TLDR The letter criticizes generalizations about older patients' abilities and calls for respectful, individualized care, while the original authors defend the need to adapt communication for those with impairments.
In a letter to the editor, Cook, Prose, and Heflin criticized a previous article by Alam et al. for potentially perpetuating stereotypes about older patients' functional abilities, suggesting that such generalizations could hinder optimal care. They argued that the article's recommendations, such as avoiding the term "cancer" or speaking slowly and loudly to geriatric patients, could be demeaning and undermine patient autonomy. They advocated for individualized care that respects each patient's capabilities. In response, Alam, Norman, and Goldberg defended their review, emphasizing the importance of adapting communication to accommodate older patients' potential impairments to ensure understanding and dignity. They agreed that not all older patients have cognitive or psychological vulnerabilities but argued that being prepared for those who do is part of providing good care. Separately, Field praised Bernstein et al.'s article on surgical hair restoration for its clarity and thoroughness, suggesting it as a model for future submissions.
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