Pub Date : 2024-04-16DOI: 10.21926/obm.geriatr.2402278
Gloria Gutman, M. Karbakhsh, Heather G. Stewart
Lesbian, gay, and bisexual (LGB) older adults may be more vulnerable to elder abuse (EA) due to prior marginalization and trauma, lifelong discrimination, and health disparities. While characteristics of both victims and perpetrators can modify the risk for EA, few studies have focused on perpetrators. This study examined the number and type of perpetrator-victim relationships and perpetrator profiles for EA experienced in the prior year, by abuse type and sexual orientation and gender identity of the abused. Data are from community-dwelling Canadian Longitudinal Study on Aging participants aged 65 or older at follow-up 1 (n = 23,466). Heterosexual men and women reported being abused psychologically and physically most often by spouses or partners. Gay and bisexual (GB) men reported being abused psychologically most often by non-family, non-friend “others”. Lesbian and bisexual (LB) women reported psychological and financial abuse most often by siblings or other family members, and physical abuse by non-family, non-friend “others”. Heterosexual women were abused financially most often by their children, and both heterosexual and GB men reported more financial abuse by “others” or friends. Overall, 15% and 5% of participants reported abuse by multiple perpetrators of psychological and financial abuse respectively. LB women experienced more EA overall (18.8%), by multiple perpetrators (31% for psychological abuse, 66.5% for financial abuse) including by their siblings and other family members. These results have important implications for mitigation and preventive measures. They also highlight the need for further research concerning sexual minorities experiencing multiple abuse types and/or abuse by multiple perpetrators.
{"title":"Characteristics of Elder Abuse Perpetrators by Sexual Orientation and Gender Identity of the Abused: Findings from the Canadian Longitudinal Study on Aging","authors":"Gloria Gutman, M. Karbakhsh, Heather G. Stewart","doi":"10.21926/obm.geriatr.2402278","DOIUrl":"https://doi.org/10.21926/obm.geriatr.2402278","url":null,"abstract":"Lesbian, gay, and bisexual (LGB) older adults may be more vulnerable to elder abuse (EA) due to prior marginalization and trauma, lifelong discrimination, and health disparities. While characteristics of both victims and perpetrators can modify the risk for EA, few studies have focused on perpetrators. This study examined the number and type of perpetrator-victim relationships and perpetrator profiles for EA experienced in the prior year, by abuse type and sexual orientation and gender identity of the abused. Data are from community-dwelling Canadian Longitudinal Study on Aging participants aged 65 or older at follow-up 1 (n = 23,466). Heterosexual men and women reported being abused psychologically and physically most often by spouses or partners. Gay and bisexual (GB) men reported being abused psychologically most often by non-family, non-friend “others”. Lesbian and bisexual (LB) women reported psychological and financial abuse most often by siblings or other family members, and physical abuse by non-family, non-friend “others”. Heterosexual women were abused financially most often by their children, and both heterosexual and GB men reported more financial abuse by “others” or friends. Overall, 15% and 5% of participants reported abuse by multiple perpetrators of psychological and financial abuse respectively. LB women experienced more EA overall (18.8%), by multiple perpetrators (31% for psychological abuse, 66.5% for financial abuse) including by their siblings and other family members. These results have important implications for mitigation and preventive measures. They also highlight the need for further research concerning sexual minorities experiencing multiple abuse types and/or abuse by multiple perpetrators.","PeriodicalId":506189,"journal":{"name":"OBM Geriatrics","volume":"363 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140698324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-09DOI: 10.21926/obm.geriatr.2402277
Behzad Foroutan
This narrative review aimed to select, gather, and present inclusive evidence about osteoporosis etiology, epidemiology, diagnosis, diet, and treatment. We searched PubMed and Google using these terms: osteoporosis AND etiology, osteoporosis AND epidemiology, osteoporosis AND diagnosis, osteoporosis AND diet, and osteoporosis AND treatment. Each title of the extracted manuscripts was read first. If deemed suitable, the abstracts of the manuscripts and text were read carefully. Afterward, the details of each term were selected, put together, and summarized. The review attempted to find associated literature up to the beginning of 2022. Limits were used to restrict the search to English language publications. Several 3988 manuscripts relevant to the search objectives were retrieved. The results were analyzed and presented with important evidence to shape this narrative review. Osteoporosis leads to bone fragility, disability, and risk of fracture. These events cause many problems, particularly in the elderly. The publication of narrative review articles can provide helpful information such as timely disease diagnosis, prescribing the most appropriate medicines, correct nutrition methods, and prevention strategies to clinicians and their patients. It is suggested that the results of such studies be included in the agenda of relevant organizations such as the WHO.
这篇叙述性综述旨在选择、收集和呈现有关骨质疏松症病因学、流行病学、诊断、饮食和治疗的全面证据。我们使用以下术语在 PubMed 和 Google 上进行了搜索：骨质疏松症与病因学、骨质疏松症与流行病学、骨质疏松症与诊断、骨质疏松症与饮食、骨质疏松症与治疗。首先阅读所提取稿件的每个标题。如果认为合适，则仔细阅读稿件摘要和正文。然后，对每个术语的细节进行筛选、归纳和总结。该综述试图查找截至 2022 年初的相关文献。搜索范围仅限于英文出版物。共检索到与检索目标相关的 3988 篇手稿。对结果进行了分析，并提出了重要的证据，从而形成了这篇叙述性综述。骨质疏松症会导致骨质脆弱、残疾和骨折风险。这些事件造成了许多问题，尤其是对老年人而言。发表叙事性综述文章可为临床医生及其患者提供有用的信息，如及时诊断疾病、开具最合适的药物、正确的营养方法和预防策略等。建议将此类研究结果纳入世卫组织等相关组织的议程。
{"title":"Osteoporosis Etiology, Epidemiology, Diagnosis, Diet, and Treatment: A Narrative Review","authors":"Behzad Foroutan","doi":"10.21926/obm.geriatr.2402277","DOIUrl":"https://doi.org/10.21926/obm.geriatr.2402277","url":null,"abstract":"This narrative review aimed to select, gather, and present inclusive evidence about osteoporosis etiology, epidemiology, diagnosis, diet, and treatment. We searched PubMed and Google using these terms: osteoporosis AND etiology, osteoporosis AND epidemiology, osteoporosis AND diagnosis, osteoporosis AND diet, and osteoporosis AND treatment. Each title of the extracted manuscripts was read first. If deemed suitable, the abstracts of the manuscripts and text were read carefully. Afterward, the details of each term were selected, put together, and summarized. The review attempted to find associated literature up to the beginning of 2022. Limits were used to restrict the search to English language publications. Several 3988 manuscripts relevant to the search objectives were retrieved. The results were analyzed and presented with important evidence to shape this narrative review. Osteoporosis leads to bone fragility, disability, and risk of fracture. These events cause many problems, particularly in the elderly. The publication of narrative review articles can provide helpful information such as timely disease diagnosis, prescribing the most appropriate medicines, correct nutrition methods, and prevention strategies to clinicians and their patients. It is suggested that the results of such studies be included in the agenda of relevant organizations such as the WHO.","PeriodicalId":506189,"journal":{"name":"OBM Geriatrics","volume":"182 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140723832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-03DOI: 10.21926/obm.geriatr.2402275
Nicole T Dawson, Ashleigh Trapuzzano, Katherine S. Judge
Latest estimates indicate that 5-7% of the population are living with Alzheimer’s disease and related dementias worldwide with a doubling in incidence expected every 20 years. Rehabilitation professionals are challenged with the complex needs of these patients. It is commonly thought that patients with dementia do not benefit from rehabilitation because of cognitive decline, behaviors, lack of communication, or difficulties in learning; however, current literature indicates this is not accurate. With proper knowledge and training, rehabilitation professionals can provide dementia-specific, person-centered care to maximize rehabilitation outcomes by maintaining or even improving function and thereby reduce healthcare costs. This article introduces an innovative rehabilitation framework, Leveraging Existing Abilities in Dementia (LEAD™), which was developed using tenets of the Strength-Based Approach to assist clinicians with the necessary education and skills for working with this specialized patient population. The LEAD™ framework guides the therapist in understanding how the disease process can impact the individual while identifying current strengths and abilities across several key areas allowing the rehabilitation professional to best identify appropriate treatment strategies. Treatment strategies and facilitators are described in three key areas (the ‘3 C’s): communication, cognition, and coping. The LEAD™ Framework for Rehabilitation Professionals aims to address the current barriers to care, such as lack of general knowledge about dementia, how to manage cognitive and emotional behaviors related to dementia, and limited understanding of how to communicate and engage with these patients. This type of guidance for daily practice is needed for these unique patients with hopes of further research.
{"title":"Leveraging Existing Abilities in Dementia (LEAD™): Changing the Way Rehabilitation Professionals Care for Persons Living with Dementia","authors":"Nicole T Dawson, Ashleigh Trapuzzano, Katherine S. Judge","doi":"10.21926/obm.geriatr.2402275","DOIUrl":"https://doi.org/10.21926/obm.geriatr.2402275","url":null,"abstract":"Latest estimates indicate that 5-7% of the population are living with Alzheimer’s disease and related dementias worldwide with a doubling in incidence expected every 20 years. Rehabilitation professionals are challenged with the complex needs of these patients. It is commonly thought that patients with dementia do not benefit from rehabilitation because of cognitive decline, behaviors, lack of communication, or difficulties in learning; however, current literature indicates this is not accurate. With proper knowledge and training, rehabilitation professionals can provide dementia-specific, person-centered care to maximize rehabilitation outcomes by maintaining or even improving function and thereby reduce healthcare costs. This article introduces an innovative rehabilitation framework, Leveraging Existing Abilities in Dementia (LEAD™), which was developed using tenets of the Strength-Based Approach to assist clinicians with the necessary education and skills for working with this specialized patient population. The LEAD™ framework guides the therapist in understanding how the disease process can impact the individual while identifying current strengths and abilities across several key areas allowing the rehabilitation professional to best identify appropriate treatment strategies. Treatment strategies and facilitators are described in three key areas (the ‘3 C’s): communication, cognition, and coping. The LEAD™ Framework for Rehabilitation Professionals aims to address the current barriers to care, such as lack of general knowledge about dementia, how to manage cognitive and emotional behaviors related to dementia, and limited understanding of how to communicate and engage with these patients. This type of guidance for daily practice is needed for these unique patients with hopes of further research.","PeriodicalId":506189,"journal":{"name":"OBM Geriatrics","volume":"484 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140749835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-03DOI: 10.21926/obm.geriatr.2402276
Ayodeji Folorunsho Ajayi, Oluwole Tolulope David, Adelakun Ademola Ayodele, A. L. Oluwatoyin, Oyowvi Mega Obukohwo, Oyedokun Precious, Akanbi Grace Bosede, Dare Sarah Nene, Adeniran Adebola Magret
This review aims to bring attention to the growing issue of andropause, a condition that affects men as they age. The literature was identified by searching the major bibliographic databases, including PubMed, Google Scholar, EBSCOhost, Web of Science, and CINAHL. Studies were included if they focused on strategies for reducing and preventing andropause, published between 1980 and 2023. Andropause, which is often overlooked and misconceived, is the result of a decrease in testosterone production and can result in physical and psychological symptoms such as fatigue, weight gain, decreased libido, and depression. This paper reviews the literature on the prevalence, detection, and management of andropause. It is important for the medical community to recognize andropause, as diagnosing and treating the condition can significantly improve the quality of life. The review canvases several studies to understand andropause comprehensively, highlighting various biomarkers and diagnostic criteria, possible therapies, and potential risks and complications associated with the condition. In addition, this review offers practical suggestions to health professionals, helping them recognize patients at risk of andropause, assess patients for the condition, and provide appropriate treatments. Furthermore, it emphasizes the importance of regular screening and active monitoring for any possible early warning signs of andropause. This review provides a comprehensive overview of andropause, from identification to management. It demonstrates the need for increased awareness and acknowledgment of andropause among medical professionals in order to ensure that all men get the support they need throughout the aging process.
{"title":"Andropause: A Neglected Disease Entity","authors":"Ayodeji Folorunsho Ajayi, Oluwole Tolulope David, Adelakun Ademola Ayodele, A. L. Oluwatoyin, Oyowvi Mega Obukohwo, Oyedokun Precious, Akanbi Grace Bosede, Dare Sarah Nene, Adeniran Adebola Magret","doi":"10.21926/obm.geriatr.2402276","DOIUrl":"https://doi.org/10.21926/obm.geriatr.2402276","url":null,"abstract":"This review aims to bring attention to the growing issue of andropause, a condition that affects men as they age. The literature was identified by searching the major bibliographic databases, including PubMed, Google Scholar, EBSCOhost, Web of Science, and CINAHL. Studies were included if they focused on strategies for reducing and preventing andropause, published between 1980 and 2023. Andropause, which is often overlooked and misconceived, is the result of a decrease in testosterone production and can result in physical and psychological symptoms such as fatigue, weight gain, decreased libido, and depression. This paper reviews the literature on the prevalence, detection, and management of andropause. It is important for the medical community to recognize andropause, as diagnosing and treating the condition can significantly improve the quality of life. The review canvases several studies to understand andropause comprehensively, highlighting various biomarkers and diagnostic criteria, possible therapies, and potential risks and complications associated with the condition. In addition, this review offers practical suggestions to health professionals, helping them recognize patients at risk of andropause, assess patients for the condition, and provide appropriate treatments. Furthermore, it emphasizes the importance of regular screening and active monitoring for any possible early warning signs of andropause. This review provides a comprehensive overview of andropause, from identification to management. It demonstrates the need for increased awareness and acknowledgment of andropause among medical professionals in order to ensure that all men get the support they need throughout the aging process.","PeriodicalId":506189,"journal":{"name":"OBM Geriatrics","volume":"59 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140747837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-06DOI: 10.21926/obm.geriatr.2401272
Gohar Azhar, Melodee Harris, Laura Hays, Patricia Savary, Regina Gibson, James R Perry, Karen Coker, A. Pangle, Kenneth Alderson, Jeanne Y. Wei
The COVID-19 pandemic caused abrupt changes in daily routines, social connections, and ways of life. It is yet unknown the full impacts these extended changes have had on the long-term mental well-being of those who shared this global experience. As a contribution to our overall understanding of this phenomena, this study explored the effects of the COVID-19 pandemic on the mental well-being of older adults in the Southern United States. Secondary data analyses were performed using the COVID-19 Emotional Impact Survey, which included four open-ended questions allowing qualitative analyses for this study. Thematic analysis was conducted in three coding phases by five team members to ensure validity and rigor in consensus and determination of the themes. Respondents included 118 participants aged 55 years and older. The overarching theme which emerged in our analysis related to the impact of the COVID-19 pandemic on respondents’ mental well-being was adaptability, with sub-themes of awareness and socialization. Awareness was further associated with spirituality, mortality, and health; socialization was further associated with trust/distrust, anxiety, and fear. Older adults in this study exhibited resilience and demonstrated greater adaptability. Despite expressing increased awareness of vulnerability to the virus, they coped with this stress by placing greater value on relationships with friends and family. Attributes of resilience were frequently noted throughout the study, although we did not specifically assess resilience of older adults in this study. The degree of adaptability older adults applied in their responses to the COVID-19 pandemic suggest a resilience unique to their age and this study provides support for future research probing the concept of resilience in older adults.
{"title":"Resilience and Adaptability of Older Adults: Findings from the COVID-19 Impact Survey","authors":"Gohar Azhar, Melodee Harris, Laura Hays, Patricia Savary, Regina Gibson, James R Perry, Karen Coker, A. Pangle, Kenneth Alderson, Jeanne Y. Wei","doi":"10.21926/obm.geriatr.2401272","DOIUrl":"https://doi.org/10.21926/obm.geriatr.2401272","url":null,"abstract":"The COVID-19 pandemic caused abrupt changes in daily routines, social connections, and ways of life. It is yet unknown the full impacts these extended changes have had on the long-term mental well-being of those who shared this global experience. As a contribution to our overall understanding of this phenomena, this study explored the effects of the COVID-19 pandemic on the mental well-being of older adults in the Southern United States. Secondary data analyses were performed using the COVID-19 Emotional Impact Survey, which included four open-ended questions allowing qualitative analyses for this study. Thematic analysis was conducted in three coding phases by five team members to ensure validity and rigor in consensus and determination of the themes. Respondents included 118 participants aged 55 years and older. The overarching theme which emerged in our analysis related to the impact of the COVID-19 pandemic on respondents’ mental well-being was adaptability, with sub-themes of awareness and socialization. Awareness was further associated with spirituality, mortality, and health; socialization was further associated with trust/distrust, anxiety, and fear. Older adults in this study exhibited resilience and demonstrated greater adaptability. Despite expressing increased awareness of vulnerability to the virus, they coped with this stress by placing greater value on relationships with friends and family. Attributes of resilience were frequently noted throughout the study, although we did not specifically assess resilience of older adults in this study. The degree of adaptability older adults applied in their responses to the COVID-19 pandemic suggest a resilience unique to their age and this study provides support for future research probing the concept of resilience in older adults.","PeriodicalId":506189,"journal":{"name":"OBM Geriatrics","volume":"7 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140077908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-27DOI: 10.21926/obm.geriatr.2401271
M. Aparicio-García, Roberto Andres Lasso Báez
Older trans people have been largely unaddressed both in the context of the LGBTIQ+ community and in studies on geriatrics and aging. This literature review compiles up-to-date information on transgender elders, providing a summary of the Spanish historical context in which trans people have been raised, and analyzes the areas in which to center possible courses of action and research on a global scale. The themes tackled are the presence of victimization and violence; the effects of medical transition, taking into account hormones and surgery, and other issues that affect trans people's health disproportionately or in unique ways compared to cis people; the social and familiar environment and its influence as a support system; the prevalence of mental health problems and their relationship with stigma and pathologization, as well as the resilience mechanisms developed to cope; the structural barriers in the access to employment, housing, and economic resources, as well as the current legislation; and the spiritual and planning issues that arise at the end of life. Lastly, proposals are offered for healthcare professionals and future researchers to engage with this population, not only in Spain but across the world.
{"title":"Trajectories and Status of Transgender Elderly Across the World and in Spain: A Narrative Review","authors":"M. Aparicio-García, Roberto Andres Lasso Báez","doi":"10.21926/obm.geriatr.2401271","DOIUrl":"https://doi.org/10.21926/obm.geriatr.2401271","url":null,"abstract":"Older trans people have been largely unaddressed both in the context of the LGBTIQ+ community and in studies on geriatrics and aging. This literature review compiles up-to-date information on transgender elders, providing a summary of the Spanish historical context in which trans people have been raised, and analyzes the areas in which to center possible courses of action and research on a global scale. The themes tackled are the presence of victimization and violence; the effects of medical transition, taking into account hormones and surgery, and other issues that affect trans people's health disproportionately or in unique ways compared to cis people; the social and familiar environment and its influence as a support system; the prevalence of mental health problems and their relationship with stigma and pathologization, as well as the resilience mechanisms developed to cope; the structural barriers in the access to employment, housing, and economic resources, as well as the current legislation; and the spiritual and planning issues that arise at the end of life. Lastly, proposals are offered for healthcare professionals and future researchers to engage with this population, not only in Spain but across the world.","PeriodicalId":506189,"journal":{"name":"OBM Geriatrics","volume":"12 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140426189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-21DOI: 10.21926/obm.geriatr.2401270
Sue Westwood, Trish Hafford-Letchfield, Jemma James
Research suggests health, social care, and social work professionals who are highly religious, and adhere closely to traditional doctrine, are more likely to take a negative view of LGBTQ people. This includes those who provide services to older people. Negative attitudes towards lesbian, gay, bisexual, trans and/or queer (LGBTQ) people can translate into poor care and even abuse. This commentary discusses recent literature on older LGBTQ people’s experiences of religious abuse. It highlights the concerns among many older LGBTQ people about care from religious based providers where religion becomes a factor leading to abuse, associated with microaggressions, psychological abuse, harassment, discriminatory abuse, neglect, and poor care. Even though only a minority of religious care providers may hold negative attitudes towards LGBTQ people, and even fewer may allow this to inform poor/abusive practice, this is nonetheless an area of concern and merits further investigation. All care providers, including those with strongly held religious beliefs, should deliver equally good, affirmative, non-abusive care to older LGBTQ people, and to LGBTQ people of all ages.Key wordsLGBTQ; religious care providers; abuse; adult protection; equality and human rights; law
{"title":"Older LGBTQ People and Religious Abuse: Implications for the UK Regulation of Care Provision in Later Life","authors":"Sue Westwood, Trish Hafford-Letchfield, Jemma James","doi":"10.21926/obm.geriatr.2401270","DOIUrl":"https://doi.org/10.21926/obm.geriatr.2401270","url":null,"abstract":"Research suggests health, social care, and social work professionals who are highly religious, and adhere closely to traditional doctrine, are more likely to take a negative view of LGBTQ people. This includes those who provide services to older people. Negative attitudes towards lesbian, gay, bisexual, trans and/or queer (LGBTQ) people can translate into poor care and even abuse. This commentary discusses recent literature on older LGBTQ people’s experiences of religious abuse. It highlights the concerns among many older LGBTQ people about care from religious based providers where religion becomes a factor leading to abuse, associated with microaggressions, psychological abuse, harassment, discriminatory abuse, neglect, and poor care. Even though only a minority of religious care providers may hold negative attitudes towards LGBTQ people, and even fewer may allow this to inform poor/abusive practice, this is nonetheless an area of concern and merits further investigation. All care providers, including those with strongly held religious beliefs, should deliver equally good, affirmative, non-abusive care to older LGBTQ people, and to LGBTQ people of all ages.Key wordsLGBTQ; religious care providers; abuse; adult protection; equality and human rights; law","PeriodicalId":506189,"journal":{"name":"OBM Geriatrics","volume":"85 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140444164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-19DOI: 10.21926/obm.geriatr.2401269
Tammy S. Martin
Clinicians caring for patients, especially those with chronic diseases or older adults, need to recognize the value of being able to transition away from aggressive care when appropriate and focus on a more palliative approach. Research has shown that patients want to have goals of care discussions and maintain autonomy at the end of life. These goals of care discussions can be challenging, and clinicians must prioritize and develop this skill in order to provide their patients with what they may need most. Being able to treat patients aggressively and prolong life is undoubtedly vital; however, so is the ability to recognize suffering and provide a patient and their family with the opportunity to find peace at the end of life. This skill ensures a more whole person focus and sets the great clinician apart from the good.
{"title":"Good or Great: Which One Are You?","authors":"Tammy S. Martin","doi":"10.21926/obm.geriatr.2401269","DOIUrl":"https://doi.org/10.21926/obm.geriatr.2401269","url":null,"abstract":"Clinicians caring for patients, especially those with chronic diseases or older adults, need to recognize the value of being able to transition away from aggressive care when appropriate and focus on a more palliative approach. Research has shown that patients want to have goals of care discussions and maintain autonomy at the end of life. These goals of care discussions can be challenging, and clinicians must prioritize and develop this skill in order to provide their patients with what they may need most. Being able to treat patients aggressively and prolong life is undoubtedly vital; however, so is the ability to recognize suffering and provide a patient and their family with the opportunity to find peace at the end of life. This skill ensures a more whole person focus and sets the great clinician apart from the good.","PeriodicalId":506189,"journal":{"name":"OBM Geriatrics","volume":"10 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140450406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-31DOI: 10.21926/obm.geriatr.2401267
Claire Robson, Jen Marchbank, Gloria Gutman
Though research suggests that older adults belonging to gender and sexual minorities (GSM) are at greater risk of abuse and neglect, more needs to be done to investigate this situation, provide solid data, offer support to survivors and better inform those providing services. This article reports on a participatory action research project in which nine older adults with lived experience of abuse were interviewed, as were the seniors’ programmer from our community partner organization and a trauma counsellor who supported our participants throughout the project. Participants were interviewed at least twice, often more, and the resulting interview transcripts were edited with the help and consent of the participant concerned, to form narratives which were content-analyzed. The goals of the project were to raise awareness of the underreported issue of abuse of elder GSM individuals, to consider how elder abuse might both differ and look the same as it does in the mainstream population, and to offer mental health supports and safe spaces for healing for our participants. This deep dive into lived experience illuminates how homophobia and transphobia (both historic and contemporary) play out in subtle and complex ways. We conclude with recommendations for researchers and care/service providers.
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