Elder Mistreatment


Book Description

Since the late 1970s when Congressman Claude Pepper held widely publicized hearings on the mistreatment of the elderly, policy makers and practitioners have sought ways to protect older Americans from physical, psychological, and financial abuse. Yet, during the last 20 years fewer than 50 articles have addressed the shameful problem that abusersâ€"and sometimes the abused themselvesâ€"want to conceal. Elder Mistreatment in an Aging America takes a giant step toward broadening our understanding of the mistreatment of the elderly and recommends specific research and funding strategies that can be used to deepen it. The book includes a discussion of the conceptual, methodological, and logistical issues needed to create a solid research base as well as the ethical concerns that must be considered when working with older subjects. It also looks at problems in determination of a report's reliability and the role of physicians, EMTs, and others who are among the first to recognize situations of mistreatment. Elder Mistreatment in an Aging America will be of interest to anyone concerned about the elderly and ways to intervene when abuse is suspected, including family members, caregivers, and advocates for the elderly. It will also be of interest to researchers, research sponsors, and policy makers who need to know how to advance our knowledge of this problem.




Maltreatment of Patients in Nursing Homes


Book Description

“Abuse, although often not detected or reported, existed in every facility we surveyed. It is a serious problem.” Old, weak, and often cognitively impaired, nursing home patients can be easy targets for physical, psychological, material, and financial mistreatment at the hands of those entrusted with their care, safety, and well-being. Maltreatment of Patients in Nursing Homes: There Is No Safe Place examines the dark side of nursing homes, where not every employee has the commitment of Mother Theresa. This groundbreaking book applies criminological theory to help develop practical methods of controlling abuse and presents the results of the first and only nationwide study on the theft of patients’ belongings, a form of abuse too often ignored by the nursing home industry. Maltreatment of Patients in Nursing Homes surveys employees, administrators, and family members of patients in 47 nursing homes throughout the United States. Their responses provide invaluable insights on a wide range of topics, including the social and psychological factors that cause different types of abuse, characteristics of nursing home patients and employees, the bureaucracy of nursing homes, victimization rates, workforce issues of nursing home aides, and federal regulations for nursing homes. The information gained from the surveys forms the basis for detailed recommendations for creating a safer environment and reducing all forms of abuse, including theft-prevention training programs, background checks and improved screening of potential employees, education and advocacy for current staff, and the reform of federal regulations. Maltreatment of Patients in Nursing Homes examines: types of physical abuse (restraints, sexual abuse, neglect) the who, what, and why of nursing home theft types of financial abuse (trust accounts, bank accounts, improper charges for services and drugs, identity theft) types of psychological abuse (abandonment, segregation, childlike treatment, verbal abuse) effects of psychological abuse (depression, learned helplessness, psychiatric disorders) reasons for abuse by employees (staff turnover, job burnout, job dissatisfaction, caregiver stress) One of the few books to deal with abuse of the elderly outside a domestic setting, Maltreatment of Patients in Nursing Homes: There Is No Safe Place interprets and analyzes abuse to provide new ways of thinking about this growing problem and new methods of preventing it from growing any more widespread.




Nursing Staff in Hospitals and Nursing Homes


Book Description

Hospitals and nursing homes are responding to changes in the health care system by modifying staffing levels and the mix of nursing personnel. But do these changes endanger the quality of patient care? Do nursing staff suffer increased rates of injury, illness, or stress because of changing workplace demands? These questions are addressed in Nursing Staff in Hospitals and Nursing Homes, a thorough and authoritative look at today's health care system that also takes a long-term view of staffing needs for nursing as the nation moves into the next century. The committee draws fundamental conclusions about the evolving role of nurses in hospitals and nursing homes and presents recommendations about staffing decisions, nursing training, measurement of quality, reimbursement, and other areas. The volume also discusses work-related injuries, violence toward and abuse of nursing staffs, and stress among nursing personnelâ€"and examines whether these problems are related to staffing levels. Included is a readable overview of the underlying trends in health care that have given rise to urgent questions about nurse staffing: population changes, budget pressures, and the introduction of new technologies. Nursing Staff in Hospitals and Nursing Homes provides a straightforward examination of complex and sensitive issues surround the role and value of nursing on our health care system.




Abuses and Excuses


Book Description

Abuses and Excuses breaks new ground in helping patients and families hold bad nursing homes accountable, sharing a wealth of insider strategies and insights that show, step-by-step, how tho hold the nursing home industry accountable for abuse and neglect. It's an eye opening account of corporate greed, acts of neglect and abuse, an insidious industry culture of cover-up, and the actual harm that inevitably befalls vulnerable nursing home patients all across the country with shocking frequency.




Improving the Quality of Long-Term Care


Book Description

Among the issues confronting America is long-term care for frail, older persons and others with chronic conditions and functional limitations that limit their ability to care for themselves. Improving the Quality of Long-Term Care takes a comprehensive look at the quality of care and quality of life in long-term care, including nursing homes, home health agencies, residential care facilities, family members and a variety of others. This book describes the current state of long-term care, identifying problem areas and offering recommendations for federal and state policymakers. Who uses long-term care? How have the characteristics of this population changed over time? What paths do people follow in long term care? The committee provides the latest information on these and other key questions. This book explores strengths and limitations of available data and research literature especially for settings other than nursing homes, on methods to measure, oversee, and improve the quality of long-term care. The committee makes recommendations on setting and enforcing standards of care, strengthening the caregiving workforce, reimbursement issues, and expanding the knowledge base to guide organizational and individual caregivers in improving the quality of care.




Patient Safety and Quality


Book Description

"Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/




European Report on Preventing Elder Maltreatment


Book Description

Elder maltreatment is pervasive throughout the WHO European Region: at least 4 million elderly people are estimated to experience maltreatment in any one year and 2500 of them will die each year. Most countries in the region have an ageing population, putting increasing numbers of people at risk. This report highlights the biological, social, cultural, economic and environmental factors that influence the risk of being a victim or perpetrator of elder maltreatment, as well as the protective factors that can help prevent it. There is some evidence of effective interventions, including psychological programs for perpetrators and programs designed to change attitudes towards older people, improve the mental health of caregivers and, in earlier life, to promote nurturing relationships and learn social skills. The evidence base needs to be strengthened, but surveys show that the public and policy-makers are already concerned about the problem. This report proposes a set of actions for Member States, international agencies, nongovernmental organizations, researchers, practitioners and other stakeholders to strengthen the policy response and devote adequate resources to the issue.




Institutional Abuse


Book Description

Nothing available that directly competes The extent of institutional abuse tends to be played down - it is still something of a taboo subject Material on abuse of adults in mental health settings has been a relatively neglected field




Elder Abuse and Neglect in Residential Settings


Book Description

Elder Abuse and Neglect in Residential Settings: Different National Backgrounds and Similar Responses contains insights and examples from other countries where elder abuse and neglect have been recognized as an issue requiring social policy attention. Nursing home employees as well as professionals and policymakers will explore the physical as well as the psychological aspects of neglect in nursing homes. Elder Abuse and Neglect in Residential Settings discusses deliberate physical abuse and more common forms of neglect and abuse, such as bedsores, poor nutrition, improper medication, and vermin infestation. Let this informative guide help you recognize the causes of elder abuse and neglect in order to prevent the same problems in your nursing home.Examining nursing home settings in America, Canada, England, Sweden, the United Kingdom, and South Africa to bring you firsthand accounts of the problems of elder abuse on a multicultural level. It also examines reasons for abuse and neglect, such as poor wages, long hours, low job prestige of nurses aides, and high exhaustion levels that have led to abuse and neglect by even the most caring individual. Through Elder Abuse and Neglect in Residential Settings, you will discover what factors directly correlate to the abuse and neglect of patients by: examining the high turnover rates of the lower-paid nurses aides understanding that well-qualified staff do not choose to work in nursing homes and that often abuse and neglect are committed by nurses aides gaining insight into the risks of physical assault and verbal abuse by patients that nurses aides may endure everyday exploring the psychological aspects of neglect in nursing homes such as, uncleanliness, the lack of attractiveness in the physical environment, inadequate diet, infantilization, and passive neglect, and what can be done to prevent these behaviorsElder Abuse and Neglect in Residential Settings discusses the elements that are significant to the future and quality of residential care. From this book, you will understand the importance of considering the characteristics of the patients and staff as well as the importance of developing gender-integrated and multicultural services. Elder Abuse and Neglect in Residential Settings will prove to be essential in your understanding of the worldwide problem of elder abuse and neglect in residential care and help you alleviate it.




Understanding Elder Abuse


Book Description

Helping mental health clinicians anticipate, recognize and respond to elder abuse, this book quickly summarizes risk and protective factors, the important role of cognition and capacity and clinicians' legal and ethical obligations to report suspected or known elder abuse.