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Research proposal on elderly abuse
Nursing home the seven abuses of residents
Research proposal on elderly abuse
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Esther Donovan
University of the West Indies
NURS2027 (Post-RN Online)
Nursing Care of Patients 65 Years and Older
1. As a nurse working in a nursing facility you are asked to plan an in-service education program for the nursing assistants. The topic is elder abuse. Identify and discuss the information would be most important to include?
Topic: Elderly abuse
Content
1. What do you understand by the term ‘elderly abuse’?
Elderly abuse can be defined as any form of mistreatment that may result in the harm or loss of an older person.
Elderly abuse can be divided into the following categories:
- Physical abuse which is the physical force that result in bodily injury, pain, or impairment. It includes assult, battery, and inappropriate restraint.
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- Psychological abuse is the wilful infliction of mental or emotional anguish by threat, humiliation, or other verbal or non verbal conduct.
- Financial abuse can be defined as the illegal or inappropriate use of an older person’s funds, property, or resources.
- Neglect is the failure of a caregiver to fulfil his or her care giving responsiblilies.
- Self neglect is the failure to provide for one’s own essential needs.
To put it in a simpler form abuse can assume many forms, including inflicting pain or injury; stealing; mismanaging funds; misusing medication; causing psychological distress; withholding food and care; or sexual abuse, exploiting, or confining a person. Even threatening to commit any of these acts is also considered abuse (Eliopoulos, 2014).
Do caregivers participate in elderly abuse?
Yes?
Caregiver stress can lead to the abuse of the older adult.
Nursing home staff may also begin abusing the elderly under certain circumstances. Many facilities are understaffed, and that additional stress and exhaustion may contribute to the abuse of the elderly. Most nursing facility staff members work long hours and may suffer from chronic fatigue, exhaustion, and lack of sleep “burn
Some of these cases of abuse are done in elderly homes by family members. In the first section of the article, the authors discuss the definition of elder abuse. The authors began with the most common types of elder abuse, which are physical and neglect. Elder abuse is the intentional use of physical force that results in acute or chronic illness, bodily injury, physical pain, functional impairment, distress, or death (Choi NG & Mayer J. In summary, the rhetorical analysis essay discusses how elder abuse and neglect affect the victims physically, emotionally, and professionally.
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.
Elder Abuse is defined as any activity performed by an individual whereby these actions cause suffering of the older adult, intentionally or not (Touhy, Jett, Boscart & McCleary, 2012, p. 378). Unfortunately, the incidents of elder abuse continue to rise with the increasing number of people entering older adulthood. It is interesting to note that although elder abuse is highly under reported its occurrence increased three fold over a ten-year period (Friese & Collopy, 2010, p. 61). Certainly, it is a nurse’s duty to provide holistic care to his or her patients, which must include protection from abuse. Elder abuse can take on many forms including physical, emotional, sexual, neglect and financial. It is important to note that for the purposes of this paper, this writer will focus solely on financial abuse. When one considers the definition of financial abuse, it is deemed to be a misuse of another individual’s finances for ones own monetary gain. Thus, this type of abuse has become the most common and fastest growing form of all. As such, it is important for all nurses to understand financial abuse and who is at risk, how it presents, and what can be done to prevent it in order to protect the elderly.
There have been problems within Long-Term Care and many of these abuses were turned over to the patients, there was hardly any direction on how to handle Long-Term Care. “Poor houses and Almshouses and developed in response to an impoverished, aging, and mentally and physically disabled population who lacked informal caregivers.” (Sarah Thompson, 2008 ) When Long-Term Care was in the infancy stage of developing there were many problems, issues that were created because there was not much direction. In developing in taking care of the elderly there were poorly trained nurses, medical workers and many of them were not qualified to work within the medical field. There were problems, many issues and multiple levels of abuse because of poorly trained medical workers where there was no direction.
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.
To prevent elder abuse, Robinson, Saisan, and Segal recommend practicing stress reduction strategies when the aide begins to feel overwhelmed. Joining a support group is also suggested so support can be gained from people in the same situation. It is important for the overwhelmed healthcare provider to realize that there are others going through the same situation. Nerenberg suggest that employee screenings should be improved by include background checks and police reports (28). Also, it is necessary for there to be a feasible workload to ensure that the nursing aide can provide quality care for the residents. If the workload is not manageable, the aide will likely be forced to spend less time with each resident causing the care to not be sufficient or of great
Nursing Home Abuse With over 1.5 million elderly and dependent adults now living in nursing homes throughout the country, abuse and neglect has become a widespread problem. Even though some nursing homes provide good care, many are subjecting helpless residents to needless suffering and death. Most residents in nursing homes are dependent on the staff for most or all their needs such as food, water, medicine, toileting, grooming- almost all their daily care. Unfortunately, many residents in nursing homes today are starved, dehydrated, over-medicated, and suffer painful pressure sores. They are often isolated, ignored, and deprived of social contact and stimulation.
According to the National Center on Elder Abuse, there were more than 16,000 nursing homes across the U.S. as of 2010. Such facilities age some of the most vulnerable members of our society, the elderly and disabled. All too often, nursing home residents in West Virginia, and throughout the country, are mistreated by those who they, and their families, have entrusted with their care. However, there are things that people can do to help protect their loved ones from nursing home abuse and neglect.
When most people think of nursing home abuse, physical violence or cruelty is what comes to mind. This type of mistreatment can take on many forms, however. Sexual assault, psychological abuse, gross neglect and financial exploitation are all types of abuse that may occur in nursing homes, according to the National Center on Elder Abuse. As a result of nursing home abuse, residents may suffer injuries or worsened medical conditions, as well as develop mental or emotional disorders.
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]
In order to understand how abuse has an effect on the elderly we must first understand the different types of elder abuse. The Center for Disease Control and Prevention (CDC) can aid in understanding the different forms by defining what each form entails (CDC, 2016). Physical abuse is the intentional use of physical force that results in illness, injury, pain, functional impairment, distress or even death. Neglect can be defined as failure by the
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 people 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.
Physical elderly abuse occurs when a loved one or someone that is watching the elderly person harms the elderly or place a hand on them. The loved one or the person that is watching them may hit, kick, slap punch, give them the wrong medicine or force feed them. Sexual abuse is included in the physical abuse. Sexual abuse is when someone has sexual content with the elderly without their consent.