Elder Abuse In The United States

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

In the 1990s, the Elder Abuse Task Force was established by the Secretary of the "U.S. Department of Health and Human Services." The task force developed an action plan for identifying and preventing elder from being mistreated in health care setting. A National Institute on Elder Abuse was established in 1991 as part of the Administration on Aging 's Elder Care Campaign. Adult Protective Service programs now exist in each state to serve vulnerable adults, especially seniors who are at high risk of being abuse and neglect (AMA, 2015). Such actions have been brought to the attention of the public and physician concerning elderly abuse and neglect. Researchers have conducted studies to assess the scope and causes of mistreatment among the elderly (AMA, 2015). Laws have been enacted in each state for physicians and others to report suspected cases. The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) for emergency departments and their ambulatory care centers for identifying elder abuse, in addition to domestic violence and child abuse (AMA, 2015).

A current ethical issue is elder abuse. The World Health Organization (WHO, 2015) defines mistreatment of the elderly, as “any single or repeated act or lack of appropriate action, occurring in any relationship where there is an expectation of trust, which causes harm or discomfort to an older person.” A distinction of elder abuse compared to domestic violence, sexual assault or fraud is that “elder mistreatment implies that the recipient of the mistreatment is in a situation or condition in which the ability to protect oneself is limited in some way” (Touchy & Jett, 2012, p. 401). Elder abuse represents a serious social problem, which is only on the rise because of the longevity and increased dependence of some elders (Martins, Neto, Andradea, & Albuquerquea, 2014).

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.

It is estimated that one in ten American over the age of 60 are victims of elder abuse each year. Elder abuse is a difficult subject; however, it is a subject that must be addressed. Thousands of senior citizens are being abused or neglected each day in this country. It is everyone’s responsibility to take acts to prevent elder abuse when possible.

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).

One way elder abuse or elder mistreatment can be defined is, “intentional actions that cause harm or create a serious risk of harm, whether or not intended, to a vulnerable elder by a caregiver or other person who stands in a trust relationship to the elder” (Bonnie & Wallace). There are seven main forms of elder abuse which include emotional, physical, psychological, sexual, financial, neglect, abandonment, and self-neglect (Cohen, Levin, Gagin & Friedman, 2007; Fulmer, 2008; Thompson & Priest, 2005). Even though only 6.2% of victims are abused in long-term care settings, my experience of witnessing neglect and abandonment are very serious (Teaster et al., 2006).

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

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 of growing concern in today’s society; it is the single most unreported cause of abuse. The thesis of this paper is to describe elder abuse, look at why it is becoming such a problem and what is being done to correct it. According to World Health Organization it is estimated that 80 percent of elder abuse is unreported (Daly, Schmeidel & Jogerst, 2012). Elder abuse is a problem not only just in the health care setting but community wide. Patience and having the time to care for the elderly population is becoming more and more of a struggle in that nurses are being continuously bombarded with a larger patient load and a lack of help. In an article by Rosen (2014), it is stated that five

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,

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