Is Elder Abuse Common For Aging Adults?

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.

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

B., Resnick, H. S., Muzzy, W., Kilpatrick, D. G., Hernandez, M. A., & Steve, K. (2010). Prevalence and correlates of emotional, physical, sexual, and financial Abuse and potential neglect in the united states: The national elder mistreatment Study. American Journal of Public Health, 100(2), 292-297.doi 10.2105/ajph.2009.163089

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

The abuse can be physical, emotional or psychological, sexual, or financially and can be intentional or unintentional neglect from the caregiver (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). Physical abuse can range from shoving, severe beatings, and restraining them with ropes or chains (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). Physical abuse can also include the inappropriate use of medications and physical restraints and physical punishment of any kind (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). Verbal abuse can range from name calling, silent treatment, to intimidating and threatening the person (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). If the caregiver, whether family or not, acts in a manner that causes fear, mental anguish, emotional pain or distress, this behavior can be regarded as

An estimated twenty-one percent of nursing home residents are neglected at least once in the past twelve months and more than twenty-four percent are abused at least once during their entire stay (Schub & Kornusky, 2014). In a study of 718 family members and others responsible for those ages 60 and older receiving long-term care in a nursing home, an assisted living facility or paid homecare, nearly 30 percent reported at least one instance of elder abuse in the past year. Neglect was the most common form and sexual abuse the least (Anetzberger, 2012).

· Physical abuse. Contrary to common belief, many elderly victims of physical abuse are high functioning. The abuser is typically a family member, often the adult offspring of the victim. The abuser may be a long-term dependent of the victim because of health or financial issues and may take out resentment for this dependence on the elderly victim. These victims are generally aware that they are being mistreated, but their sense of parental or family obligation makes them reluctant to cut off the abuser.

The aging population is at high risk of being taken advantage of and mistreated by a caregiver or family member. Elders are the most vulnerable group of people and are subject to elder abuse in their later years of life. The Administration of Aging refers to elder abuse as the knowing, intentional, or negligent act that causes harm or serious risk of harm to a vulnerable adult. Every year, hundreds of thousands of older adults are abused, neglected, and exploited. Unfortunately, a trusted caregiver or a loved one commits most of these heinous acts.

The cases of elder abuse or neglect reported is alarming. The association of morbidity and mortality is astonishing as more victims are being identified. Studies, including surveys and interviews, have been done to identify what group of elders are at higher risk for abuse. The occurrence rate is increasing with the elder women, as they are being controlled and threatened by their abuser. It is more than likely that more than one type of abuse is experienced by the elder adult. In a

Elder abuse is commonly unheard of and may be initially associated with more relatable forms of abuse such as physical, sexual or psychological abuse (Patterson, 2017). However, elder abuse encompasses physical, psychological, sexual, financial, self-neglect and neglectful organised care (World Health Organisation [WHO], 2016a). Furthermore, older adults are at risk if they are socially isolated, discriminated against, afraid, have impaired cognitive function, dementia and impaired judgement or insight (Johannesen & LoGiudice, 2013). Additionally, carer factors contribute to the risk of older adult abuse such as the carer’s psychological state, socioeconomic strain and mental illness (Johannesen & LoGiudice, 2013).

According to the American Psychological Association there are seven types of elders abuse. Physical, sexual, emotional, financial/material exploitation, neglect, abandonment, and self-neglect (APA, 2017).

There are many types of abuse and neglect that are encountered in primary care. Many times, abuse and neglect are regarded as results of old age (i.e. bruises or abrasions from bumping into objects while walking secondary to unsteady gait or decreased vision). Elder abuse is often underestimated by care providers considering the definition differs widely among care providers and entities. This lack of definitional clarity can hamper the care provider’s ability to assess whether abuse or neglect truly exists which results in elder abuse often being unreported and undetected. Elder abuse and neglect can encompass many different areas to include physical, emotional, financial, sexual, psychological, medical, self-neglect and self-abuse (Falk, Baigis, Kopac, 2012, 2-3).

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,

There is no doubt that many elderly individuals will eventually need assistance with managing their finances, which includes making purchases on their behalf. Thus the older adult may provide their caregiver with cash, cheques and in some cases they may implement a power of attorney. Essentially, powers of attorney grant considerable power to named individuals, over both finances and property. Unfortunately, over time what evolves is an over spending of the older adults money solely benefiting the caregiver, moreover, these caregivers begin to develop a sense of entitlement (Gibson & Honn Qualls, 2012, p. 27). When considering financial abuse committed by strangers, many simple scams against older adults have surfaced over the years. For example, individuals may offer handyman services, recognizing that many older adults struggle with chores such as exterior window washing. However once paid, the individuals do not return to complete the job. It is interesting to note that of all reported elder abuse cases, financial abuse makes up more than half of all complaints (Friese & Collopy, 2010, p. 60).