Possible Solutions To Patient Abuse

This research paper is being submitted on December 8, 2011, for Mara Pehkonen’s M230 Medical Law and Ethics Course.

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 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

Of the HFE cases, six identified co-occurring abuse, nine identified co-occurring neglect and one identified both co-occurring abuse and neglect. Interviews were conducted with up to three interviewees per case to include Adult Protective Services (APS) caseworkers (54), victims of reported elder maltreatment (42) and third party uninvolved individuals; such as neighbors, children, and friends (31) (Jackson & Hafemeister, 2012). Data was collected from a statewide database of all reported cases over a two year period. From that data, sources were interviewed and utilizing that data and APS data, important differences were found over the four types of maltreatment and the significance of studying both the victim and the abuser when determining types of elder maltreatment and the risk factors (Jackson & Hafemeister, 2011).

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.

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.

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.

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).

Elder Abuse: The Crime of the Twenty-First Century? - Research on Aging MAY 5, 2014 University of California Television (UCTV) Retrieved from: https://www.youtube.com/watch?

One of the fastest growing populations in the United States are the elderly. According to Stark (2012, p. 24), “In 2000, adults age 65 and older accounted for 12.5% of the U.S. population. By 2050, they'll account for an estimated 25% of the U.S. population.”As the elderly population continues to grow, so are the cases of elder abuse, especially elder abuse types that are difficult to detect. It is a growing concern for today's modern and future society.

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,

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

Shauna, I agree with your argument. The nursing staff definitely did not advocate for the patient’s rights. Instead of thinking about the wishes of the patient, the staff were stubborn in their ideas and sense of ethics. It is questionable as to why did doctor ignored the request to stop resuscitation and continued to coerce the patient’s guardian into allowing the procedure. It appears there was an incident before this video that caused the staff to act in this way. Perhaps the healthcare staff had connected personally with the patient and did not want her to die. Even if this was the case, I agree that the staff did not practice appropriate clinical judgement. They should not have let their emotions and thoughts influence their behavior in

Wow Megan! I love the design you used for your flyer. It is an eye catcher which will draw people of all ages to take the time to read it. You displayed the information in an easy to read format including how to seek help. During my reading I was saddened to read that “nurses continue to have myths and stereotypes about when and whom they should screen such as the following: IVP is not a health problem; the patient will not be truthful about being abused; the patient will never leave the abusive relationship; and patients will be upset if the nurse asks questions about the abuse” (Jarvis, 2016, p. 105). As a health care provider we are the patients advocate, there may be times the nurse is the only advocate the patient may have. I have found