Elder Abuse And Neglect Essay

Elder abuse is the most common type of abuse that gets looked over. People normally do not suspect or even think an elderly person may be getting abused, but this is a serious topic in nursing homes and hospitals. Every health care professional needs to learn the warning signs and symptoms of elder abuse to prevent this from happening.

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

Physical abuse is “the mistreatment of a child that causes physical injury, impairment, or endangerment.” (Layman 15) It accounts for about 25 percent of abuse cases. (Moses) Children who have been abused usually show certain signs. They tend to be apathetic and withdrawn, but at the same time, constantly scanning their environment for danger. (Oates 43) Physical abuse can leave all kinds of injuries.

Although it does not usually make news headlines and is rarely discussed, nursing home residents and the elderly experience abuse sometimes on a daily basis. Medical errors, physical abuse, or stealing from them could all be classified as abuse. All around the world today, a population that is not able to help itself is being harmed, whether it is physical or sexual abuse, exploitation, or not being properly supervised; the elderly and nursing home residents are being abused.

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.

There are many broad and different definitions of elder abuse, and different forms and ways to deal with it. Elder abuse consists of “intentional or neglectful acts of a caregiver, family member, friend, or other individuals that lead to, or may lead to, harm of a senior citizen” (Elder Abuse Facts, 2016). One of the biggest problems we face when looking at this policy is that elder harm and abuse can happen practically anywhere. Elder abuse can happen in a private setting; in their own homes committed by their own family members (Help Guide, 2014, p.1). But it can also happen in a care center, with lots of people living in close proximity to them.

As Americans live longer, it is no surprise that the population of older adults has increased; consequently so has the ubiquitous problem of elder abuse. In the United States elder abuse is an exceedingly, overlooked public health hazard; which covers a wide range of abuses. Approximately 2 million adults, over the age of 60 are abused or mistreated each year. ("Elder Justice: A John A. Hartford Foundation Change AGEnts Issue Brief", 2016) The Centers for Disease Control and Prevention has defined elder abuse as "an intentional act, or failure to act, by a caregiver or another person in a relationship involving an expectation of trust that causes or creates a risk of harm to an older adult, age 60 and older” (“Elder Abuse: Definitions”, 2016) Studies show a vast majority of health care professionals underestimate the occurrence of elder

As the healthcare system in this country has changed, so have traditional nursing homes. Families have the right to expect that their loved ones will be taken care of by professionals in a caring environment. Unfortunately, may people are being abused and neglected in nursing homes. It is very clear that abuse is a serious problem among nursing home patients, and something needs to be done to put a stop to it.

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).

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 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

“Evidence suggests that one in 10 older adults experiences some form of elder abuse, but only one in 25 cases is reported to social services agencies” (Dong, 2012, p. 2151). Elder mistreatment can occur in a variety of settings including domestic and assisted living. Elder abuse includes psychological, physical, and sexual abuse; neglect to include both caregiver and self-neglect; and financial exploitation. With the vast explosion of the aging population in today’s society elder abuse can no longer loom in the shadows.

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,

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