There are five types of elderly abuse that can occur. The types are physical, psychological, sexual, neglect and financial abuse (Fox, 2012). With each type of abuse there can be another type attached. For example, with sexual abuse there can be a psychological abuse present that could send someone into a state of depression. Clinicians have the responsibilities to: the patient, interpret findings and recognize patterns of harm and promulgate the issue in wider professional and public forums. Clinicians are responsible for the employees and the patients housed under their care. The clinicians are required to report and unusual findings they find within all staff and patients to the individuals in charge. When dealing with nursing homes or facilities that house the elderly, the facilities sometimes offer different forums or programs that can help the individuals deal with as many problems they are facing due to the abuse that they have encountered.
Frazao, Correia, Norton & Magalhaes (2015) conducted a retrospective study through the analysis of forensic medical exams that were performed in the North Forensic Medical Services of Portugal between the years 2004 and 2013 on elderly individuals allegedly victims
Sexual abuse is a major aspect of the abuse that is happening to the elderly community. Sexual abuse often occurs in the frail or incompetent elder that is within a home setting. Sexual abuse more often occurs in care facilities by those who are trusted in to take care of the elder by both the families that place the elder there and by the company that hire the employee. Some of the indications of sexual abuse are genital tenderness, dysuria, or the presence of a sexually transmitted infection (Carney, 2015). When sexual abuse has occurred, the patient may fear the visit of the caregiver, act out in an aggressive way or go into a state of
Neglected and abused elderly patients within nursing facilities do not show complete well-being. They may not be affected by diseases or infections, but they are physically and mentally harmed by those who work as their caregiver. Caregivers may have negative attitudes towards those who have disabilities. Similar to Gregor’s family members, Grete and Mr. Samsa, they show extreme negative feelings and actions towards Gregor. According to American Psychological Association, caregivers can prevent abuse by education, shortened amount of time of care, social support, and counseling. These factors can prevent “violent, abuse, humiliating [and] neglectful behavior” towards these adults. When nursing staff are under a high-stress situation, they increase the risk of neglect and abuse due to frustration and anger. This will ultimately traumatize and disrupt the social well-being and health of elders.
According to Daly, Schmeidel Klein, & Jogerst, (2012), when dealing with abuse issues, nurses need to be aware of reasons why an older person may not want to report abuse and take this into consideration when soliciting information. Then, nurses can provide adequate information and resources to the older adult that may help them deal with the abuse. In addition, since elder abuse is perpetrated by family members, caregivers, and other individuals, the most effective method to eliminate elder abuse is to promote elder abuse awareness in private homes and nurse care setting to education individuals about elder abuse, signs of elder abuse and hence improve their relationship with the older individuals. Patients should also be educated on elder abuse, their civil rights and how to seek help when they experience abuse. Nurses play a huge role in detecting elder-abuse especially during patient assessment. Furthermore, in support of nursing education, Muehlbauer & Crane argues
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.
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]
The selection of whether an abused older adult should enter an adult protection agency or a domestic violence program is often dependent on her age and whether or not the abuser is of relation or known to the victim (Kilbane & Spira, 2010). The concept of being known to the perpetrator is similar to US law regarding sexual abuse of a child, whereas, according to Fong and Cardoso (2010) child sexual abuse comes in many forms; however, some forms of child sexual abuse does not qualify a child victim for services provided by the child protection agency. To reap the benefits of the child protective agency, “…the perpetrator of sexual abuse needs to be responsible for the care and custody of the child” (pp. 313). One can argue that there is a moral failure of the legislative body to pass laws that does not provide the needed protections for older woman against perpetrators. The requirement of the perpetrator needing to be known to the older victim appears unjust for the older woman. For example, older women suffer from dementia which renders her forgetful of the individual/caregiver (Reingold, 2006). In this scenario, the perpetrator of the abuse may not be known to the victim ...
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.
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
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. Because of insufficient and poorly trained staff commonly found in nursing homes. Care givers are often overworked and grossly underpaid that often results in rude and abusive behavior to vulnerable residents who beg them for simple needs such as water or to be taken to the bathroom.
Elderly adults face an abundant amount of abuse in many healthcare settings. According to the National Center on Elder Abuse (NCEA), elder abuse is defined as, “intentional or neglectful acts by a caregiver or “trusted” individual that lead to, or may lead to, harm of a vulnerable elder” (NCEA, 2017, p. 2). Elder abuse can possess many forms, including physical abuse, neglect, emotional or psychological abuse, financial abuse or exploitation, sexual abuse, and abandonment. (NCEA, 2017, p. 2). This abuse can take place in many settings that house seniors, age 65 years old and up regardless of age, sex, or race. These senior care facilities can include, rehabilitation centers, long-term care facilities, nursing homes, and/or senior day care
There has been an increase in the number of elderly that have been subjected to violence and mistreatment. This type of treatment is associated with the individual’s dependency on others; whether it be a relative, acquaintance and/or institution (Meadows, 2010). According to estimates “between 1 and 2 million Americans aged 65 years or older have been injured, exploited, or otherwise mistreated by someone on whom they depended for case or protection (National Research Council Panel to Review Risk and Prevalence of elder abuse and neglect, 2003)” (Meadows, 2010, p. 87). The type of abuse that elderly get subjected to is not only physical, it may also be emotional. Obviously, abuse may take on many different forms and may include: financial abuse, physical abuse, emotional abuse, and neglect. This abuse is not limited to certain circumstances it can happen in poor, middle-class or upper income household. This includes a variety of demographs and ethnicities (Meadows, 2010). Anyone may potential cause abuse and/or neglect.
The number of elders who are abused in this country and around the world each day is growing at an astonishing rate be it from individuals or institutions. As many as one in ten older adults and one in two people with dementia are victims of elder abuse. Unfortunately, for every case that gets reported there are 23 that go unreported. ("Get Info," 2014) as you can see from the statistics elder abuse is not uncommon in the United States. Any elder has the potential of being physically, emotionally, sexually, or financially abused by another individual. Elders can also cause harm to themselves by neglecting their daily needs. At St. Rita’s nursing home, during Katrina, thirty-five elderly residents were trapped inside all eventually drowning in their wheelchairs and beds.
It can happen at home, in a nursing home, or even in public. Robinson, Saisan and Segal stated, “Sadly, two of the most common sources of elder abuse are abuse by a primary caregiver – often an adult child – and self-neglect.” Abuse happens every day. Many times, people suspect that their family member is abusing a loved one but are to ashamed to report it. Robinson, Saisan and Segal emphasize, “Everyone deserves to live with dignity and respect. The earlier you intervene in a situation of elder abuse, the better the outcome will be for everyone involved.” Another type or abuse that many tend to ignore is self-neglect. The Health and Wellness Resource Center reports, “Self-neglect is failing to preform essential, self-care tasks, to an extent that threatens personal health and safety.” Most times, the self-neglect is unintentional because the elder will refuse any type of help. “He or she may be in denial, feel ashamed about needing help, or worried about having to leave home. Don’t stop checking with the older adult, even if you are being brushed off…Sometimes a peer or neutral party, such as a geriatric care manager, may have a better chance or getting through.” When an elder refuses help one cannot force them to do something they don’t want to, but it is good to keep asking them if they want help so that when they do need help they are aware that someone is there for
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.
The second case of elder abuse is neglect, when caregivers lack the knowledge to properly care over someone. Adult Protection Services (APS) are often called to investigate and to ensure that self-care services are provided for the elders. In one of the Kentucky Cabinet for Health and Family Services cases of elder abuse and neglect, family members caring for an elder woman were apparently unaware that they were abusing the elder. The family members did not realize that the women were in poor health that led a neighbor to suspect physical abuse. The neighbor contacted APS to investigate. The APS reported that the elder woman...