Disparity of The Elderly: Reflection of Overall Neglect and Abuse in 2015 A recent healthcare issue that has come to my attention is one that faces the elderly in this country who are no longer able to live alone and care for themselves alone and require the assistance of a nursing facility or reliance on a family member as their caretaker. I have decided to focus on this topic because I am in shock at how horribly some of the elderly in our communities are treated, these are people who were once vibrant and full of life and they each have their individual stories. We are all going to get old some day, and I for one do not want to be disregarded as someone who is just taking up space. I see my beloved grandparents and my beloved parents begin …show more content…
Incidences of abuse are showing many of the elderly are faced with neglect, (which can sometimes be self-inflicted) physical and mental abuse, whether it is on purpose or unintended, this has a severe affect on their long term health as well as their mental abilities to cope. The three most common types of elder abuse is financial exploitation, neglect and psychological-emotional abuse. 60-65% of the abusers are family members, with 32.6% being an adult child , 11.3% are spouses or intimate partners and 21.5% being an other family member (Friedman, 2011). Abuse is more likely to occur if the patient suffers from a mental illness, is a female or if the caregiver partakes in alcohol …show more content…
Being a caretaker of an elderly person can be trying, frustrating and difficult. These elders may suffer from mental diseases that make them violent or forgetful of their loved ones and that can take a severe emotional toll on some people. The elderly may not be able to walk or be bed-ridden, this can cause extreme frustration, fear and stress on an untrained caregiver. The everyday person has to worry about their everyday functioning and it might be nice if caretakers were able to get more of a break. If a family was suddenly responsible for taking care of an elderly family member as well as their having to balance and juggle careers, children or both, neglect may become a very possible reality for these elderly people. Many people are under the assumption that when an elderly person is sent to live with a family member, the family member will regard them with kindness and a willingness to help, this is not the case a lot of the time. Since the elderly patient is now dependent on others for their every day care, we might see some abuse taking place that resembles that of child
According to Missouri's Department of Health and Senior Services, there are three things that elder abuse can be classified as. It can be classified as abuse, neglect, or likelihood of serious physical harm. While all of these classifications sounds quite similar, there are some subtle differences. The Missouri Department of Health and Senior Services defines abuse as " the infliction of physical, sexual, or emotional injury or harm including financial exploitation by any person, firm, or corporation" ("Protective Services For Adults," n.d., para. 4). Elder neglect is "the failure to provide services to an eligible adult by any person, firm, or corporation with a legal or contractual duty to do so, when such failure presents either an imminent danger to the health, safety, or welfare of the client or a substantial probability that death or serious physical harm would result"("Protective Services For Adults," n.d., para. 4). Abuse, neglect, as well as likelihood of serious physical harm are all reportable by law. ("Protective Services For Adults," n.d).
There have been problems within Long-Term Care and many of these abuses were turned over to the patients, there was hardly any direction on how to handle Long-Term Care. “Poor houses and Almshouses and developed in response to an impoverished, aging, and mentally and physically disabled population who lacked informal caregivers.” (Sarah Thompson, 2008 ) When Long-Term Care was in the infancy stage of developing there were many problems, issues that were created because there was not much direction. In developing in taking care of the elderly there were poorly trained nurses, medical workers and many of them were not qualified to work within the medical field. There were problems, many issues and multiple levels of abuse because of poorly trained medical workers where there was no direction.
Neglected and abused elderly patients within nursing facilities do not show complete well-being. They may not be affected by diseases or infections, but they are physically and mentally harmed by those who work as their caregiver. Caregivers may have negative attitudes towards those who have disabilities. Similar to Gregor’s family members, Grete and Mr. Samsa, they show extreme negative feelings and actions towards Gregor. According to American Psychological Association, caregivers can prevent abuse by education, shortened amount of time of care, social support, and counseling. These factors can prevent “violent, abuse, humiliating [and] neglectful behavior” towards these adults. When nursing staff are under a high-stress situation, they increase the risk of neglect and abuse due to frustration and anger. This will ultimately traumatize and disrupt the social well-being and health of elders.
The purpose of this paper is to illuminate and discuss healthcare vulnerabilities of the elderly rural population in Baker County, Florida and describe how the nursing profession can address these problems. Rural health has been a complex and multifaceted challenge for government and healthcare practitioners. The elderly who live alone in the county suffer from low socioeconomic status, low health literacy rates, declining cognitive and physical health and lack of healthcare facilities. The health status of this vulnerable group is impacted by rural culture and social values, healthcare policy and funding affecting rural healthcare facilities, distance and lack of transportation, and health literacy.
...how kindness to them. Unfortunately, many caregivers take advantage of the elderly by taking their money, by using violence and sexual interference, and by abusing clients emotionally. 96% of elder abuse cases are not reported. ( Medscape.com). The Ontario Network for the Prevention of Elder Abuse (ONPEA) is an organization dedicated to raising awareness about abuse and neglect of older abuse. (onpea.com). It stands to reason that there is a large problem still rampant in society where others are taken advantage of, or mistreated. Hopefully more documented information and raising awareness of the issue amongst society will allow more people to understand this as a problem and the abusers to be caught. These obvious abuse of rights are something that should be protected, luckily people become more aware of these circumstances that is happening on a regular basis.
Upon growing older there are many decisions to be made. Among one of the most difficult and perhaps most important decisions is where the elder person will live and how long-term care needs will be met when he/she is no longer capable of doing so independently due to the incapacity that accompanies many with old age. Nursing homes seem to be the popular choice for people no matter the race, gender, or socioeconomic status with 1.5 million Americans being admitted to them yearly.[3] Because nursing homes are in such a high demand and are not cheap, $77.9 billion was spent for nursing home care in the United States in 2010 alone, they are under criticism of many professions including the legal profession, which is in the process of establishing elder law as a defense to issues with in the elder community. Nursing homes have a duty to provide many things to the elderly including medical, social, pharmaceutical, and dietary services so that the individual may maintain the highest well-being possible.[4] Stated another way 'a nursing facility must care for its residents in such a manner and in such an environment as will promote maintenance or enhancement of the q...
African American senior citizens face a health care crisis too. They have worked all of their lives to secure retirement, but their retirement has been threatened because of the rising cost of long-term medical care. Insurance companies have failed to provide affordable long-term care, protection that most senior citizens need. This lack of long term care and affordability has been a serious problem for the health care system. In some cities, the shortage of hospital beds is so serious that it is common for patients to stay in emergency rooms before they can be admitted to an inpatient room (Drake 109). More than one thousand hospital beds are occupied by people who could be better care for in nursing homes or through home health care (Drake 110). Of the disabled elderly 1.3 million reside in nursing homes (Drake 10). These patients are unable to perform two or more of the basic activities of daily living without assistance.
Dementia is a difficult disease to understand and handle. A major problem involving these patients are caregivers that are not properly trained and educated to care for people with the disease resulting in issues such as neglect and abuse.
Many seniors around the world are being abused and harmed in some substantial way often by people who are directly responsible for their care (Robinson, 2016). Neglect of all forms causes harm to a patients overall well-being. Neglect happens in 60% of people and physical abuse happens to 15% of people (Franklin, 2013). There are three different types of neglect that can happen especially to the elderly. The three types of neglect are mental, emotional and physical neglect. Mental neglect, is basically ignoring or just not showing care or love for the patient. Emotional neglect is not only ignoring, but isolating the patient from others. Physical neglect which is causing physical injury to the body from rough handleing or non-supervision. Neglect is damaging not only to a body but also to the mind and over all
Independence is a socially constructed concept within a capitalistic patriarchal society that serves to marginalize and oppress the elderly members of the society. Why do many women of the elderly population within the United States live alone? What is it about our society that has encouraged the elderly population to live alone and without the vital familial support that is so often necessary for people who are reaching their golden years? Elderly people in the United States are one of the most vulnerable groups of people who have traditionally been marginalized. They are viewed as weak individuals because they are no longer able to physically work for pay. Many of them choose to live alone yet suffer in isolation because of the lie they have been sold. According to the symbolic interactionist theory, if independence is the ultimate reward for a lifetime of achievement, surely remaining independent and alone is preferable to living with loved ones. The elderly person does not want his or her social networks to believe the elderly person is weak. Isolation is preferable to dependency and being a burden upon another individual or family.
They also develop painful and life-threatening decubitus ulcers, and if they are not fed properly, they’re not given sufficient fluids. They are also over-medicated or under-medicated, and dropped causing painful bruises and fractures, are ignored and not included in activities, are left in bed all day, call lights not answered. These are all forms of negligence, performed daily in nursing homes. Nursing homes who receive federal funds are required to comply with federal laws that specify that residents receive a high quality of care. In 1987, Congress responded to reports of widespread neglect and abuse in nursing homes during the 1980’s, which enacted legislation to reform nursing home regulations and require nursing homes participating in the Medicare and Medicaid programs to comply with certain requirements for quality of care.
Elder abuse in nursing home is a social problem that has had more and more attention in these recent years. “Elder abuse is the most recent domestic violence issue to gain the attention of the public and the medical community.” (Elder Abuse: A Review) According to the Senate Special Committee, about 5 “million older Americans are abused and neglected every year.” Abuse for the elderly can be considered a social problem due to the people who are in denial of it actually occurring, for example, the caregivers and nurses who do not consider themselves to be actually performing the abuse. It is a problem because the elders are put into these nursing homes by loved ones and ones who
When discussing abuse and neglect, we often think of children first. That being said, children are not the only ones who will be abused and/or neglected. In fact, this happens to some elderly people as well. While some elderly may be productive enough to care for themselves, others are not. The end result is a complete (or close to complete) dependency on someone else for their needs.
Assisted Living Facilities abuse is a frequently occurring problem in our society (Hamilton). There are diverse categories of abuse that transpire in Assisted Living Facilities which are physical abuse, sexual abuse, emotional abuse, neglect, abandonment, and financial abuse. Samples of physical abuse would be hitting or beating the elders with an object or their hand, force feeding them or pulling their hands. Sexual abuse is the Assisted Living Facility employees having sexual acts with non-consenting patients. Emotional abuse is the employees saying things verbally to torment the patient. Neglect would be the employee does not take care of the patients such as providing hygiene. Abandonment occurs when leaving patients to fend for themselves. Financial abuse is when the patient’s family pays for the services that were not taken care of. “Elder abuse is fast becoming one of the uppermost law enforcement tasks of the next century, “said Paul Hodge who investigates crime against the elderly (Gonzalez). Since abuse occurs throughout assisted living facilities, state and federal governments should establish a type of punishment such as sending for employees to prison, ways to prevent abusing elderly’s is by inspecting employees ' criminal records, qualified staff, reporting injuries, having surveillance of the areas that do not affect patients privacy, promoting continuous family visits, and shortage of staffing.
No country is devoid of violence, but it is especially prevalent in Latin America. The Organization of American States labeled violence in Latin America as an “epidemic, a plague that kills more people than AIDS or any other known epidemic” (Carroll). Brazil and Colombia are two countries that have been shaped by gang violence; both are gripped by some of the largest, most violent, and institutionalized gangs in the world. In Donna Goldstein’s ethnography of life in a Brazilian shantytown, Laughter Out of Place, the power and prevalence of gang violence is apparent. In Colombia, gangs flourish nationwide and have direct consequences on the country’s economic, political, and social structure. Despite existing in entirely different countries, and though they are unlike in some regards, gangs in Brazil and Colombia, as a whole, share similarities in their power, function, and effect on the lives of the poor.