Maintaining Dignity and Autonomy in the Process of Aging

Abstract

For decades, research has shown that ageism undermines older adults’ mental and physical health by implying they are less capable and worthy of care. The preservation of dignity and autonomy when confronted by a declining capacity for autonomous decision making due to physical or cognitive disability is difficult and can create personal and ethical dilemmas for providers and patients. It is projected that by 2050, 22.5% of the North American population will be over 65. In addition, statistics show that by 2060, 13.9 million Americans aged 65 and older are projected to be diagnosed with Alzheimer's disease and related dementias. The incidence for mild cognitive impairment (MCI) or mild neurocognitive disorder may be twice as high as dementia. The Universal Declaration of Human Rights adopted in 1948 states that all people are "free and equal in dignity and rights". However, this concept has not been implemented for all older adults especially those with cognitive impairment. Therefore, it is even more critical that mental health providers use their voice to educate people about the negative impact of ageism and advocate for older people in clinical settings.This workshop challenges conventional thinking about our aging population and moral concepts related to ageism, justice, and maintaining dignity and autonomy. This presentation will provide information on how to foster intergenerational solidarity that reduces ageism and benefits people of all ages. The presenters will discuss how autonomy plays a key role in this solidarity as it implies responsibilities as well as rights. In addition, a discussion of ethical theories which suggest that older adults are morally obligated to be productive with their talent and professions will be explained. Residents in long-term care are even more likely to be impacted by ageism as the prevailing belief in our culture is that life lived in independence is of more value than life lived in a facility. The workshop will discuss how providers who work in long term care can support residents and try to ensure their decisions and behaviors are as free from bias as possible. The presenters will use real life case scenarios to engage participants and facilitate learning about these issues.