old age problem

In the U.S, one in four will be aged 60 years and older by 2050 (U.S. Census Bureau). This represents an overwhelming number of people who will either be in the caretaker role or be the ROC. Like today, most of the care will be provided by informal unpaid caregivers. The number of informal unpaid caregivers is expected to rise from 20 million in 2000 to 37 million in 2050 (Office of the Assistant Secretary for Planning and Evaluation [ASPE], 2003). Because of the burden of care giving, many caregivers will experience depression, poor health and quality of life (Etters, Goodall, & Harrison, 2008). Their well-being is an important public health concern.

Neglect by others occurs when either a support worker or a family or friend carer fails to meet someone’s support needs as they do not realise its importance, or because they cannot be bothered, or choose not to provide it.

Neglect by others – not providing adequate care for person who can’t take care of themselves

Self-neglect in the elderly is an important public health issue. It occurs more frequently than any other form of abuse or neglect and is expected to become even more prevalent as baby boomers retire and government appointed resources for the elderly decrease (MacLeod & Douthit, 2015). Elder self-neglect is a social justice issue that involves internal factors such as the health of the older adult and external factors such as access to necessary resources. For nurses to become a part of preventing

In the Journal of JAMA, Volume 302: Issue no. 5 published on August 5 2009 Elder Self-neglect and Abuse and Mortality Risk in a Community-Dwelling Population. The authors: X. Dong, MD, Melissa Simon, MD, Mph, Carols Mendes de Leon, PhD, Terry Fulmer, PhD, RN, Todd Beck, MS, Liesi Herbert, ScD, Carmel Dyer, MD, Gregory Paveza PhD, MSW, Denis Evans, MD argue that both elder self-neglect and abuse is becoming more clear in regards to public health concerns, and that elder self-neglect or abuse is linked with mortality and not just on those that were vulnerable. In addition, that both elder neglect and abuse reported to social agencies there was an increased risk of mortality (Dong et al., 2009, p. 517).

Research show that in 2013, over 9.5% of seniors over the age of sixty-five lived in poverty with the percentage increasing as an individual’s age increases (McNeal, 2016). These statistics does not account for the other issues which affects families and caretakers when addressing the well-being of their loved ones and the inadequate access to long term care.

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.

Neglect is the deprivation of services deemed necessary for maintenance of physical and mental health. Elder neglect is sometimes the result of an inability on the part of an elder to care for him or herself without external assistance or support (Nancy L. Falk, Judith Baigis, & Catharine Kopac, 2012). It also occurs when the person responsible to provide such support fails to fulfill his or her obligations (Fulmer & O’Malley, 1987). This type of abuse includes abandonment, as well as deprivation of such basic needs as food, water, clothing, housing, or medical care (Elder Abuse Forensic Center, n.d.). Scenario: A 80 year old woman who bed bound is cared for at home by her family. Over time she becomes, emaciated, dehydrated,

· Neglect. In cases of elder neglect, the victim may be physically frail or cognitively vulnerable. The caregiver does not take adequate care of the victim, who may acknowledge his or her own shortcomings as a parent and conclude that the tables are being turned — and that he or she deserves no

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

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.

If people are not addressing the abuse and neglect of the elderly in society then what kind of care does the future generation expect to receive? The results of elder abuse are devastating and can include

Instead of relying on income from previous occupation, the elderly population, income will fixate, resulting in dependency on their 401k saving plan and other government related programs to assist with activities of daily living. This is why I choose to work with this population, to ensure that dignity, worth, and respect of a person is maintained. However, the aging population should not feel that they are being treated as a burden by the government or their families. In the United States, we undermine our aging population by treating them as though they are not of any value. In reference to this mistreatment towards the aging population can cause issues such as unemployment, health, and elder abuse.

Neglect is defined as the refusal or failure to fulfill any part of a person’s obligations or duties to an elder. Neglect may also include failure of a person who has fiduciary responsibilities to provide care for an elder or the failure on the part of an in-home service provider to provide necessary care. Neglect typically means the refusal or failure to provide an elderly person with such life necessities as food, water, clothing, shelter, personal hygiene, medicine, comfort, personal safety, and other essentials included in an implied or agreed-upon responsibility to an elder (AOA, nd).

Later adulthood is the time in life when changes in marriage, families, and peer relationships are affected the most by the loss of someone close to that person. “Most people 70 years of age or older are widowed, divorced, or single” (Zastrow & Kirst-Ashman, 2010, p.619). Losing a spouse or close friend can create a sense of loneliness, which causes depression, anxiety and the emptiness feeling can become overwhelming. Depression also leads to psychological effects that will deteriorate a person’s health causing the chance for a terminal disease to become much higher. The weaker appearance of older adults causes family and remaining peers to step up in the role of making sure the person’s wellbeing is being met. (Zastrow & Kirst-Ashman, 2010). Living accommodations and healthcare needs