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Ageism
from Encyclopedia of Nursing Research
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On July 7, 2010, Robe rt Butle r die d at the age of 83 ye ars. He was the first to use the te rm “age ism” and
fought against ste re otyping and pre judice of olde r adults through re se arch and public policy. Butle r
himse lf was a living argume nt against age ism, working until 3 days be fore his de ath, de monstrating
through his life and writings that olde r adults can maintain productive , optimistic, and e ngage d live s
(Martin, 2010).
Age ism is a ne gative attitude or bias toward olde r pe ople that can le ad to a be lie f that olde r pe ople
cannot or should not participate in ce rtain activitie s or be give n the same opportunity as younge r
pe rsons (Holohan-Be ll & Brumme l-Smith, 1999). Elde rs re pre se nt 50% of hospital days, 70% of home
he alth se rvice s, and 90% of re side nts in nursing facilitie s (Me ze y e t al., 2008). Almost all he alth care
pe rsonne l will find the mse lve s at one time or anothe r caring for the e lde rly. In fact, the majority of
nurse s will spe nd most of the ir care e r caring for olde r adults in a varie ty of se ttings and will face a
pe rsonal e xpe rie nce with aging in a family me mbe r or with the ir won de ve lopme nt. As the se challe nge s
are me t, it is ne ce ssary to continually e xamine the de ve lopme nt of attitude s and role s in the pre ve ntion
of age ism. Olde r pe rsons may be discriminate d against be cause of the way the y look, spe ak, or function
in a socie ty that value s productivity, e conomic we alth, spe e d, youth, and be auty.
How to de line ate aging and the aging proce ss is a controve rsial and comple x topic. Pre judice ,
ste re otyping, and labe ling may le ad to policie s for rationing he alth care : the withholding tre atme nt
base d on age alone , a lack of qualifie d pe rsonne l to care for olde r adults, the unde rre pre se ntation of
olde r adults in clinical trials, and the unde rre cognition of ge riatric proble ms and syndrome s (Butle r,
2008; Wallace , Gre ine r, Grossman, Lange , & Lippman, 2006; Wilson, 2010). Age ism can be se e n on
pe rsonal le ve ls in the daily care of olde r patie nts in a hospital and on a population le ve l whe n olde r
adults are e xclude d from dise ase scre e ning or primary pre ve ntion programs (Ory, Hoffman, Hawkins,
Sanne r, & Mocke nhaupt, 2003). As te chnology continue s to advance , the ability to e xte nd life be come s
possible . This e xte nsion of numbe r of ye ars ofte n come s at the price of chronic dise ase and a
de cre ase d quality of life . As the numbe r of e lde rs continue s to grow at a rapid rate , the ne e d to
pre se rve quality of life while maintaining autonomy for olde r adults is impe rative .
Nursing re se arch in age ism focuse s on se ve ral are as. Age ism re se arch could e ncompass studie s that
addre ss how to be st e ducate he alth profe ssionals aging, e xamination of stude nt and practicing nurse 's
attitude s, sociopolitical issue s impacting olde r adults, clinical care proble ms, and biological issue s. Some
of the curre nt re se arch impacting age ism involve s the use of te chnology in multiple care se ttings (Tak,
Be ne fie ld, & Mahone y, 2010), e nhancing clinical care of e lde rs through e stablishe d programs (Alle n &
Close , 2010; Boltz e t al., 2008), bolste ring ge riatric e ducation in baccalaure ate programs through
additional course work and e ducator training (Be rman e t al., 2005; Krichbaum, Kaas, Mue lle r, & Wyman,
2010; Mille r, Van Son, Cartwright, & Alle n, 2010; Wilson, 2010), and me asuring the impact of
ge rontological re se arch in schools of nursing (Maas, Buckwalte r, Conn, & Tripp-Re ime r, 2010).
The olde r population that is at the gre ate st risk of pre judice , ste re otyping, and age ism, howe ve r, are
pe rsons with me ntal illne ss, de me ntia, and me ntal re tardation. The diagnosis of de me ntia ofte n
stigmatize s both the patie nt and the family. As ne w te chnologie s and diagnostic te chnique s be come
available , labe ls such as mild cognitive impairme nt also have the pote ntial to stigmatize patie nts and
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familie s (Garand, Lingle r, Conne r, & De w, 2009). Re se arch has de monstrate d links be twe e n cognitive
impairme nt, cardiovascular dise ase , diabe te s, and de pre ssion. This has highlighte d the pote ntial
wide spre ad impact of pre ve ntative me asure s and he alth mainte nance in olde r adults. Furthe r re se arch
on cognitive re se rve in de me ntia and de lirium has advance d the unde rstanding of pe rsons with multiple
type s of cognitive impairme nt and has e xpose d myths ofte n he ld about this population, such as the
inability to le arn ne w information or to change be haviors (Jone s e t al., 2010; Kolanowski, Fick, Clare ,
The rrie n, & Gill, 2010; Ory e t al., 2003; Ste rn, 2009). This re se arch is important as it force s the
re e xamination of ste re otype s he ld about olde r pe rsons and influe nce s both care and tre atme nt.
In addition to ne w diagnose s or labe ls, ce rtain conditions or circumstance s that we re re le gate d to old
age are be coming issue s in younge r phase s of life , such as he aring loss. The re sulting age ism and
stigma (Wallhage n, 2010) that occurs with such conditions may be te mpe re d by this shift.
The e conomic impact of age ism is and will continue to be significant to ge rontological nursing. Robe rt
Butle r, in his book The Longevity Revolution, argue s that we should continue to work be yond the age of
65 ye ars be cause e arly re tire me nt can be e quate d to waste d productive capacity (Butle r, 2008). He
maintains that this will he lp to combat age ist ste re otype s. Be yond workforce issue s, nurse s will have a
vital role in shaping the he alth care syste m at local and national le ve ls as it continue s to be re forme d to
me e t the ne e ds of our aging population (Be ve rly, Burge r, Maas, & Spe cht, 2010).
Age ism will continue to be important in almost e ve ry are a of ge riatric nursing re se arch. Age ism will
influe nce both the type of re se arch that is done and the public disse mination of re se arch. Re se arche rs
must de scribe the re lationship of age ism with qualitative and quantitative re se arch in the are as of e thics,
workplace studie s, de cision making and informe d conse nt re se arch, ge ne tics, he alth promotion and
pre ve ntion scre e ning, cance r, pre se ntations of dise ase , symptoms re se arch, biomarke rs of aging,
quality of life , barrie rs to tre atme nt, nursing home care and organizational studie s, re source utilization in
he alth care , de me ntia care , me ntal he alth, care of the disable d olde r adult, and care of the dive rse
olde r adult population. The incre asing role of te chnology in mitigating ste re otype s of aging will also be
of gre at importance , as will the use of ne w te chnologie s to allow olde r adults to live inde pe nde ntly. At
the same time , te chnology must not re place the human-to-human inte raction (Harmon, 2010; Tak e t al.,
2010), which is the foundation of nursing.
Nurse s must also be aware of the role of popular me dia in socializing nursing e ducation, practice , and
re se arch. The popular me dia socialize s multiple age groups to ste re otype s. Nurse s have the powe r to
ne gate the se typical role s, whe re olde r adults are se e n as powe rle ss. The me dia also portrays an
“antiaging” campaign, whe re “70 is the ne w 60.” Practicing nurse s, stude nt nurse s, e ducators, and
nurse scie ntists have the ability to show that olde r adults maintain productivity and purpose in life , and in
the ir daily work the y must go be yond the me dia ste re otype s whe n e xamining aging and quality of life .
Re se arche rs have agre e d that past and pre se nt e xpe rie nce with the e lde rly, faculty role mode ls, and
continuing e ducation positive ly affe cts attitude s on aging (Burbank, Dowling-Castronovo, Crowthe r, &
Cape zuti, 2006; Wallace e t al., 2006). Se ve ral gove rnme nt and private ly funde d programs are
promoting positive attitude s toward olde r adults by showcasing ge riatric nursing as a challe nging and
attractive spe cialty for practicing nurse s, bringing national atte ntion to nursing care of the e lde rly,
re aching out to hospital, home care , and nursing home nurse s, and illustrating the ne e d for more
advance practice nurse s and for basic ge rontology conte nt in baccalaure ate nursing programs to care
for one of the most vulne rable populations (Be rman e t al., 2005; Boltz e t al., 2008; Davis, Be e l-Bate s, &
Je nse n, 2008; Maas e t al., 2010; Me ze y e t al., 2008; Rie de r, 2006).
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Nursing has a vital role in combating age ism and continue s to be in a ke y position to minimize age ist
attitude s in the future . Nurse s must be involve d in future studie s to inve stigate the se important and
re le vant are as of re se arch and in disse mination of the se findings through be st practice initiative s. In
addition, nurse s must be promine nt in othe r re le vant are nas (inte rge ne rational linkage s, global attitude s
on aging, and workforce ) that challe nge ste re otype s of aging and promote appropriate vie ws and care
of olde r adults. Pe rhaps the most lasting and powe rful way to combat age ism is through me ntoring of
practicing nurse s, nurse s in training, and young adults by e ncouraging active dialogue and inte raction
with olde r adults.
Andre a M. Ye vchak
Donna M. Fick
Copyright © 2011 Springer Publishing Company
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APA Ye vchak, A. M., & Fick, D. M. (2011). Age ism. In J. J. Fitzpatrick, Encyclopedia of nursing research (3rd e d.).
Ne w York, NY: Springe r Publishing Company. Re trie ve d from http://uiwtx.idm.oclc.org/login?
url=http://se arch.cre dore fe re nce .com/conte nt/e ntry/spe nnurre s/age ism/0?institutionId=5166
Chicago Ye vchak, Andre a M., and Donna M. Fick. "Age ism." In Encyclopedia of Nursing Research, by Joyce J.
Fitzpatrick. 3rd e d. Springe r Publishing Company, 2011. http://uiwtx.idm.oclc.org/login?
url=http://se arch.cre dore fe re nce .com/conte nt/e ntry/spe nnurre s/age ism/0?institutionId=5166
Harvard Ye vchak, A.M. and Fick, D.M. (2011). Age ism. In J.J. Fitzpatrick, Encyclopedia of nursing research. (3rd e d.).
[Online ]. Ne w York: Springe r Publishing Company. Available from: http://uiwtx.idm.oclc.org/login?
url=http://se arch.cre dore fe re nce .com/conte nt/e ntry/spe nnurre s/age ism/0?institutionId=5166 [Acce sse d 1
Nove mbe r 2017].
MLA Ye vchak, Andre a M., and Donna M. Fick. "Age ism." Encyclopedia of Nursing Research, Joyce J. Fitzpatrick,
Springe r Publishing Company, 3rd e dition, 2011. Credo Reference, http://uiwtx.idm.oclc.org/login?
url=http://se arch.cre dore fe re nce .com/conte nt/e ntry/spe nnurre s/age ism/0?institutionId=5166. Acce sse d
01 Nov 2017.
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