This paper examines UK and US primary care doctors’ decision-making about older (aged 75 years) and midlife (aged 55 years) patients presenting with coronary heart disease (CHD). Using an analytic approach based on conceptualising clinical decision-making as a classification process, it explores the ways in which doctors’ cognitive processes contribute to ageism in health-care at three key deci...

Sexuality and intimacy in care homes for older people are overshadowed by concern with prolonging physical and/or psychological autonomy. When sexuality and intimacy have been addressed in scholarship, this can reflect a sexological focus concerned with how to continue sexual activity with reduced capacity. We review the (Anglophone) academic and practitioner literatures bearing on sexuality an...

A demographic revolution is taking place in Europe and worldwide. According to World Health Organization (WHO) estimates, the number of people aged 60 and over is growing faster than any other age group.2 This change in the population structure affects disease patterns3 and is deemed to cause an increase in the demands on healthcare systems.4 This raises concerns about the ethics of healthcare ...

objective: in geriatric practice, the impact of psychological distress on health status has been undermined due to ageism, atypical presentation and less tendency to report negative affect among elderly people. few studies have examined the impact of psychological stressors on medical burden in older adults. the current study has investigated the correlation of psychological distress and burden...