...Elder Abuse According to the National Research Council (2003) elder abuse is deliberate actions that cause injury or generate serious risk of harm to a vulnerable older adult by a caregiver or other person who is in charge of the elder. In the United States, 700,000 to 1.2 million of senior are exposed to abuse and there are 450,000 new cases yearly (Bond and Butler, 2013,p.). In fact, elder abuse and neglect is a serious health care matter that must be taken in consideration by health care providers and older adult family members. Specifically the most vulnerable to abuse and neglect amongst this population are elder persons, who are socially isolated, cognitively impaired, or dependent on others for daily personal care. Moreover, older adult is primarily abused, neglected or exploited by caregiver, mostly spouses, adult, children or other family members. Also, Personal care...
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...As our gerontologic population is aging, there are many concerns to address. One concern is that older adults are more vulnerable. In this discussion, I will provide two credible articles to reveal the susceptibility that older adults are at risk for. I will also identify key concepts and risks. Furthermore, I will explain how to eliminate or minimize some of these risks. In the older adult population, vulnerability is seeping out from many angles. One major of concern is the area of financial exploitation. Moreover, thefts and scams are rising at a rapid rate. Financial abuse consists of six main domains to include thefts and scams, coercion tied to financial affairs, mismanagement of property or belongings, abuse of trust, a sense...
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...CONCEPT ANALYSIS Safeguarding Vulnerable Adults: Concept Analysis Abstract Aim. This study is to analyse the concept of safeguarding the vulnerable adults and the role of registered nurse. Background. Registered nurse has major responsibilities in caring and safeguarding the vulnerable adult population. Reduction of health inequalities among vulnerable adults are top international healthcare priorities. Vulnerable adults are among most vulnerable of the populations, many people associate vulnerability with old age only, resulting in negative stereotypical views. Understanding the concepts of vulnerability as relates to adults population, examines how and why adults could be vulnerable will help nurse to educates the vulnerable adults about the rights and choices available to them, enabling nurse to safeguarding the vulnerable adults and empower the vulnerable adults to participate fully in the society. Data Sources. Data source include the Nursing Standard, The PubMed, Health & Social Care information Centre (hscic), Department of Health, Action on Elder Abuse, Offices of National Statistics (ONS), electronic databases were used to search for research papers, articles published between 2000-2013. The searching keywords used are ‘Vulnerable’, ‘Abuse’, ‘vulnerability’, ‘safeguarding’. Seventeen papers from variety of disciplines, including nursing, public health, social-care and medicine were reviewed. Method. The concept analysis was done using Rodgers’ evolutionary...
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...Elder abuse has a negative impact on the victimized elders worldwide. It is defined as intentional actions that cause harm or create a serious risk of harm (whether or not harm is intended) to a vulnerable elder by a caregiver or other person who stands in a trust relationship to the elder. This includes failure by a caregiver to satisfy the elder’s basic needs or to protect the elder from harm (Bonnie, R, & Wallace, R Eds., 2003). Although there is a lack of statistical information of elder abuse, there are sources that provide proof that elder abuse is a bigger issue than people perceive it to be. It can occur in many forms such as physical, emotional, financial and sexual abuse. In this paper, the question being investigated is “How knowledgeable are Barbadians on the effects of elder abuse?” The following literature reviews attempts to answer this question. Review of Findings: Each literature piece that has been reviewed pointed out that elder abuse is a major issue and is a topic that is given little recognition or response. According to Penny Bain and Charmaine Spencer, 2014, about 80% of abuse or neglect of older adults is hidden or goes undetected in Canada. Only about one in five cases of abuse come to the attention of community agencies or authorities. The article goes on to describe that it is such because in most cases the elders have grown accustom to the abuse resulting in the impression that it is a custom or it is their own faults that cause the abuse and...
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...Adult abuse is the violation of an individual human and civil rights who is over the age of 18. Types of Abuse Physical Abuse Physical Abuse is an intentional use of violence, rough treatment and use of force against an adult. This will result in causing them pain and bodily harm. Physical abuse includes hitting, slapping, shaking, pushing, punching or pinching. It can sometimes include the inappropriate use of physical restraints, force feeding and any kind of physical punishment. The indicators of physical abuse are: The bruising - in some cases you can find that the individual has bruising in hidden areas where they cannot be seen. The individual might have, black eyes, lacerations, and rope marks from being restrained. There might be an adults report of being hit, slapped, kicked, or mistreated. The adult might show a sudden change in behaviour and might feel uncomfortable in talking about their bruises. When looking at the bruising to determine whether it is physical abuse check the size of the bruise and see whether or not it is consistent with the explanation that has been given for it. If the injury does not fit with the explanation, the injury is unexplained and the adult has bruises that are at different stages of healing and the colours are different it might mean that that are being abused frequently and letting the other bruises heal. However if the adult has a liver and blood condition it might mean that when the members of staff where manual handling...
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...Elder Abuse One of the most recent social problems to impact people all around the world that many people are unaware of is the abuse of elders. Whether it’s by trusted friends and family members or mistreatment by a hired care taker, elders are not being given the same respect they were many years ago. Like most things this maltreatment has always been around, but in the last few decades it has shown its face much more often. According to Gibbs (2010), “In the past 30 years, awareness of elder abuse has been raised by a minority of professionals in healthcare, social services, law enforcement and public service” (p534). To help give a more adequate view of this issue, the definition of elder abuse and mistreatment, the effects on the elders themselves, what some of the causes are, and what is being done to help prevent and/or solve this problem will be covered in this essay. After reading and understanding this issue, from the causes and effects, to the possible solutions, spotting and doing something to help stop the problem may be much easier. Before knowing and understanding the effects of this blossoming issue one must be fully aware of what it actually is. Elder abuse is best defined by Laura Mosqueda (2010) as “The mistreatment or neglect of an older adult. The mistreatment/neglect may be intentional or unintentional, and may either harm the elder or put them at significant risk of harm” (p214). There is usually a specific group of people that commit the acts of...
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...Older citizens may be more prone to victimization due to deteriorating health. Physical ailment and health complications leave individuals more dependent on others to perform daily functions. This dependence leads to greater vulnerability. According to research, older women have a higher likelihood of experiencing abuse. This may be the result of women’s greater longevity. There is the most agreement upon cognitive impairment as a potential risk factor for older victims. With diminished cognition, elders are susceptible to undue influence and their ability to make decisions is impaired. Social support can either lessen or increase an elder’s probability of experiencing trauma...
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...Based on the 2010 census there were almost 309 million people in the United States (U.S. Bureau of the Census, 2011). People over the age of 65 made up 13% of the total population with just over 40 million people. Between 2000 and 2010 the population grew at a faster rate in the older population then the younger population. I feel the population of people older than 65 is important to focus on for this assignment because this population will continue to grow every year. In this assignment I am going to talk about the population of people over the age of 65 in the United States, then discuss the known patterns of substance abuse in this population. I will also talk about the treatment needs for people over the age of 65 affected by substance abuse. While the primary focus of this report is about the population older than 65 it is important to note the age group percentages in the U.S. People under the age of 18 make up 24% of the total population with 74 million people. The 18-44 age groups make up 36% of the total population with just fewer than 113 million people. People aged 44-64 totals 26% of the population with 81 million. The rest of the population is the group of people 65 and older who total 40 million people and make up the remaining 13%. Understanding the population percentage in the U.S. is important, because by 2030 the percentage of people over the age of 65 will account for 21% of the total population (US Bureau of the Census, 1996). This percentage...
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...Elder Neglect and Abuse The latter years of a person's life have been called the "golden years" unfortunately the numbers of elders being abused are growing each year. Gray-Vickrey (2001) reports that neglect occurs in 49 percent of substantiated elder abuse cases, emotional abuse is found in 35 percent of cases, financial abuse is found in 30 percent of cases, and physical abuse or use of physical force is found in 25 percent of cases. The U.S. Department of Justice estimates more than half a million of our nation’s elders are mistreated each year, of course the numbers may be three times higher since few cases of abuse are reported or investigated (Axmaker, 2003). Experts estimate the number of older adults who are mistreated annually at more than two million (Swagerty, 1999, p.2804). A U.S. National Elder Abuse Incidence Study confirmed that reported elder abuse cases are only the "tip of the iceberg" (National Center on Elder Abuse, 2003). The study also shown that two-thirds of the offenders were adult children or spouses. Additionally, elders are being abused in nursing homes, hospitals, or other institutions; in one study, 36 percent of nursing home staff stated that they had witnessed at least one physical abuse incident with an elderly patient (Nelson, 2002). Clearly, elder mistreatment or abuse of the elderly is a growing social occurrence. Unfortunately, our elder population is considered to be easy targets because they are perceived to be fragile and defenseless...
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...forms of abuse on the health and wellbeing of adults and Evaluate the potential long term effects of these two types of abuse on the health and wellbeing of adults (M1 + D1) I am going to assess and evaluate the long term and short term effects of two types of abuse, they will be Physical and Sexual. Effects are the result of, outcome or impact of something. Immediate effects are straight away/now/instant whereas long-term effects are continuous/ongoing/consistent. Short term effects of Physical abuse are broken bones, bruises, scolds, suspicious bruising - face, head, chest, back, arms, genatalia, thighs, backs of legs and buttocks. Also if the person is hospitalised or needs surgery, poisoned from wrong medication, shock and disbelief. If someone is being physically abused then the effects are going to be mainly physical, such as bruising and cuts. There are also Long term effects. Abuse is a major source of stress and can have long-term effects on the health and well-being of older adults. The stress of abuse could trigger chest pain or angina, and may be a factor in other serious heart problems. High blood pressure, breathing problems, stomach problems (ulcers), and panic attacks are common stress-related symptoms among older people who experience abuse. Other long term effects could be a loss of mobility, depression, anxiety, changes in behaviour, behavioural issues and negative relationships. Many adults experiencing abuse are isolated. Individuals who abuse adults...
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...Cycle of Abuse The ad depicts a group of male figures caught in motion in a circle around a table. A boy with a terrified expression sits in front of a table, while an older male, implied to be his father, raises his arm and appears to be yelling at the boy. It is clearly a scene of abuse. An older child watches the scene while a teenage stands behind the table with an angry expression, while a young man stands beside the father. All five figures appear to be the same person at different ages.The ad is a visual illustration of the statistic that seventy percent of abused children grow up to be abusive adults. The text by the picture reads: “ Seventy percent of abused children turn into abusive adults. Donate at savethechildren.org”. Surrounding these...
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...Elder abuse is not a new phenomenon. There is evidence of its existence centuries ago. More recent is recognition of elder abuse as a health and social problem. In the United States this first surfaced in the 1950s, but it was not until the 1980s that elder abuse “came of age” as a major concern of older Americans. However, elder abuse is not confined to a single locale. Rather, it is a global problem, found in both developed and developing countries (Antezberger, 2009). The purpose of this essay is to example the types of elder abuse, how to identify elder abuse, risk factors associated with elder abuse, reporting elder abuse and ethics associated with elder abuse in a healthcare role, specifically as a certified nurse assistant (CNA). Forms of Elder Abuse Unfortunately elder abuse can take many forms. The first form and obvious is physical abuse. Physical abuse is the use of force that causes unnecessary pain or injury, even if the reason is to help, can be regarded as abusive behavior. Physical abuse can include deliberate or inadvertent hitting, beating, pushing, kicking, pinching, burning, biting, overmedicating, under medicating, or force-feeding; improper use of physical or chemical restraints; and exposure to severe weather. Emotional or psychological abuse is a form of abuse or behaviors that causes an older adult to have fear, mental anguish or emotional pain or distress. This kind of abuse includes name-calling, intimidation, insults and threats which could lead to...
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...Geriatric Field Argumentative Essay Jazmine Capel Critical Thinking 2:00pm-3:20pm Formal Analysis 1) The impact that my grandparents have made in my life has influenced me to make working with the elderly a career. 2) The elderly are an ever so rapidly growing population and there is a need for professionals in the geriatric field. 3) The many issues that accompany the elderly are a growing concern of mine. 4) I believe that caring for the elderly is one of the most challenging and exciting areas of health care. Therefore, I have chosen Geriatric Social Work as a career objective. “You have not lived today until you have done something for someone who can never repay you.” ~John Bunyan I believe that we were given two hands, one to help ourselves and one to help others. As an aspiring social worker, I have learned that helping others who cannot sufficiently help themselves is one of the main objectives of the profession. My career objectives upon graduation include being a social worker in a hospital, care facility or an agency focused on helping families but specifically the elderly. The impact that my grandparents have made in my life has influenced me to make working with the elderly a career. The elderly are an ever so rapidly growing population and there is a need for professionals in the geriatric field. The many issues that accompany the elderly are a growing concern of mine. I believe that caring for the elderly is one of the most challenging...
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...1990), involves carefully planned strategies implemented by the offender to entrap the child in the abuse. It is a refined process of strategic planning by an offender to observe and assess what would make a child keep the secret of sexual abuse. These tactics may involve confusion, threats, games, favouritism, manipulation and bribery. This deliberate process emerges from the offender identifying signs of vulnerability in a child and using his power of adult status and his relationship with the child to entrap and capture them, (Reid, 1997). Recent studies about why and how children often delay disclosing about the abuse indicate that : older children fear the negative consequences of disclosing more than younger children and children who are sexually assaulted by a family member are likely to delay telling. Goodman et al., (2003), found that factors contributing to children delaying disclosure included heightened fears about the consequences of disclosure and heightened feelings of responsibility for the abuse. Goodman’s work regarding children’s disclosures of sexual assault found that factors concerning the age of the child, the offender’s relationship to the child and the child’s fear of negative consequences and perceived responsibility should they disclose, contributed to predicting the time children took to disclose the abuse. The study found that older children took longer to disclose and it was more difficult for them to tell than younger children and...
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...Problems Nursing Intervention Confusion/Dementia Dementia is not a specific disease. It is a descriptive term for a collection of symptoms that can be caused by a number of disorders that affect the brain. People with dementia have significantly impaired intellectual functioning that interferes with normal activities and relationships. They also lose their ability to solve problems and maintain emotional control, and they may experience personality changes and behavioral problems such as agitation, delusions, and hallucinations. 1. Spend time with the Patient 2. Use touch to convey concern 3. Provide frequent reiteration of orienting data (e.g. time, place) 4. Have clocks or calendars in the environment 5. Explain all actions, procedures and routines to the patient 6. Address the patient by his/her name 7. Keep a routine activities Constipation refers to bowel movements that are infrequent and/or hard to pass. 1. Increase Fluid Intake 2. Daily Exercise 3. Increase fiber intake (e.g. fruits and vegetables) Complications associated with constipation include hemorrhoids from straining, anal fissures, rectal prolapse, and fecal impaction. Untreated constipation in institutionalized patients can lead to cemented lesions in the colon, megacolon, bowel blockage and perforation, peritonitis, and sepsis. Osteoporosis is a disease of bones that leads to an increased risk of fracture.[1] In osteoporosis the bone mineral density (BMD) is reduced, bone microarchitecture...
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