Elder Abuse In Long Term Care

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 includes physical, emotional, and sexual abuse as well as neglect, exploitation and abandonment of our older generation (Falk, 2012). The people that cause these injuries include the elderly person’s own family and staff members of nursing homes, assisted living facilities, medical rehabilitation facilities and hospitals (NCOA, 2017). There is approximately 1 in 10 older adults that have experienced some type of elder abuse in the United States (NCOA, 2017). Within these staggering numbers, only 1

The Center for Disease Control and Prevention standardly defines elder abuse as “any abuse and neglect of persons age 60 or older by a caregiver or another person in a relationship involving an expectation of trust” (CDC, Elder Abuse). It is always thought that the elderly are treated with honor, dignity and respect but many of the elderly have been abused and neglected as much if not worse than the children we spoke of in our previous discussions. Who seriously could hurt these frail people, someone’s grandparents, possibly even your own; persons who because of the aging process have lost their ability to fight back and are being bullied or attacked by someone in a position of trust. It is estimated that 70% to 90% of the perpetrators of elderly

Although it does not usually make news headlines and is rarely discussed, nursing home residents and the elderly experience abuse sometimes on a daily basis. Medical errors, physical abuse, or stealing from them could all be classified as abuse. All around the world today, a population that is not able to help itself is being harmed, whether it is physical or sexual abuse, exploitation, or not being properly supervised; the elderly and nursing home residents are being abused.

There are many broad and different definitions of elder abuse, and different forms and ways to deal with it. Elder abuse consists of “intentional or neglectful acts of a caregiver, family member, friend, or other individuals that lead to, or may lead to, harm of a senior citizen” (Elder Abuse Facts, 2016). One of the biggest problems we face when looking at this policy is that elder harm and abuse can happen practically anywhere. Elder abuse can happen in a private setting; in their own homes committed by their own family members (Help Guide, 2014, p.1). But it can also happen in a care center, with lots of people living in close proximity to them.

This essay will examine elder abuse and its role in our society. The definition of elder abuse and the different types of elder abuse will be examined. Additionally, literature that highlight legislative changes to current elder abuse laws and the origins of those laws will be examined. The paper will also discuss national reports of elder abuse statistics and the current status of elder abuse. Finally, recommendations based upon the information researched will be provided as a guide for the future.

As Americans live longer, it is no surprise that the population of older adults has increased; consequently so has the ubiquitous problem of elder abuse. In the United States elder abuse is an exceedingly, overlooked public health hazard; which covers a wide range of abuses. Approximately 2 million adults, over the age of 60 are abused or mistreated each year. ("Elder Justice: A John A. Hartford Foundation Change AGEnts Issue Brief", 2016) The Centers for Disease Control and Prevention has defined elder abuse 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, age 60 and older” (“Elder Abuse: Definitions”, 2016) Studies show a vast majority of health care professionals underestimate the occurrence of elder

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

Elder mistreatment is unrecognized, hidden, and underreported. Studies showed that nurses among health professionals are largely unaware of the various forms of elder mistreatment that take place and of the proper course of action to pursue when mistreatment is suspected Falk, Baigis, and Kopac(2012). People should be aware of the many faces of elder maltreatment, and all health caregivers working with older adults need to recognize, treat, and prevent elder abuse and neglect (Daly, et al., 2012).

Each year there is an estimated 4 million elderly Americans that are victims of physical, psychological, or abused in other ways (Elder Abuse and Neglect: In Search of Solutions. (n.d.). Retrieved January 26, 2016, from http://www.apa.org/pi/aging/resources/guides/elder-abuse.aspx). There are some cases that get reported to the proper authorities and some cases that do not get reported at all. For the abused elderly people, their lives are put at risk and their health also declines. They feel helpless and lonely and have increased psychological distress and research has suggested that these victims die earlier than those who have not been abused (Elder Abuse and Neglect: In Search of Solutions. (n.d.). Retrieved January 26, 2016, from http://www.apa.org/pi/aging/resources/guides/elder-abuse.aspx).

Elder Abuse is one of the single most important issues affecting the elder population in

The World Health Organization (2014) defines elder abuse as, “a single, or repeated act, or lack of appropriate action, occurring within any relationship where there is an expectation of trust which causes harm or distress to an older person” (World Health Organization, 2014). Elder abuse violates various ethical principles. First, the abuse disregards the individual’s autonomy. He or she is not choosing whether or not to be injured (Rueckert-Harman

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,

It is also stated that family members and caregivers tended to be the responsible parties for most victims of elderly abuse and neglect (EAN). This form of EAN often fails to be reported to the relevant authorities as they maybe physically or psychologically unfit to make a complaint; or they may fear vital services necessary to their survival could be removed or denied by their tormentor as a form of punishment, however despite their fears, there has been a thirty per cent rise in reports of EAN in the last ten years. (Teaster, Lawrence and Cecil, 2007; Sepler, F.

In many cases, nursing home abuse and neglect may not even be evident in any physical form. We all know that emotional abuse often has no physical scars but can leave massive scars on the inside. There may be situations where the behavior of the nursing home resident changes but even this can be overlooked by family and friends as they may dismiss such change to old age or diseases like dementia or Alzheimer’s.