What Policies Affect Elders Who Hoard And Protect Them Against Neglect

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,

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

In the 1990s, the Elder Abuse Task Force was established by the Secretary of the "U.S. Department of Health and Human Services." The task force developed an action plan for identifying and preventing elder from being mistreated in health care setting. A National Institute on Elder Abuse was established in 1991 as part of the Administration on Aging 's Elder Care Campaign. Adult Protective Service programs now exist in each state to serve vulnerable adults, especially seniors who are at high risk of being abuse and neglect (AMA, 2015). Such actions have been brought to the attention of the public and physician concerning elderly abuse and neglect. Researchers have conducted studies to assess the scope and causes of mistreatment among the elderly (AMA, 2015). Laws have been enacted in each state for physicians and others to report suspected cases. The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) for emergency departments and their ambulatory care centers for identifying elder abuse, in addition to domestic violence and child abuse (AMA, 2015).

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).

Sexual abuse refers to sexual contact of any kind without permission neglect is not providing food, health care, shelter or anything needed to live for vulnerable elder persons. Illegal taking or misuse of the elder’s property is called exploitation. Emotional abuse is the humiliation, threatening, or insulting (verbally or nonverbally) of an elder. Deserting of a vulnerable elder by a person who is responsible for them is called abandonment.

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

Another issue is the awareness of the individuals who hoard. While it may be difficult to prevent hoarding entirely, it is important for caretakers and professionals to know the early signs of hoarding and self-neglect to prevent further harm to the individual. It is the responsibility of everyone to report suspected elder neglect, abuse, and exploitation. By creating awareness of the issue and who to call, individuals may feel more comfortable reporting

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

Elder abuse. Elder abuse is an umbrella term that encompasses physical, sexual, emotional, or financial abuse of an elderly, frail individual. All states have reporting laws for health professionals who encounter elder abuse, neglect, or self-neglect, but reporting is not mandated by every state. Colorado law, for example "strongly urges" and suggests that a report "should be made" but does not mandate such a report. Even when reporting is mandated, health professionals infrequently report abuse of an elder. Physicians often fail to report abuse because of concerns about conflict and loss of trust in the patient-provider relationship. Physicians have also voiced concerns about malpractice and personal liability if a report of abuse turns out to be ungrounded.

Some of the reasons for this may be fear of increased abuse or even simply believing that reporting will not change the situation. Professionals have the dilemma whether or not to say anything because of ignorance of how or what to report which prolongs the neglect and abuse (Brandl et al., 2006). As a healthcare professional, you are mandated to report any abuse you witness. Sadly, elder abuse is a crime that is underreported, and understudied that impact millions of elders (McClennen, J.C.,2010). Seeing firsthand what goes on in a long-term care facility where many of the elderly are virtually helpless, opened my eyes to how immense this issue is in our Country. I realized that if things go unnoticed in care facilities, they will be ignored in domestic setting, assisted living facilities and anywhere else for that matter. There has to be some kind of solution to this

Submitted to Instructor Terry Lee, MSN, RN, in partial fulfillment of NR410 Introduction to the Profession of Nursing

Are nursing homes abusing and neglecting the elderly? The elderly are abused and neglected in society today by caregivers in nursing homes. Elder abuse or neglect is a single or repeated action occurring within any relationship where there is an overlook of trust which causes injury or distress to an older person.

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,

This often occurs in domestic settings, so this makes detection limited. Unlike abused children that see different people throughout their daily routine, older adults may not see anyone besides their abuser. They may not see anyone outside of their homes until they go see their doctor, or have to go to the emergency room. The most commonly reported abuse is self-neglect. Elder self-neglect is the inability of an older adult to arrange for what they need for a safe and independent living (Halphen, 2014). They are often found living alone with untreated medical conditions and little social support. Older adults may not have sufficient appreciation of their circumstances nor the ability to make decisions about their living arrangements. They