Issues In Home Care Case Study

Seniors often desire to do the things that lead to better heart health but they are not able to do so. In-home care providers are able to help your senior loved one accomplish the things they were not able to do on their own. From providing support, encouragement, and safety for exercise to giving that extra push needed to stick with smoking cessation, caregivers can make a significant difference.

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

“Evidence suggests that one in 10 older adults experiences some form of elder abuse, but only one in 25 cases is reported to social services agencies” (Dong, 2012, p. 2151). Elder mistreatment can occur in a variety of settings including domestic and assisted living. Elder abuse includes psychological, physical, and sexual abuse; neglect to include both caregiver and self-neglect; and financial exploitation. With the vast explosion of the aging population in today’s society elder abuse can no longer loom in the shadows.

As our population ages there are more individuals who are relying on the assistance and the care from others in order to perform tasks throughout their day. With this reliance on other individual’s assistance the elderly population is at an increased rate of experiencing a form of abuse from their caregiver. Children or a spouse are often found to be the abuser for elderly individuals who are still living in the community setting (DeLiema, Navarro, Enguidanos, &Wilber, 2015). This is becoming a growing concern, as it is estimated that around 10% of the United States elderly population is currently or has experiences at least one form of abuse. The forms of abuse that can occur include physical, sexual, psychological or emotional, financial

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.

Abuse is defined as the willful infliction of physical pain, injury, or mental anguish upon an older adult, or willful deprivation by a caretaker of services necessary for physical and mental health (Falk, Baigis, & Kopac, 2012). Elder mistreatment is unrecognized, hidden, underreported, and encompasses a broad range of abuse including self-neglect, financial exploitation, and emotional harm, all of which require a different type of intervention (Falk et al., 2012). Screening and assessment are necessary to determine whether an elderly person is being abused, exploited or neglected by someone or if he or she is unable to provide self-care (Falk et al., 2012). In March 2010, the Elder Justice Act (EJA) was passed as a part of the Affordable Care Act, which authorizes federal response to elder abuse through training, services, and demonstration programs (Dong, 2012). Part I of EJA calls for the formation of an Elder Justice Coordinating Council comprised of federal government representatives charged with the responsibility of administering programs for the promotion of elder justice (Falk et al., 2012). The Council is to provide recommendations to the Secretary of the Department of Health and Human Services on the issue of abuse, neglect, and exploitation of the elderly (Falk et al., 2012). Part II focuses on the authorization of programs aimed at enhancing long-term care (Falk et al.,

Other at-risk groups include people who are socially isolated and people with mental impairments or dementia. While protecting the victim is of the utmost importance, it is vital to not forget the abuser because they are affected as well. Since most abuse happens at home by family members, that is who I am referring to as the abuser. The stresses of caregiving can be overwhelming. While elder abuse is never an acceptable response to any problem, no matter how stressful, many people who are thrust into the role of caregiving can find themselves ill-equipped for it. At its most innocent stage, a caregiver 's unintentional failure to provide proper care and support because of a lack of understanding or lack of skills is abusive behavior that can threaten the safety and well-being of the older adult, but instead of them being penalized it may be more productive to educate them.

In the health field, the role of professional nursing plays an important part when it comes to elderly abuse. Nurses are among the categories of mandatory reporter most frequently identified in elder abuse reporting and protective service laws, and they are the health care professionals who most often assume major responsibilities in assessing elder abuse and neglect situations (Miller,2005). Nurses intervene in elder abuse situations as individual health care providers or as part of a

An estimated 700,000 to 1.2 million elders in the United States (U.S.) annually suffer mistreatment at the hands of others or self; 450,000 new cases are identified each year (C, F. N. 2012). Though these numbers are alarmingly high, there really is not much elder abuse awareness. Available information tends to come from small, non-representative samples; agency and caregiver reports; and the criminal justice system (C, F.N. 2012). I actually think that people outside of family members tend to forget about elderly folks that are in these homes and put into such situations. Each year numerous numbers of older adults experience abuse, neglect, and exploitation by those who are expected to safeguard them and protect their interests.

Neglect and abuse is a serious issue for the elderly living in our community, especially for those living in nursing facilities and it needs to be taken seriously by society. Due to chronic illness in this population, primary care providers are frequently in the best position to diagnose, intervene, and report potential victims of abuse and neglect. Although all caregivers who encounter the elderly whether in outpatient setting, nursing home, or even at home should know the warning signs and be able to report any signs of abuse immediately.

Every day 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.

Over the past few decades there has been an increasing emphasis on self-care and home health care. Due to the Recent changes in health care towards individual’s autonomy and self-control, increasing aging population, the shift from acute to chronic diseases and early discharge policies, many health care services that were previously provided in hospital settings are now being shifted to home (CHCA 2014, CHA 2009). Although the demand for home care has a significant increasing trend (HGO 2015), yet Canadians are not entitled to home care services under the Canadian Health Act (CHA 1985). Home health care services are provided under the name of “extended service”, meaning

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 a significant amount of reports on elderly abuse in America. An increasingly disproportionate amount of elderly people needs care and assistance to perform essential tasks like eating and drinking. However, families are not stepping up to help care for their elderly family members for different reasons. Some claim to be too busy with their own lives, others do not have the knowledge or skills needed to appropriately care their elderly family member or some simply do not aim to care for their elderly family members. Because of this many elderly people end up in elderly care facilities. These institutions are intended specifically to take care of people who cannot care for themselves or who cannot receive help from others while living

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