Physical Abuse In Geriatric Patients

Elder abuse is the most common type of abuse that gets looked over. People normally do not suspect or even think an elderly person may be getting abused, but this is a serious topic in nursing homes and hospitals. Every health care professional needs to learn the warning signs and symptoms of elder abuse to prevent this from happening.

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

.Adult Protection Services is an evolving agency that provide services to many people. Adult Protective Services is a state ran agency, and is required to offer services to the elderly population. At the agency, clients are referral from several different issues. Our agency investigated claims of abuse, neglect, and exploitation of elder or disabled citizens. The greatest social issue that face many Adult Protective Services caseworkers, is physical and self-neglect. A lot of the elderly population face many challenges throughout their later life. “Old age in American society presents the individual with a variety of potential problems and stresses, most of which are in the category of social, economic, and personal losses”(Ruiz, 1985,

Every elderly deserved the right to be treated with respect and protect from all type of abuse (American Psychological Association, 2006; Lee, 2007). Significant progress have been made in the past five years toward eliminating violence against older adults. However, the lack of knowledge and clinical skills in health care provider

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).

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 definition of patient abuse is the mistreatment or neglect of individuals who are under the care of a health care organization (Pozgar, 2013). In the United States, the vulnerable populations for this abuse are the elderly and children. Patient abuse is not only in an institutional setting, but also at home. The rise of elderly patients has increased in recent years due to the aging of the baby boomers. Currently, 13% of the population is over the age of 65 (NCEA, 2014). Many cases of elder abuse is caused by their own family (NCEA, 2014), this in turn reflects underreporting and insufficient data. The elderly also experience higher levels of physical and mental disability, which impair their abilities to report (CDC, 2014). Children are at high risk as well due to their vulnerability because of age and mental age (CDC, 2014). Health care workers are required by law to report suspected abuse (Pozgar, 2013). There is a strong ethical duty to acknowledge abuse of any patient. There are also legal ramifications compelling health care workers to be aware of suspected abuse. Each state has enacted laws to report abused patients as well as protect and at times penalize the reporter.

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.

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

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.

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

Enforcing laws in nursing and care facilities will directly benefit both the elderly patients and the care physician. With laws enforced, and families and patients informed, a world of worry dissolves from the patient and the family. When patients and families don’t need to worry about the safety or livelihood in a nursing or care home, it benefits everyone. The census bureau states, “According to the U.S. Census Bureau, people 65 years of age and older accounted for 12.5% of the US population in 2000” (Sellas M.D.). It would be a huge relief for everyone if laws were enforced. Also, the work environment for the care and nursing physicians would greatly benefit from the enforcement of elder abuse safety regulations. As stated previously, most acts of violence in the nursing and care fields occur when employees collect low wages and feel miserable because of their working environment. When the government enforces laws, it creates a better working environment and then a safer environment for patients. In many cases, nurses and other caregivers may not know exactly what forms elder abuse can take. They need to be informed, in a variety of ways. According to the Oxford Journal, “There is an annual world Elder Abuse Awareness Day and the

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,

Elderly abuse in nursing homes in America is an uprising issue. Elders make up a large portion of our population and they deserve the equality. This issue is very important because eventually this could affect you personally, or a loved one in your family. I stand for better environments in these nursing homes and find it terrible that elders get treated so poorly. The reason the number of reports on elder abuse has gone up so rapidly in the past decade is because the number of elders has drastically risen. There is an increase in the number of elders not only because Americans are living longer than ever before, but also because the next generation of senior citizens is larger than ever before. It has been predicted

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