At this stage, agism entails that many older people are made to feel that they are a burden not only on society, but also on those who are obliged to care for them (Holstein, Parks, and Waymack, 2011, p. 130). This in turn creates related ethical concerns such as sexism, since the most common informal caregivers for older relatives are women.

There are two basic forms of care that people who grow old and frail might choose or be forced to choose between; home care or institutional care. At home, caregiving is provided by relatives, which could create a sense of frustration for both the person receiving and the person giving the care. Caregiving is a significant emotional, physical, and financial burden. Few old people would want to impose this kind of burden on their families. Furthermore, specialized care may not be within the skill set possessed by family members....
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