Erickson Theory: Promoting Successful Aging

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 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.

Everyday thousands of senior citizens and people with Alzheimer’s disease or dementia suffer from abuse by a caregiver. Most of the abuse is in the form of emotional or physical abuse, but there are also a number of different types of abuse including financial abuse. The abuse can either take place in a medical setting such as a nursing home or hospital, or it can also be done by the victim’s own family members. These senior citizens are mostly targeted due to the fact that they are mentally incapacitated; they do not have a very strong short term memory, and sometimes they do not have the ability to talk to another individual about how their caregiver has been abusing them.

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.

Sexual abuse refers to sexual contact of any kind without permission neglect is not providing food, health care, shelter or anything needed to live for vulnerable elder persons. Illegal taking or misuse of the elder’s property is called exploitation. Emotional abuse is the humiliation, threatening, or insulting (verbally or nonverbally) of an elder. Deserting of a vulnerable elder by a person who is responsible for them is called abandonment.

Too often seniors refuse to report abuse, neglect, or crime against them out of fear of losing independence. It is a common misconception that being victimized will deem you unfit to live independently and will result in being placed in a facility of some sort. It is important that seniors feel they can turn to those around them with concerns and incidents that occur. In the event that a senior is not forthcoming with information there are a number of avenues that may involve reporting of suspected incidents. Hospitals, doctors, community service organizations, and long term care facilities can report suspected crimes to authorities or Department of Social Services in an effort to protect the individual. If a senior cannot properly protect themselves then health care professionals from all areas should have the ability to act on behalf of the individual to seek help but not dictate the overall outcome as a result. For example: simply finding that a person has been a victim of exploitation should not mean that a person be moved immediately into a facility forfeiting their right to care for themselves. All facilities acting to protect a senior should aim to preserve senior

The Ontario Network for the Prevention of Elder Abuse states that 10% of older adults are abused in some way; which is over 160,000 people in Ontario. Elderly abuse is categorized as the violence, mistreatment or neglect of an elderly person by caregivers, service providers, family, or even strangers (Canadian Government). A senior citizen can be abused physically, financially, psychologically, and rarely, sexually. The mistreatment is usually because of the influence a caregiver has over an older adult. The abuse on the elderly can happen in long term care facilities or in the home; it usually goes unnoticed and unreported (Elder Abuse and Neglect). The concern of abuse on the elderly population is a growing issue due to the increasing populace of older people and baby boomers; physical, financial, and emotional abuse are the most common forms. The problem needs to be taken more seriously, the types of abuse may vary, but regardless of the form, abuse among the elderly needs to end.

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

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).

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).

Abuse is intentionally causing physical pain, injury, or mental anguish to another. It can also be the lack of providing proper care (Nancy L. Falk, Judith Baigis, & Catharine Kopac, 2012). The perpetrator can be anyone, family member, friends, strangers, or even other healthcare professionals. According to the Elder Abuse Forensic Center (Elder Abuse Forensic Center, n.d.), mistreatment of individuals 65 and over can take the form of physical, sexual, emotional/verbal, and/or financial abuse, or any combination thereof, as well as neglect and self-neglect. Each of the categories will be discussed in the following paragraphs with a scenario.

The elderly population is faced with many challenges as they age. One of the challenges is elder abuse. Globally, elderly abuse is a major social problem that has worsened over time. Physical, sexual, emotional or psychological and financial abuses are some of the forms of abuse the elderly population are subject to. Has memory problems such as dementia, lack of support and physical disabilities are some causes or risk factors of elderly abuse. The consequences of such abuse going unresolved is have health issues, such as depressions, anxiety, stress, long term-psychological issues and even death. Moreover, “elderly abuse is often defined as a repeated or single act, or lack of appropriate action, that happens in any relationship where there is an expectation of trust, which causes distress, injury, or suffering to an older person” (Kilvik et. al., 2015). The prevalence of Elder abuse is that of a world-wide issue caused by perpetrators, such as family members, friends, healthcare professionals, relatives and strangers. Interventions and prevention measures are put into place to help older adults suffering from the after math of abuse. As the elderly population grow, elder abuse increases. what are the different forms of elderly abuse? What are the various risk factors of elder abuse?

Elders in the United States should not have to go through situations of abuse like the one Mildred Mortenson suffered. However, this type of situations happen more often than they should and sadly, there is not enough being done to prevent it. Elder abuse should be recognized as an increasing and very serious problem in our society. As elders grow more physically frail and begin to depend on others to meet their basic needs, they tend to become vulnerable to intentional abuse and neglect within their own home as well as assisted living facilities such as nursing homes. Unfortunately, it is not possible to know exactly how many elders are being abused across the Nation. Due to under-reporting, variations in the definition of elder 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