Elder Mistreatment Paper – A Case Study on Mollie S. Alexandra (Sandy) Dais Nursing 321 The University of North Carolina Wilmington October 28, 2017 Elder Mistreatment – A Case Study on Mollie S. Introduction 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 …show more content…
The EAI is a 41 item assessment tool designed to obtain information about potential abuse and neglect including physical abuse, neglect, exploitation and abandonment (Fulmer, 2003). Elder Assessment Instrument (EAI) Findings The general assessment findings regarding the patient ranked the general assessment as very poor regarding clothing, hygiene, nutrition and/or dehydration, and poor findings regarding skin integrity. The general assessment showed that the patients clothing were not clean; saturated with urine and food stains. In regards to nutrition this ranked very poor as well, considering the patient has lost 10 pounds since her last hospitalization only two weeks ago. This weight loss also could be because of dehydration or nutritional imbalance; further labs will need to be completed to decide if weight loss was regarding nutrition, dehydration or both. Albumin levels will be assessed for nutritional status (Bharadwaj, 2016). Skin integrity ranked a poor on the scale. The diffused red abrasions noted in sacral area could be a stage 1 ulcer. (Advanced Tissue, April 2014). Being unkempt, soiled and dirty is large warning sign of neglect especially for elderly patients (HelpingGuide.org, 2017). The possible physical abuse section includes the assessment of bruising that appeared on several places on the patient’s body including right periorbital area and right maxilla along with swelling, redness and warmth. There was
Signs: bruising, bite marks, cigarette burns or other marks that cannot be explained where they could come from.
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).
According to statistical researches by Dong (2015), many elderly adults are abused in their own homes, in their relatives’ homes, or even in institutional settings, especially long-term care facilities (pg.2014). Dong also finds two thirds of abusers to be the adult’s own children or spouses (2023). Family members may begin to actively resent the elderly person and the responsibilities of caring for him or her. In short, older adults are not even safe around the people who supposed to care and protect them. The thought of family members abusing their own loved ones is disturbing.
There is an average of 293,066 victims (age 12 or older) of rape and sexual assault each year. Also Elder abuse occurs in community settings, such as private homes, as well as institutional settings like nursing homes and other types of long term care facilities. 3.2 million Americans resided in nursing homes during 2008. There is numbers of reasons that evil people abuse a loved one or ill person. In society this type of behavior is not tolerate and people need to be aware of the problem.
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
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
Elder Abuse is one of the single most important issues affecting the elder population in
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
As learned from the video clip, “Adult Protective Services & Elder and Dependent Adult Abuse,” (C-Dub Productions, 2012), elder abuse is a crime that is affecting our communities regardless of economic, language or financial status. Elders and dependent adults are among the most vulnerable. They experience all types of abuse, physical neglect, and financial scams. It is worrying that adults being as much or more exposed to abuse as children are not protected. Older people are often isolated; they do not seek help or talk about the abuse they are facing. Sometimes elders put their pride before anything else. The feeling of shame often results in elder abuse remaining hidden.
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,
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 also called elder abuse. This could entail a single or repeated act of refusing to do something by a caregiver. Every year, hundreds of thousands of our elders are abused, neglected, and exploited. Elder abuse and neglect is more common than we think it is. Elder abuse includes intentional, unintentional and neglectful acts by family members, care givers and even close friends. Elder abuse includes physical abuse, negligence, financial exploitation, physiological abuse, and deprivation of basic necessities, isolation from friends and family and even withholding medication. Like many other forms of abuse, this type of abuse becomes a family secret. Sadly 1 out of every 10 elders are abused or neglected. We must become
Children and the elderly are a dependent demographic. Their dependence on their caregivers for sustenance makes them vulnerable to abuse. Abuse can manifest in two forms physical and non-physical abuse. While the victims of aggressive attacks are easily identifiable leading to appropriate actions taken against the culprits, the majority of abuse incidences are latent. Therefore, it is extremely important for nurses to key and discern those types of signs and symptoms presented as possible child/elderly abuse. The rate of elderly abuse is set to surpass child abuse cases given that the United States is an aging nation. The nursing faculty should leverage the resources available such as a checklist to help determine neglect and suspected abuse. The majority of cases of abuse go unreported owing to the inability or fear of the victims to report their situation. Different states have variation from the federal regulations regarding handling abuse cases. The nurses are central in the fight against dependent abuse.
When I first started the research on sexual elderly abuse I know that it happens but didn’t know the extent of the finding until now how much emotional, physical, sexual, and financial mistreatment and potential neglect that our elderly endure. Elder sexual abuse is understudied and rarely understood. It is difficult to seek justice for elderly sexual abuse because the victims are over the age of 60 and frequently have medical conditions such as loss of memory, communication problems, or confusion as while as finding the perpetrators who maybe attendants, employees of care facilities, family members including spouses, and others. Facility residents sometimes assault fellow residents while the majority
As America ages, so does the growing number of elderly who are at risk of various forms of manipulation and abuse. Elder abuse is a growing issue that demands the public’s attention due to the dangerous implications it raises for this population. Elder abuse can take different forms and often goes unreported because it is frequently at the hands of family members. In this paper, I plan to identify characteristics of elder abuse exhibited in Norman’s case while providing an appropriate theory, assessment, and intervention that can be used to provide appropriate treatment.