Unfortunately, the dependent condition of most nursing home residents makes them especially vulnerable to all types of abuse. Aside from physical violence and neglect there are a number of ways a loved one may be mistreated while in the care of a nursing home provider. The following list explains the various ways in which nursing home abuse may present itself: • Physical Abuse. o Physical abuse is the intentional use of force against a senior citizen that results in bodily injury or even death. This is the most apparent type of nursing home abuse to detect especially where relatives visit the facility often Examples of physical abuse include: unnecessary use of restraints or confinement, assault and battery, dropping patients, using force to assist patients, shoving or knocking a patient down, hitting, biting, scratching, hair pulling, deliberate and inappropriate use of drugs, breaking bones, or any act of violence directed towards the elderly that results in physical harm. Injuries that may result from such abuse include: broken bones, internal injuries, burns, overdoses, concussions, welts, marks, choking, bruises, black eyes, or sprains. In extreme cases such abuse can result in coma or even the untimely death of a resident. • Psychological Abuse. o Psychological abuse is much harder to detect given nursing home residents rarely talk about it or report it. Such is true given nursing home residents may be afraid of their caregivers and reluctant to talk about the issues
Choosing a long-term care facility can be very difficult because of incidents of abuse and/or neglect reported against care facilities can be overwhelming. For example in “Ending Elder Abuse: A family guide”, Diane Sandell lists many elder abuse incidents from her files such as: neglect of decubitis ulcers led to infection, sepsis, gangrene, and death. Facility failed to provide necessary diabetic diet; improper insulin administration, insulin overdose; dehydration and death. Resident left alone in chair in shower room fell, became paralyzed from neck down. Many reports of pinching, rough handling, slapping, yelling, threats (2000). It is believed that abuse is most likely to occur if the caregiver not only finds the work difficult but also (1) works full time, (2) cares for young children, (3) is poor, (4) feels little affection for the older person, (5) finds the elderly person very difficult, and (6) gets no support or help from others (Macionis, 2005). Although there is no excuse for abusing elderly Americans, it is still very prominent in today’s society. Diane Sandell explains in Ending Elder Abuse, that her 91 year old mother was beaten by a long-term care facility employee in the middle of the night for reasons unknown. It is stated that her mother died 6 weeks after the incident, unable to recover mentally from the abuse (2000).
Elder abuse is the most common type of abuse that gets looked over. People normally do not suspect or even think an elderly person may be getting abused, but this is a serious topic in nursing homes and hospitals. Every health care professional needs to learn the warning signs and symptoms of elder abuse to prevent this from happening.
The issue of elder abuse and neglect is a significant health care issue, that need to be brought to the attention of society. Seniors who stay at home or in nursing homes are at more risk. Nurses should be aware of the signs and symptoms as well as resources in the community. By having a better understanding of these issues, nurses can recognize problems and help prevent the devastating effects of elderly abuse.
When you hear the words, “Nursing Home”, what comes to mind? Sad, helpless, elderly individuals? The smell of urine? An overall, unpleasant place to reside in? Unfortunately, this generic description is accurate amongst majority of the nursing home facilities across the United States. More often than not, the elderly suffer from inhumane living conditions while residing in a nursing facility. Quite often we hear stories on the news about cases of elder abuse in the nursing home and we automatically think physical, mental, or emotional abuse from caregivers. However, the fact that these individuals are also living amongst unsanitary, inhumane conditions, and ran by a staff that includes
Is it worth putting your loved ones in a nursing home facility? According to Centers for Disease Control and Prevention, “Each year, hundreds of thousands of adults over the age of 60 are abused, neglected, or financially exploited.” Family members of an elderly person might assume that because they are paying such a large amount of money for assistance and a room in the facility, that they’re getting the best treatment and care for their relative. Although one might believe their loved ones would be better off in a nursing home, they might be putting them at a greater risk of abuse due to understaffing, lack of training within the staff, neglect, nurse burnout, and low wages. 2,150,000 cases
Physical abuse can happen in their own home, the carer's home, or a facility, such as a nursing home. The most immediate physical effects include wounds, and injuries (e.g., bruises, dental problems, head injuries, broken
Physical and emotional abuse can also take place at the individual’s home. This can also be from their carer, family and friends. As there is no one around apart from their abusers, it is often likely that the abuse goes on without anyone knowing. The person abusing could also assure loved ones or the carer that the person suffering with dementia is lying about being abused or isn’t mentally able. This is also a problem when it comes to prosecuting people who have
Over all, there are many types of abuse, from physical abuse to rough living conditions, that elderly and nursing home residents experience quite often.
Do you have a loved one in a nursing home? Imagine if your grandma, grandpa, aunt, uncle, mom, dad or other loved one was being abused. How would this make you feel? Abuse does not necessarily mean physical abuse (hitting, scratching, pulling hair, etc.). Other types of abuse include sexual, neglect, exploitation, emotional, abandonment, and self-neglect.
Inappropriate use of drugs such as over-medicating, use of physical restraints, force-feeding, and physical punishment are also forms of physical abuse (Administration on Aging National Center on Elder Abuse, 2016). Indicators of elder physical abuse may include bruises or grip marks around the arms or neck, rope marks or welts on the wrists and/or ankles, or repeated unexplained injuries (Roberto, 2016). Roberto also states that another indicator of abuse may include the caregiver having a dismissive attitude or statements regarding the injuries. Another indicator of physical abuse may include the victim visiting different medical facilities for treatment as an effort to prevent the medical practitioners from observing a pattern of abuse.
Abuse can happen to anyone, but elderly adults residing in nursing homes are more vulnerable and have a higher risk for abuse (Rasansky Law Firm, 2006, para. 1). Elders are among the fastest growing in the population, and because of this many more elderly
If you're concerned about elder abuse and neglect, you're not being paranoid. As terrible as it sounds, the senior population is subject to quite a bit of abuse in nursing homes.
With medical and technological advances, the United State’s life expectancy continues to increase, leading to an improved number of elderly individuals. As a nursing student, who worked at a nursing home for three years in high school, I am quite familiar with elderly abuse, especially institutional abuse. Prior to this discussion post, I persisted more familiar with the types of elderly abuse, rather than the incidence rates within the United States. To clarify this discussion post, elderly abuse stands defined as, “an intentional act, or failure to act, by a caregiver or another person in a relationship involving an expectation of trust that causes or creates a risk of harm to an older adult” (Centers for Disease Control and Prevention, 2016). The risk of harm to an older adult subsisted evident in an institutional setting, from my work experience. While I cannot disclose that the nurses physically, sexually, or financially abused the residents, I am aware of the neglect and emotional abuse the occurred in this setting. The abuse that occurs to elderly individuals stems for two triggers – caregiver stress and the vulnerability of the elder. According to the textbook, “Exhaustion and anger can reach a boiling point and can create intergenerational conflicts” (Olson, DeFrain, & Skogrand, 2014, p. 383). When caregivers acquire stress, they tend to take out their aggression on the elder, intentionally or unintentionally, as they remain overwhelmed with emotions. Personally, I
Other at-risk groups include people who are socially isolated and people with mental impairments or dementia. While protecting the victim is of the utmost importance, it is vital to not forget the abuser because they are affected as well. Since most abuse happens at home by family members, that is who I am referring to as the abuser. The stresses of caregiving can be overwhelming. While elder abuse is never an acceptable response to any problem, no matter how stressful, many people who are thrust into the role of caregiving can find themselves ill-equipped for it. At its most innocent stage, a caregiver 's unintentional failure to provide proper care and support because of a lack of understanding or lack of skills is abusive behavior that can threaten the safety and well-being of the older adult, but instead of them being penalized it may be more productive to educate them.
To better understand the scope of the problem, it is crucial that society knows what is considered as elder abuse and why it is important to resolve this issue. Elder abuse refers to any intentional or negligent act by a caregiver or any other person that causes harm or a risk of harm to a vulnerable adult. There are many forms in which an elder can be abused, “Elder Abuse and Neglect” Journal of Psychosocial Nursing & Mental Health Services distinguishes between the five most common types of elder abuse as well as their effects and/or common signs and symptoms for each. These types of abuse include physical abuse,