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Essay ethical dilemma elder abuse
Essay on elder abuse
Negative impact of abuse on the elderly
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Elder abuse is sometimes known as quiet wrongdoing. The vast majority of individuals never observe it because most victims are abused in secret by their relatives. What's more, over and over again, individuals who do see it choose not to get involved because it's "not my issue to worry about." Elder abuse is a crime that knows no limits. Elder Abuse can happen anyplace, whenever; it can affect all races, religions, ethnicities, culture, and socio-economic groups. It can happen in community settings, for example, private homes or in an institutional setting. According to Wolf (1981) congressman, Claude Pepper held broadly distributed hearings, pointing out the "concealed issue" of elder abuse in the nation’s families, including what one witness …show more content…
portrayed as "granny battering." Wolf (1981) found that Pepper hearings did not prompt government action or funding, they empowered addition to state action. As the state reaction kept on advancing in the mid-1980s, numerous states required reporting of abuse, bringing the issue inside the domain of adult protective services (Wolf, 1981). By 1985, 46 states had assigned a responsible agency to oversee elderly abuse (Wolf, 1981). Meanwhile, Congressman Pepper continued to agitate for a government reaction to elderly maltreatment (Wolf, 1981). In a 1981 report (Pepper and Okar, 1981), both expressed that elderly abuse was expanding and prescribed that Congress act immediately to enable the states to recognize and help elderly abuse victims (Wolf, 1981). According to Colello (2017). The Elder Justice Act (EJA) was introduced in 2002 and established by law in 2010. The Act authorized $100 million in the first federal funding provided for state and local Adult Protective Services Programs. Colello (2017) found in light of developing concern over elderly abuse; Congress passed the Elder Justice Act (EJA) as a significant aspect of the Patient Protection and Affordable Care Act, which was marked into law by President Obama on March 23. The Elder Justice Act instituted on March 23, 2010, is a component of the Patient Protection and Affordable Care Act (ACA, P.L. 111-148, as amended). Passed in 2010, the Elder Justice Act is the first comprehensive legislative enactment to address the abuse, neglect, and exploitation of older adults at the federal level (Colello, 2017). The law authorized an assortment of programs and initiatives to better coordinate governmental reactions to elder abuse, promote elder justice research and development, support Adult Protective Services frameworks, and give extra protection for residents of long-term care facilities (Colello, 2017). Social workers advocate for change in policies and promote equality since the establishment of the profession Social workers are ethically committed to "engage in social and political action that seeks to guarantee that all individuals have equal access to the resources (Hoffler, 2015 ".
The Code of Ethics additionally takes note of that "social workers ought to know about the effect of the political arena on practice and should advocate for changes in policy and legislation to enhance social conditions.”. Social workers are in a one of a kind position to create, implement, and advocate for policies, programs, services, and research profiting more older adults. With regards to change in a proposal would be to incorporate the arrest and the or prosecution of the abuser, meet with adult protective services social workers, elder law advocates, law enforcement agencies, and disability groups (Kaplan, 2015). Likewise, meeting with lawyers and lobbyist who manages elder equity issues, policy-makers and local and state officials in regards to elder abuse, and the manner by which laws and policies are executed and implemented (Kaplan, 2015). Social workers should advocate for work on initiatives that support, assess, and develop new strategies to address elder abuse and approaches to speed the improvement of framework and substances that can dissect and lead such policy changes (Kaplan, 2015). A definite recommendation is to perceive elder abuse as a national public health issue (Kaplan,
2015). There is growing attention regarding elder abuse as a public policy issue in the United States. According to Jansson, (2018) social workers can address policy/social issues through their actions, they can display images from multiple points of view: through discourse, records, practical guides, or some mix of these strategies. PowerPoint presentations have turned out to be pervasive in the United States. Social work advocates frequently have to persuade an audience to help a particular policy proposal as well as to take specific actions, for example, voting in favor of it or delegating public officials (Jansson, 2018). In motivational presentations, a policy advocate wishes to persuade a audience from a nonpartisan state to one that embraces an issue emotionally and that takes particular actions on its behalf (Jansson, 2018). • As per Colello (2017) To date, most activities and programs approved under the Elder Justice Act have not gotten federal funding through the yearly apportionments process. Elder abuse is a complex issue that frequently requires a multifaceted policy reaction which joins public wellbeing initiatives, social services programs, and criminal law enforcement for abusive behavior. The essential mission of the social work profession is to improve human prosperity and help meet the fundamental needs of all people, with specific regard for the individuals who are vulnerable, oppressed, and living in poverty (Hoffler, 2017). Social workers must keep on dealing with the consequences of a devasting economic recession, the looming fear of instability, and a legislature that is not any more ready to address the issues or satisfy the guarantees made to a massive number of individuals in danger of getting lost in an outright flood. The social work profession must keep on picking up the pieces of a broken system and decide how to make that system whole once more. (Hoffler, 2015). Moreover, support that social workers that was solid can vanish which means keeping social work advocacy for policy change indefinitely (Hoffler, 2015). Much the same as the Energizer Bunny, social workers need to continue onward and going and going (Hoffler, 2015). Social workers need to consider advocating for social change as something that never stops.
Elder abuse is a very sad reality. With an understanding of what the term elder abuse encompasses, who is at risk, what the warning signs are, the statutes that are there to protect the elderly, who is mandated to report the abuse, and how to report the abuse, it is important to minimize the crime. As with all things, the most important way to prevent something from happening is to educate, and elder abuse is no different. If care takers had education about the numerous resources there are, such as support groups and counseling, elder abuse could possibly be decreased exponentially.
Did you know that, according to the National Institute of Justice website, “There are few reliable national measures of elder abuse. This is partially because there is no uniform reporting system for elder abuse in the U.S.” ("Extent of Elder Abuse Victimization," 2015). It is sad that, in a country as developed as ours, we have no standard way of reporting elder abuse.
As a student new to social work, The Code of Ethics written by the National Association of Social Workers (NASW) is in the forefront of my mind whenever practicing my freshly learned skills. According to the Code, these rules were written as the “values, principles, and standards to guide social workers’ conduct” (Code of Ethics - NASW, n.d.). Within my most-recent session, certain aspects of this code were relevant, including informed consent, privacy and confidentiality, a commitment to the client, the dignity and worth of a person, the importance of human relationships, integrity and competency of the worker, and social diversity.
Laws are created to protect and prevent unacceptable actions from happening. As the awareness of abuse became apparent to advocate groups there was a push toward the creation of legislation. The first initial movement toward incorporating elder care in legislation was in the 1960s with the Older Americans Act. The Older Americans Act assigned guardianship or institutionalization to cases of abuse. This trend continued into the 1970s with the creation of Adult Protective Services. The Adult Protective Services was created through the Social Security Act to protect adults 18 or older who suffer from abuse, neglect, or exploitation through funding for welfare programs. Just three years into the new millenium the Elder Justice Act was introduced. In 2010, the Elder Justice Act was made into a law and began receiving funding from the federal government as part of President Obama’s health care reform bill.
National Association of Social Workers [NASW]. (1998). The New NASW Code of Ethics Can Be Your Ally: Part I. Retrieved from: http://www.naswma.org/displaycommon.cfm?an=1&subarticlenbr=96
To begin, “Financial abuse towards the elderly is defined as the financial exploitation of seniors because of vulnerabilities related with age”. (Crimes-of-persuasion.com). It is unfortunate that this kind of abuse can be done by someone the elders know and trust – such as, family members, visitors, nurses, social workers, or doctors. From the same website, an explanation is given on how seniors may not report such a crime for a variety of reasons. Some may be either that they are simply unaware of the situation, afraid of revenge by the abuser, or ashamed that they cannot handle the abuse in their own home themselves. It has been proven, by the Mature Market Institute, a research organization, that four out five cases of elder abuse from a financial nature are not reported because of the motives that were previously stated. Is this ...
As population ages, clinicians will care for an increasing number of elderly patients. Just as these patients may present unique and challenging medical dilemmas, so may they also present ethical ones. Ethical dilemmas are present in everyday practice. It provides a brief overview of the situations that may raise ethical concerns. Although, these are not the only ethical concerns that may arise during care of the elderly and are not unique to the population, they represent the most common scenarios that clinicians may encounter in their everyday course of practice. Ethics, according to (Mueller, Hook & Fleming, 2004), is the analysis and identification of the moral problems that arise in the care of patients. Ethical issues on geriatrics: a guide to clinicians (2004) reports that clinicians will care for an increasing number of elderly patients with challenging medical problems.
Reporting abuse has been a legal and ethical dilemma for years in the healthcare system. Some physicians, nurses, and other healthcare workers are quick to report abuse while others are more reluctant to report abuse in fear of overreacting to an occurrence. This leaves children and the elderly in unknown state of protection from their abusers.
The National Association of Social Work's Code of Ethics is not only something that is crucial to someone in the field of Social Work but can also be applied to everyday life. These values in which the Code of Ethics mandates professionals to use are very important in knowing how to help clients in bettering their lives, and in help society as a whole become a better place. Service, social justice, dignity and worth of the person, importance of human relationships, integrity, and competence are all the core values of Ethics and should be learned and practiced by all, not only Social Workers (NASW, 2008).
The second case of elder abuse is neglect, when caregivers lack the knowledge to properly care over someone. Adult Protection Services (APS) are often called to investigate and to ensure that self-care services are provided for the elders. In one of the Kentucky Cabinet for Health and Family Services cases of elder abuse and neglect, family members caring for an elder woman were apparently unaware that they were abusing the elder. The family members did not realize that the women were in poor health that led a neighbor to suspect physical abuse. The neighbor contacted APS to investigate. The APS reported that the elder woman...
National Association of Social Workers. (2008). Code of Ethics of the National Association of Social Workers. Washington DC: Author.
Social Work is a profession that is committed to the promotion, restoration, maintenance, and enhancement of social functioning. Its focus is to work with individuals, groups, and communities, in helping them use the resources within themselves and the environment to cope more effectively with their problems. At its most basic level, social work is about promoting the general welfare of society by representing those who are most vulnerable. Providing social services can sometimes be a difficult task, wrought with ethical uncertainties and challenges. The Social Work Code of Ethics helps social workers navigate these challenges throughout their careers and provides a framework for the principles and standards a social worker must uphold.
According to the Code of Ethics manual, “Social workers should obtain education about and seek to understand the nature of social diversity and oppression with respect to race, ethnicity, national origin, color, sex, sexual orientation, gender identity or expression, age, marital status, political belief, religion, immigration status, and mental or physical disability. Social workers are sensitive to cultural and ethnic diversity and strive to end discrimination, oppression, poverty, and other forms of social injustice. These activities may be in the form of direct practice, community organizing, supervision, consultation administration, advocacy, social and political action, policy development and implementation, education, and research and evaluation. Social workers seek to enhance the capacity of people to address their own needs. Social workers also seek to promote the responsiveness of organizations, communities, and other social institutions to individuals’ needs and social problems. The mission of the social work profession is rooted in a set of core values. These core values, embraced by social workers throughout the profession’s history, are the foundation of social work’s unique purpose and perspective: service; social justice; dignity and worth of the person;
All social workers are beholden to the National Association of Social Workers (NASW) Code of Ethics. Professional ethics are the main core of social work. The profession has an obligation to articulate its basic values, ethical principles, and ethical standards. The code is composed of thematic sections that outline a social worker’s responsibility to clients, colleagues, employers, and the profession. Some responsibilities that a social worker has to a client are that the clients are their primary responsibility, fostering maximum self-determination in clients, respecting the privacy of clients, keeping information that has been shared during the course of their duties confidential and charging fees for services that are fair and considerate
Personally, I have come across newspaper articles reporting cases of domestic abuse. Generally, people linked domestic violence to women and children, but all too often, such atrocious acts happen to the elderly too. One example would be the elder abuse case that occurred in Nightingale Nursing Home. Three staffs were found ill-treating a 77-year-old woman by throwing her onto her bed and even slapped her, which resulted in a huge commotion. (Chong, 2012) These elderly have worked hard for their most of their lives and should be allowed to enjoy their golden years after retiring. Instead, they are often mistreated especially by the people they trust most; their children and care-givers. Most of the time, victims do not report these ill-treatment “out of fear of rejection and disruption of their lives; some out of pride, embarrassment or shame; some out of concern about their family’s privacy and some out of concern that legal action might be taken against the alleged abuser. Others feel that they deserve the mistreatment and resign to it fatalistically.” (Understanding Elder Abuse and Neglect, n.d., p.13). Assumptions that the public including myself have for this group are that they are weak, defenseless and trusting. Some of the elderly are either ph...