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How to prevent elder abuse essay
Review of elderly abuse
Elder abuse in healthcare settings
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In this week's posting I will identify and discuss issues of abuse within the elderly population who have dementia. I will discuss the caregiver role and why elderly individuals with dementia are more prone to abuse. Studieshave shown that there are alarmingly high rates of abuse among patients suffering from dementia by their caregivers and within a home-care setting. A study of caregiver-care recipients found that 47.3% of elderly patients with dementia were abused (Gibbs, &Mosqueda, 2010). The literature described verbal abuse as being the most common type reported, however physical abuse was also reported but was rarer (Gibbs, &Mosqueda, 2010).
Elderly individuals with dementia are more prone to abuse and incidences often go unreported or hidden (Greenlee, 2012). It is alarming that the rates of elder abuse in dementia patients are so high, and in a rapidly aging population that can only mean that numbers will increase (Greenlee, 2012). Elderly dementia patients are a highly vulnerable population, within an already vulnerable group.sourceThe feelings and emotions of the dementia patient might be ignored or overlooked due their cognitive impairments and the societal attitude that they are incapable of making rational decisions or may exaggerate situations. Source Elderly patients with dementia may have difficulty communicating, such as finding the words or social withdrawal, and may find it difficult to talk about their experiences of abuse. This can lead to the patient not speaking up or reporting their abuse.sourceSocietal views also imply that dementia patients are confused and this may even lead the patient to not speak up about abuse because they do not feel anyone will believe them.source
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...on the symptoms of dementia and the behaviors.sourceThe nurse can reassure the caregiver that they are not alone and many other individuals like them are facing similar experiences or difficulties. The nurse can also orient the caregiver to resources for support groups, counseling and information sessions. Nurses can offer resources such as adult day centers, which involves both the caregiver and patient. This can prevent depression, isolation and provide information to the caregiver about coping with elderly patients with dementia.sourceIt is important to note that nurses are in the best position to recognize elder abuse and should be sensitive and tactful when assessing caregivers and dementia patients for the presence of abuse. Source This may help prevent caregiver burn-out and stress, as well as reduce the incidence of elder abuse in dementia patientssource .
Assisted Living Facilities abuse is a frequently occurring problem in our society (Hamilton). There are diverse categories of abuse that transpire in Assisted Living Facilities which are physical abuse, sexual abuse, emotional abuse, neglect, abandonment, and financial abuse. Samples of physical abuse would be hitting or beating the elders with an object or their hand, force feeding them or pulling their hands. Sexual abuse is the Assisted Living Facility employees having sexual acts with non-consenting patients. Emotional abuse is the employees saying things verbally to torment the patient. Neglect would be the employee does not take care of the patients such as providing hygiene. Abandonment occurs when leaving patients to fend for themselves. Financial abuse is when the patient’s family pays for the services that were not taken care of. “Elder abuse is fast becoming one of the uppermost law enforcement tasks of the next century, “said Paul Hodge who investigates crime against the elderly (Gonzalez). Since abuse occurs throughout assisted living facilities, state and federal governments should establish a type of punishment such as sending for employees to prison, ways to prevent abusing elderly’s is by inspecting employees ' criminal records, qualified staff, reporting injuries, having surveillance of the areas that do not affect patients privacy, promoting continuous family visits, and shortage of staffing.
Dementia is common among a large population of elderly people. The disease affects not only the individual diagnosed, but also the caregivers that work towards making their life comfortable in the end. Understanding and learning about the disease is crucial in helping those that experience or live with someone who has dementia. The services and support that are currently in affect for elderly people with dementia and the caregivers is poor, and ineffective because of the lack of research and information on the topic.
(Davidson, F. G.) Due to the nature of dementia being a neuropsychological disorder, those affected by the disease tend to look like they will not require much care, which, in reality, they often require more care than the caregiver originally expected, leading to stress and burnout. Another effect caused by this can be the caregiver blaming themselves by feeling like they are failing to give proper care, which, in reality, can often be very far from the truth. If the caregiver does not receive help from anyone else, the task of watching over the victim becomes a daunting twenty for hour task. Sometimes, the caregiver won’t be allowed quality sleep. Over 66 percent of home caregivers suffer from some form of psychological or physical illness. The most common illness that is resulted from giving care to Alzheimer’s disease is depression. The caregiver needs to monitor their emotional well-being as well as the well-being as the person that they are giving care to. Usually, giving care to those with dementia is actually more stressful than giving care to those with cancer. When the caregiver is a family member and not a professional, the emotional toll is often even greater. It is important for caregivers to remember that they need to take care of themselves first and
According to the Department of Health and Human Services: National Center on Elder Abuse, mental or psychological abuse can be anything from intimidation, harassment, and even verbal abuse ("Types of Abuse," 2016). This is sad, to think, that there are elderly that are being harassed and verbally abused by those trusted to care for them. Proverbs 16:24 (NIV) says ,”Gracious words are a honeycomb, sweet to the soul and healing to the bones”. This is how we should be treating our elderly with kind words, and compassion this is what God would desire us to do.
In the medical field, the workers are highly trained to be able to make a distinction between what is right and what is wrong. Elder abuse is becoming a serious issue in the health environment. As defined in the website, MedicineNet.com, elder abuse is: “the physical, sexual, or emotional abuse of an elderly person, usually one who is disabled or frail”. The older population consists of people over sixty-five years old. They are very fragile and sometimes they are forgotten or abused. The elderly can be victims of mistreatment in nursing homes, hospitals, or even in their own house. Nursing is the act of promoting health for others, and of providing care and security with the skills nurses have acquired. However, those who are nursing can also harm, or hurt people by advising them. Elder abuse can take many forms such as financial abuse, physical abuse, sexual abuse, and emotional abuse.
Though elderly abuse occurs in many nursing homes, it is preventable. It is the nursing aide 's responsibility to provide quality and comfortable care, free from abuse. Many people are not aware that there are several other types of abuse in addition to physical abuse and many are not aware of the signs. If abuse should occur, anyone who suspects or witnesses the abuse is responsible for reporting it. Knowing the types of abuse, being aware of the signs, and reporting incidents are all ways to prevent abuse in nursing homes.
Now, you can see that Nursing Home abuse is a big problem in America. You might want to get involved in our local program against nursing home abuse. I will leave you with one last statistic, 1 out of every 8 nursing home patients are abused in some way. Wouldn’t you like to help them?
Elder abuse is a very sad reality. With an understanding of what the term elder abuse encompasses, who is at risk, what the warning signs are, the statutes that are there to protect the elderly, who is mandated to report the abuse, and how to report the abuse, it is important to minimize the crime. As with all things, the most important way to prevent something from happening is to educate, and elder abuse is no different. If care takers had education about the numerous resources there are, such as support groups and counseling, elder abuse could possibly be decreased exponentially.
Alzheimer’s disease is a serious disease which causes people to behave in a challenging way for their family and caregivers to manage. These behaviours are caused by damage to the brain that leads to psychological and functional impairment. Due to this impairment the people with AD are often neglected and labelled by the society. Family caregivers play a massive role in the care of their loved ones with AD. Patients and family caregivers often experience stress in dealing with all the obstacles that Alzheimer’s disease put them through.
Every American should have the right to live free from the fear of abuse. Unfortunately, that doesn’t always happen. The National Center on Elder Abuse Administration on Aging (NCEA) stated, “In the United States, the 2010 Census recorded the greatest number and proportion of people age 65 and older in all of decennial census history: 40.3 million, or 13% of the total population. This “Boomer Generation” effect will continue for decades”. This suggests that with the population of elders increasing, the abuse of elders will grow much higher. Elder abuse if defined as intentionally causing harm to a vulnerable elder by a caregiver or someone they trust. There are five main types of abuse; Physical, sexual, neglect, emotional or psychological
Of nursing home staff interviewed in 2004, nearly 40% admitted to committing at least one psychologically abusive act toward a resident and 10% admitted to physically abusing a resident in the preceding year.[1] Not only are nursing home residents at risk of being abused by their caretakers but they are also at risk of being restrained, which may lead to a form of abuse. With five percent of the elderly population, or one to two million instances of elder abuse occurring yearly there is no doubt that elder abuse deserves serious consideration.[2]
Many seniors around the world are being abused and harmed in some substantial way often by people who are directly responsible for their care (Robinson, 2016). Neglect of all forms causes harm to a patients overall well-being. Neglect happens in 60% of people and physical abuse happens to 15% of people (Franklin, 2013). There are three different types of neglect that can happen especially to the elderly. The three types of neglect are mental, emotional and physical neglect. Mental neglect, is basically ignoring or just not showing care or love for the patient. Emotional neglect is not only ignoring, but isolating the patient from others. Physical neglect which is causing physical injury to the body from rough handleing or non-supervision. Neglect is damaging not only to a body but also to the mind and over all
When discussing abuse and neglect we often think of children first. That being said, children are not the only ones who will be abused and/or neglected. In fact, this happens to some elderly as well. While some elderly may be productive enough to care for themselves, others are not. The end result is a complete (or close to complete) dependency on someone else for their needs. In addition, just like with children, this dependency can lead to abuse and/or neglect.
Individuals who suffer from dementia become more dependent on other people. Eventually, they will be unable to carry out simple activities, otherwise known as activities of daily living or ADLs. Activities of daily living include things such as proper hygiene, paying bills, or preparing food. The patient will often experience personality changes. Someone who was once kind may become defensive and angry. Patients may display inappropriate behavior and experience paranoia and hallucinations. The affected individual may have to adjust to many different things throughout the course of the disease such as losing the ability to drive, carry out everyday tasks, and in some cases, move to a care facility. Dementia brings an increased risk of neglect and abuse, especially to the patients who are being cared for by a family member at home. Neglect is known as the failure to provide proper attention or care such as food, medication, and clothing. Causing physical, financial, or emotional harm to a person with dementia is also considered
There are many issues that can be related to carers of people with dementia. The physical and psychological workload can be attributed as the most common concern among carers (Fjelltun et al., 2009). In addition, O’ Dowd (2007) has stated that carers are more likely to endure more anxiety, and feeling of liability which resulted to carers’ negligence of their own wellbeing. Moreover, carers suffer more stress than those who are not giving care to elderly with dementia. In relation to this, carers’ health is not interrelated with their emotional functioning (Bristow et al., 2008). These different reports suggested that carers undergo psychological issues more notable in comparison with just ordinary people. This can be regarded to carers’ exposure to a stressful environment.