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We all get older. Aging is a normal part of life. But sometimes, people confuse aging with ageism.

Those are two very different things. Knowing the difference can help older adults stay healthier, more confident, and more involved in their communities.

What aging really looks like

As people get older, certain health changes become more likely. These can include heart disease, cancer, weaker bones, vision loss, hearing loss, or memory problems. They can affect what a person is able to do — or how safely they can do it.

But different people experience different health changes at different ages. And many people live with a wide variety of health conditions and can still lead full, active lives.

What is ageism?

Ageism is judging people, and what they’re able to do, based only on how old they are.

This can look like:

  • Being talked down to
  • Having choices made for you
  • Assuming you “can’t” do something without asking

These assumptions can be hurtful. They can also get in the way of good care.

Looking at what a person can actually do

Instead of making assumptions about what someone can or cannot do, it’s better to look at how well they function in specific areas. Someone may struggle in one area but do just fine in others. For example, they may have trouble hearing but can still manage their home, finances, or daily schedule just fine.

Pay attention to changes that affect safety or independence. If it looks like something risky is going on, it’s important to respond, but how you respond matters. Try to raise concerns in a calm and caring way. Focus on ensuring their safety, not passing judgment or blame.

When someone’s abilities begin to change

It can be very hard for people to accept that they’re no longer able to do something the way they used to. They may feel:

  • Embarrassed
  • Frustrated
  • Angry
  • Afraid of losing control

Some people may deny that there is a problem, even when others notice it clearly.

Talking about these changes can feel uncomfortable for everyone. In some cases, involving a doctor in the conversation can help. People may be more open to hearing concerns from a health professional than from family or friends.

Finding helpful supports

When someone’s ability declines in one area, there are often ways to help them stay independent. Simple changes can make a big difference, like using hearing aids, adding better lighting, or changing how tasks are done.

It’s usually best to make the least restrictive changes possible.

For example:

  • If someone has trouble seeing at night, they should probably avoid nighttime driving.
  • But if they can still drive safely in the daytime, there’s no need for them to stop doing it.

Limiting only what needs to be limited helps protect both a person’s safety and their independence.

When bigger changes are needed

Sometimes, a person’s decline reaches a point where harder decisions must be made. For instance, if they are no longer safe behind the wheel, letting them continue driving can put them, and others, in danger.

In other situations, memory or judgment problems may make them forget to pay their bills, or they may fall for scams over and over. In rare cases, legal steps may be needed to protect a person’s finances and well‑being.

These situations are never easy. They should always be handled with care, respect, and help from doctors or other professionals.

Help is available in New Jersey

New Jersey offers local support for older adults and their caregivers.

One key resource is the Aging and Disability Resource Connection, also known as the ADRC. Each county has an ADRC that can help people with:

  • Finding services to help someone get support at home
  • Support for caregivers
  • Transportation and meals
  • Information about benefits and programs

You can reach the ADRC by calling 1-877-222-3737. You can also visit NJ211 to find help in your area.

How AmeriHealth can help

AmeriHealth Medicare Advantage plans are designed to support members as they age, with care that focuses on staying well and getting support when needed.

Members and their caregivers can also find helpful tools and information about Medicare, providers, and available resources at AmeriHealth Medicare Resources for Caregivers.

A better way to think about aging

Aging doesn’t have to mean losing your voice or your choices. And older adults have valuable life experience, skills, and knowledge that can benefit their families and communities.

By understanding ageism — and choosing respect instead — we help create a healthier future for everyone.

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Website last updated: 6/9/2026

Donna B. Raziano, MD (MBA, FACP, AGSF)

Dr. Raziano is a clinical care transformation physician; responsible for collaborating with primary care providers, ACOs, and health systems to drive improved performance. Board certified in Internal Medicine, Geriatric Medicine, and Hospice & Palliative Care, Dr. Raziano has been in population health medical leadership roles since 2005, with a specialty in the LIFE/PACE (Program of All-inclusive Care for the Elderly) programs and home health. She is active with the American Geriatrics Society, American College of Physicians, and the National PACE Association. Outside of work, she enjoys reading, golfing, and spending time with her husband and three children.