Substance Abuse In Nursing Home

Abuse is a big hazard in the nursing home setting for example a member of staff could be secretly treating the patient with disrespect by calling them names, not washing them, and hurting them physically. This could lead the patient feeling worthless, upset and angry which would affect the patient emotionally and physically and may cause them to stop eating.

Evidence suggests that pressure ulcers greatly increase mortality rates in both hospitals and nursing homes (Thomas, 2001). Patients who develop a pressure ulcer within six weeks of admission to an acute-care facility are three times more likely to die than patients who do not develop pressure ulcers (Thomas, 2001). Moreover, patients who develop a pressure ulcer within three months of admission to a long-term care facility are associated with a 92% mortality rate compared with a 4% mortality rate for patients who do not develop them (Thomas, 2001). This evidence alone shows how significant this problem is to the overall health status of patients. In my personal nursing experience, I have heard many complaints voiced from patients and their family members concerning the development of new pressure ulcers. Patients and family members have expressed dissatisfaction because of the increased stress and prolonged hospital stay often associated with the treatment of pressure ulcers.

The purpose of this paper is to determine the level of substance abuse in the elderly community. There is concern that as the population ages in the United States, there will be a significant increase in the number of older adults being treated for substance abuse problems. This paper seeks to understand the issues and concerns that are consequently involved with substance abuse among the elderly.

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

Over the years, substance abuse in the United States has become a persistent issue affecting many individuals. In 2008, it was estimated that 17.8 million Americans over the age of 18 where substance dependent (Epstein, Burns, & Conlon, 2010). Many of these individuals being affected are nurses. Ponech (2000) stated that "approximately 10% of the nursing population has alcohol or drug abuse problems, and 6% has problems serious enough to interfere with their ability to practice" (as cited in Talbert, 2009, p.17). Studies show that nurses have a 50% higher rate of substance abuse compared to the rest of the public (Epstein et al., 2010). Among the many factors that contribute to the nurse’s issue of substance abuse,

Fulmer, T. (2008). Screening for Mistreatment of Older Adults. AJN, American Journal of Nursing, 108(12), 52-59.

Due to the patient being bedridden and immobile they often lie in the same position for long periods of time without being moved and the pressure on the skin can cause a sore and infection. If left untreated can cause serious problems and may result in surgery.

"Hospital-acquired pressure ulcers were shown to be an important risk factor associated with mortality," per Dr. Courtney Lyder, of the UCLA School of Nursing. "It is incumbent upon hospitals to identify individuals at high risk for these ulcers and implement preventive interventions immediately upon admission." Pressure ulcers, also known as bedsores often occurs when patients have limited mobility and unable to reposition themselves in bed causing injury caused by pressure, friction and

As Heise states, substance abuse among nurses a growing problem that is often overlooked by society. Addiction has been a problem in the nursing profession for over one hundred years (as cited in Monroe & Kenaga, 2010). According to the American nurses association, it is speculated that 6%-8% of nurses have a drug or alcohol related problem (as cited in Trinkoff & Storr, 1998). Substance abuse not only affects the individual abuser, but also can negatively impact those around them, most significantly their patients. Chemical dependence if often viewed as a lack of will power, but through education and research, this issue should be looked at as an actual disease. The education of nursing students is the first step in helping those with a

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.

Physical Abuse – Physical abuse is more common in nursing homes than anyone wants to admit. Shoving and restraining a patient can be a form of physical abuse. Hitting, pinching, slapping, kicking, and any other type of physical contact that harms the patient

Psychotropic medications are approved by the US Food and Drug Administration (FDA) primarily for the treatment of psychosis and mood disturbances associated with schizophrenia or bipolar disorders (Grunier, 2008). Despite FDA black box warnings related to the “off-label” use of these medications in the dementia population, a survey conducted by the Office of Inspector General in 2011 found that 86% to 95% of nursing home residents received these medications for other indications, such as managing behavioral disturbances associated with dementia (Chiu, 2015). It is the overuse and misuse of psychotropic medications, in particular as a strategy to subdue residents, that has designated these drugs to be labeled

The author of this article, David McKie a CBC crew member describes the situation of nursing homes in Canada. He talks about abuse from the staff and from the seniors. This article specifically refers to two examples in Canada of this abuse and it also states that about seventy percent of nursing homes are a dumping place for elderly who are “mentally unstable”. McKie states that it is difficult to know exactly what is going on in nursing homes because the staff are aware when a safety check is going to happen and can fix whatever is wrong before this time comes. The CBC crew is still attempting to get more information from nursing homes

Before there was any type of reform, legislation those that were running these Long-Term Services were abusing and neglecting the patients they were be paid to take care of, in light of quality of life. They were giving them medications that were keep them in deep trances were they didn’t have to care for them, but could keep them in a trance like state for hours and even days at times. “Although Nursing Home Care in general has improved, problems persist in areas relevant to end-of-life care, including pressure sore, malnutrition, dehydration, pain and quality of life.” (Sarah Thompson, 2008 ) These were all serious issues that needed to be addressed and major improvements starting happening within Long-Term

Bed sores are caused by prolonged pressure on the skin. This is why sores are more common in the elderly, who are on bed rest. The prolonged pressure injures the skin and these sores occur. The longer the sores are left untreated, the worse they become. These sores can resut in amputation, cancer, sepsis, and host of other unpleasant issues, therefore, it's important to know the symptoms so you know what