, 2012; Sinha, 2013). The false beliefs that many pathological
conditions are actually due to normal ageing changes have appalling implications for client care and
quality of life (Brown, Kother, & Wielandt, 2011). Such misconceptions are innumerable; however,
three common erroneous beliefs that will be identified in this letter for the sake of demonstration
are the belief that pain, urinary incontinence, and constipation are all consequences of ageing.
"Without continued investment in healthcare professionals' education, the vision of high quality,
guideline-driven, evidence-based health care will never come to fruitition,"(Fletcher, 2007).
Pain is widespread: 80-85% of persons older than 65 will experience pain due to a
significant health problem at some point in time (Miller, 2012)."If chronic pain is inadequately
treated, there may be deleterious effects that are far reaching, including decreased energy, difficulty
concentrating, serious loss of sleep, depression, physical disability, and impaired quality of life,"
(Bernhofer, Sorrell, 2012). Considering the high prevalence and effects of pain, pain control and
alleviation is a key factor in preserving quality of life in older adults (Cwajda-Biaasik, Szewczyk,
Mocicka, & Cierzniakowska, 2012). However, due to the lack of education and ageist assumptions,
many health care providers hold the false belief that older adults have a higher pain tolerance, that
people with dementia don't have pain, and that older adults cannot tolerate opiates (Miller, 2012).
Like all ageist presumptions, these beliefs will alter quality of life. Through continuous education
healthcare providers may provide high quality, guideline-driven, evidence-based health care, and
may abolish this presumption so that proper pain control may be maintained (Fletcher, 2007; Sinha,
2013).
References
Baum, N. (2006). Urinary Incontinence in the Geriatric Patient. Clinical Geriatrics, 14(4).
Retrieved August 2, 2013, from
http://www.annalsoflongtermcare.com/attachments/5561.pdf
Bernhofer,, E. I., & Sorrell, J. M. (2012). Chronic Pain in Older Adults. Aging Matters, 50(1), 1923. Retrieved August 2, 2013, from the CINAHL database.
Brown, C. A., Kother, D. J., & Wielandt, T. M. (2011). A critical review of interventions addressing
ageist attitudes in healthcare professional education. Canadian Journal of Occupational
Therapy, 78(5), 282-293. Retrieved August 2, 2013, from the CINAHL database.
Cwajda-Biaasik, J., Szewczyk,, M. T., Moscicka, P., & Cierzniakowska, K. (2012). The locus
of pain control in patients with lower limb ulcerations. Journal of Clinical Nursing, 21,
3346-3351. Retrieved August 2, 2013, from the CINAHL database.
Eliopoulos, C. (2010). Gerontological nursing (8th ed.). Philadelphia: Lippincott Williams &
Wilkins.
Fletcher, M. (2007). Continuing education for healthcare professionals: time to prove its worth.
Primary Care Respiratory Journal, 16(3), 188-190. Retrieved August 2, 2013, from the
CINAHL database.
Gillis, A., MacDonald, B., & MacIsaac, A. (2008). Nurses' knowledge, attitudes, and confidence
regarding preventing and treating deconditioning in older adults. Journal of Continuing
Education in Nursing, 39(12), 547-554. Retrieved August 2, 2013, from the CINAHL
database.
Keilman, L. J., & Dunn, K. S. (2010). Knowledge, Attitudes, and Perceptions of Advanced Practice
Nurses Regarding Urinary Incontinence in Older Adult Women. Research and Theory for
Nursing Practice: An International Journal, 24(4), 260-279. Retrieved August 2, 2013,
from the CINAHL database.
Miller, C. A. (2012). Nursing for wellness in older adults (6th ed.). Philadelphia: Wolters Kluwer
Health/Lippincott Williams & Wilkins.
Sinha, S. K. (2013). Living longer, living well highlights and key recommendations from the report
submitted to the Minister of Health and Long-Term Care and the Minister Responsible for
Seniors on recommendations to inform a seniors strategy for Ontario. Toronto, Ont.:
[Ontario Ministry of Health and Long-Term Care].