The Aging Population Of U.s.

Something that American society has not experienced before is how to handle an aging population that is growing quickly and projected to double by the year 2050. The current growth in the number and proportion of older adults in the United States is unprecedented in our nation’s history. By 2050, it is anticipated that Americans aged 65 or older will number nearly 89 million people, or more than double the number of older adults in the United States in 2010 (The State of Aging and Health in America, 2013). Mirroring the aging of the U.S. population as a whole, the number of self-identified LGBT adults age 65 or older is expected to double by 2030 -- from 1.5 million to 3 million (Dennis, 2014). For a marginalized lesbian, gay, bisexual, and transgender community (LGBT), the choice of a health care surrogate to make medical decisions can be very difficult. Issues of discrimination, lack of legal and social support, varying levels of relationship commitment, and complications of disclosure to family and medical professionals (Buckey and Browning, 2013, p.233). The purpose of this research is to address end of life care issues facing the aging LGBT Community which include; issues with advance care planning and surrogate decision-making, issues with a partner and family involvement, and issues with healthcare provider-patient communication.

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).

When presented with the word “elderly,” a twenty-year-old might begin to think of the joys of retirement when an older person has spent their life building a comfortable bank account; they then get to reward themselves by journeying around the world with their near and most dear companion. When reality sets in, that person may realize that a lot of today’s elderly are living in nursing homes or living week-by-week not knowing if they are going to be able to leave their hospital bed just to go relax in their recliner at home. While it is true that some elderly enjoy their last twenty or thirty years on earth, a lot of the elderly in America are struggling to hang on to life while being abused every day by healthcare workers or even loved ones. While many people have been working endlessly to put a stop to elder abuse, not everyone can say the same.

With the aging society in America means that there will be larger number of older people than young people. As a result of this fewer people will have to pay taxes to support public necessities and there will be fewer young people to provide services for the elders. This will also highly affect the health care in America because many seniors will have a chronic illness and there will be a shortage of healthcare workers to assist them. This will affect retirement because retirement income is made up of welfare payments, savings, and public and private pensions. Most publicly financed retirement pensions are funded by programs or most commonly know, social security. Social security is a universal income support program for elders and is usually

Elder abuse is of growing concern in today’s society; it is the single most unreported cause of abuse. The thesis of this paper is to describe elder abuse, look at why it is becoming such a problem and what is being done to correct it. According to World Health Organization it is estimated that 80 percent of elder abuse is unreported (Daly, Schmeidel & Jogerst, 2012). Elder abuse is a problem not only just in the health care setting but community wide. Patience and having the time to care for the elderly population is becoming more and more of a struggle in that nurses are being continuously bombarded with a larger patient load and a lack of help. In an article by Rosen (2014), it is stated that five

Elder mistreatment is a serious problem in America, yet it often overlooked. Elder abuse is defined as abuse in older adults that includes, but isn’t limited to physical, emotional, financial or sexual abuse. It is a single or repeated act or lack of appropriate action, occurring within any relationship where there is an expectation of trust, which causes harm. It is often misunderstood and dismissed as just a family matter when in fact, that is the least common source of cruelty amongst the elders. According to the National council of aging, 1 in 10 Americans aged 60 and older have experienced some form of abuse. Some estimates range as high as 5 million elders who are reportedly abused yearly.

Elder abuse is a serious problem and almost 14.1 percent of noninstutionalized older adults in the United States have experience it in the past year (govtrack.us, 2016). The elder abuse is any kind of mistreatment that causes harm or loss to an older adults and it is not only limited to physical and psychological abuse, but also include sexual and financial abuse, and neglect (National Committee for the Prevention of Elder Abuse, 2008). In addition, the National Committee for the Prevention of Elder Abuse (2008) mentioned that older adults as a result of abuse can lose their independence, homes, life savings, health, dignity, and security. Most importantly, the older adults who have been abused are 300% at higher risk of death than non-abused older adults (N National Center on Elder Abuse, 2016).

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).

Health care has been an issue for the United States for several years. Universal health care has still not been accomplished, and this means there are many people uninsured across the country who could be seeking medical attention, but cannot afford it. Another problem recently surfaced for the United States. This problem is the aging population. There are many factors that have contributed to the aging population, and they greatly effect health care.

A term that is quite often used in today’s society is family violence, more specifically child abuse and spousal abuse. A term that is not heard often is elder abuse, which is unfortunate due to the fact that it is a fairly common occurrence. It was estimated that in 2009, one in ten elderly Americans were victims of elder abuse within the previous year (Acierno, 2010). Even though elder abuse is prevalent here in America, it is seldom that this phenomenon is actually discussed.

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,

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