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Abuse in nursing home essay
8 types of abuse in nursing homes
Abuse in nursing home essay
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This essay will explain the services, cost, staff qualifications, resident’s right, and abuse and neglect in nursing homes. To determine if families should place their love ones in nursing home facilities.
Families should be very educated about services provided in nursing homes. Individual care plans are developed that involve staff, the resident and resident’s family. Physicians are part of the team doing medications and examinations. Post-stroke patients regain abilities lost with physical occupational therapy, speech consultations, medications, and labs. Individual RN-LPN professional skills major concern balance quality of life and quality of care. Residents are encouraged to be independent and continue their social activity. Adult day
Federal law requires all nursing homes to provide enough staff to adequately care for residents. However, no actually federal standards exist. Staffing requirements differ per state. Nursing homes certified by Medicare/Medicaid must have an Registered Nurse (RN) and Director of Nursing. An RN must be on duty eight hours a day, seven days a week. An RN’s role is to give pain medication, to prevent and minimize episodes of moderate to severe pain. An RN or Licensed Practical Nurse (LPN) must be on duty the rest of the time. An LPN examines for pressure sores carefully as they can become dangerous infections and can become very painful. A Certified Nursing Aide (CNA) provide most day to day care and require 75 hours of training. The CNA helps residents function better by increasing their mobility through range of motion exercises, walking, and educate residents to reduce fall risks. Staffing also includes Activity Directors, Physical, Occupational and Speech Therapy. Staffing hours are reported to individual state survey agencies. However, these reports that the nursing staff presents do not give the average staff hours per resident. All people in direct health care support physicians need a criminal back ground check. Nursing homes are to reach nine goals of excellence in order to provide the highest possible physical, mental, and psychosocial wellbeing to each resident. The nine goal of excellence
There is a higher mortality rate among elders who are abused. Psychological and social wellbeing important factors in maintaining a desire to live. Signs of elder abuse may be missed due to lack of detect abuse. The elderly may be fearful to report abuse as they fear retaliation. The elderly individual may lack cognitive or physical ability to report the incidents. The elderly may be fearful that their family member will get in trouble. It is reported that 90% of abusers are family members (NCEA, 2011). Abuse of the elderly is a world-wide problem. In the United States, it is reported that one half million reports of abuse against the elderly are filed every year. Millions more cases go unreported. An elder that is physical frail may have difficulty with sight, hearing and mobility can set them up as an easy target of abuse. Elderly abuse tends to occur where the elder lives with their adult children, grandchildren or their elder spouse. However, elder abuse can occur in long-term care facilities. There are different type of elder abuse such as physical abuse, emotional abuse (either verbal or non-verbal), sexual abuse, neglect or abandonment by caregivers, financial exploitation. There can also be health care fraud and abuse by unethical doctors, nurses, hospital personnel or other care providers. Sometimes a caregiver who is abusing the elder will try to explain away any signs or symptoms
Hodge, M. B., Romano, P. S., Harvey, D., Samuels, S. J., Olson, V. A., Sauve, M., & Kravitz, R. K. (2004). Licensed Caregiver Characteristics and Staffing in California Acute Care Hospital Units [Electronic version]. The Journal of Nursing Administration, 34(3), 125-133.
Some of these cases of abuse are done in elderly homes by family members. In the first section of the article, the authors discuss the definition of elder abuse. The authors began with the most common types of elder abuse, which are physical and neglect. Elder abuse is the intentional use of physical force that results in acute or chronic illness, bodily injury, physical pain, functional impairment, distress, or death (Choi NG & Mayer J. In summary, the rhetorical analysis essay discusses how elder abuse and neglect affect the victims physically, emotionally, and professionally.
Most residents, unless they do not want to, need to be in bed by 9 o’clock. Along with putting residents to bed, CNAs have charting to do before their shift ends. Charting typically includes documenting if the CNA noticed irregular behavior, changes in the skin, etc. Charting needs to be done before rounds at ten o’clock start. At rounds, CNAs toilet the resident, change the bed pads if needed, and pass water. CNAs perform rounds every two hours. Between rounds, CNAs answer call lights. Although CNAs need to work fast, they also need to be
Everyone has an aging relative or knows an elderly citizen in their community that they care about. Now imagine, if you found out that this person was being abused, you would certainly want to know how to prevent or stop this abuse. That is what I will be talking about today: what elder abuse is? and how to spot the signs of abuse, prevent it, and educate others.
In a hospital patients are cared for around the clock, twenty-four hours a day and seven days a week. Hospital RN schedules are set up on rotation shifts meaning you might have to work night or days, holidays, and/or weekends (“Job…”). In a doctor’s office, school, or health center regular business hours are normally maintained (“Job…”). If an RN works for a home health care agency then their routine patient visits are mostly scheduled during business hours. However, if a nurse is on call they may be paged and required to make a visit on any day, at any time.
The first step to understand your role as a CNA is to know the difference between a hospital setting and a nursing center. Hospitals provide emergency care, surgeries, and laboratory testing. They care for people of all types of ages and all scenarios. Hospital patients have three types of illness: acute, chronic, or terminal. Acute illness is a sudden illness from which someone is likely to recover. Chronic illness is an on-going illness which there is no known cure. Terminal illness is an illness or injury from which a patient is expected to expire. On the other hand, long term care centers are designed to meet the needs of people who no longer can care for themselves but do not need hospital care. These people are called residents upon their entrance. Care centers provide residents with the right medical, nursing, rehabilitative, recreational, and social services. Nursing centers meet the needs of all kinds of residents from alert, oriented, confused, short term, life long, mentally ill, terminally ill, to persons needing complete care. Besides the differences hospitals and nursing centers have similar standards. They must protect and promote patients or residents rights. Both require high quality care, and a clean and safe setting. The Omnibus Budget Reconciliation Act ...
Elder abuse is causing emotional, physical or sexual harm, financial exploitation, or intentional or unintentional neglect to someone of greater age, whether it be from a family member or a stranger. Elder abuse has been a social issue for many years prior to any kind of legislation being made. Victims of elder abuse are often older adults ages 60 to 75 and the person abusing the elder is usually someone the victim knows, but could be a stranger in certain cases.
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 ...
Of nursing home staff interviewed in 2004, nearly 40% admitted to committing at least one psychologically abusive act toward a resident and 10% admitted to physically abusing a resident in the preceding year.[1] Not only are nursing home residents at risk of being abused by their caretakers but they are also at risk of being restrained, which may lead to a form of abuse. With five percent of the elderly population, or one to two million instances of elder abuse occurring yearly there is no doubt that elder abuse deserves serious consideration.[2]
Licensed practical nurses (LPN 's) fill an important role in modern health care practices. Their primary job duty is to provide routine care, observe patients’ health, assist doctors and registered nurses, and communicate instructions to patients regarding medication, home-based care, and preventative lifestyle changes (Hill). A Licensed Practical Nurse has various of roles that they have to manage on a day to day basis, such as being an advocate for their patients, an educator, being a counselor, a consultant, researcher, collaborator, and even a manager depending on what kind of work exactly that you do and where. It is the nursing process and critical thinking that separate the LPN from the unlicensed assistive personnel. Judgments are based
As a provider of care an AD nurse uses a systematic approach in all areas. Using the process of assessment, analysis, implementation, and evaluation the nurse is able to be consistent and efficient when providing care. As a provider of care the AD nurse must assess a patient’s health status, gather medical history, plan, coordinate, and implement care. The nurse will use continual assessment and evaluation in order to ensure the best outcome for the patient. The AD nurse must develop a therapeutic relationship with the patient in order to effectively treat and provide advocacy. During my clinical rotation I was able to implement many of these steps. I provided daily physical assessments, took vital signs, implemented hygiene care, fed patients, re-positioned patients and changed bed linens. During each shift I was respons...
Nursing assistants work in many types of settings including nursing homes, hospice, mental health centers, assisted living residences, home care agencies, hospitals, rehabilitation and restorative care facilities (Sorrentuino & Remmert, 2012). There are many types of Long-term care centers. For this paper, I will focus on the long-term care centers often referred to as nursing homes. These LTCs are "licensed facilities that provide extended care for individuals who do not require the acute care provided in a hospital but who need more care than can be given at home" (U.S Department of Health And Human...
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
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 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. The legislation, included in the Omnibus Budget Reconciliation Act of 1987, which specifies that a nursing home “must provide services and activities to attain or maintain the highest practicable phys...
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.