Which approach is effective when working with elderly clients?

Ensuring competency for decision-making is a crucial approach when working with elderly clients because it respects their autonomy and promotes their ability to engage in meaningful discussions about their care and life choices. This approach acknowledges that many elderly individuals want to be actively involved in the decisions that affect their health and well-being. It is essential to assess their cognitive functioning and ability to make informed decisions, which can empower them and enhance their sense of self-efficacy.

Working with elderly clients involves recognizing their life experiences and the wisdom they possess, allowing them to express their preferences and needs. By supporting their competency in decision-making, therapists can foster a collaborative therapeutic relationship that provides a space for the elderly client to share their history, feelings, and goals.

In contrast, other approaches such as ignoring self-determination undermine the dignity and agency of elderly clients, while minimizing discussions about life review may prevent important reflections that can aid in their psychological well-being. Moreover, solely prioritizing medication management overlooks the holistic aspects of care that are important for emotional and relational health, potentially neglecting the client’s psychological needs in favor of medical concerns.