...Elder Abuse in Residential Care Facilities Elder abuse is a catch all term referring to any deliberate or negligent act by a care giver or any other individual that results in harm or a major risk of harm to a vulnerable adult over the age of 60 years (Stefanacci & Haimowitz, 2013, p. 68). Under the umbrella definition for elder abuse, more specific types of abuse can be identified such physical abuse, sexual abuse, emotional abuse, exploitation, neglect and abandonment (Stefanacci & Haimowitz, 2013, p. 68). The physical abuse refers to the infliction, or threat to inflict, physical harm onto an elderly individual or the deprivation of their basic needs. Sexual abuse is defined as any form of nonconsensual sexual contact. Exploitation refers to the illegal misuse, theft, or concealment of an elderly individual’s funds, assets, or property. Neglect is the failure or refusal of a formal or informal caregiver to supply the vulnerable elder in their care with shelter, food, health care, or protection. Abandonment refers to the desertion of the vulnerable elder by either a legal custodian or anyone who has assumed responsibility for their care (Stefanacci & Haimowitz, 2013, p. 68). Residential care facilities (RCFs) have a multitude of different names across the Unites States but are most commonly referred to as assisted living facilities (ALFs), adult congregate living facilities, domiciliary care homes, and shelter care homes. Since the mid 1990’s, RCFs have made up one...
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...Elderly Care Ethical issue Paper Oshein Robinson Abstract When we are talking about the word neglect or abuse it is usually associated with woman, children and or animals. We forget to think about elderly abuse, which is overlooked because there is plenty of elderly who can look after themselves and still be a valuable part of society, but we forget the ones who are not capable of that. This paper is about raising concern about the ethical issues of elderly being abused and mistreated. Table of Contents Introduction 4 Physical Abuse 5 PYCHOLOGICAL ABUSE 6 neglect & Financial ABUSE 6 Sexual abuse 6 scope of the problem 7 SOLUTION 8 Conclusion 8 Citations 10 Introduction Elder Abuse is any form of mistreatment that results in harm or loss to an older person, elder abuse can be divided into the categories of physical abuse which is physical force that results in any bodily injury or pain this can be assault battery, and inappropriate restraint. Psychological and or emotional abuse which is tearing down their self-esteem, and belittling them. Neglect which is just providing the necessities for everyday living such as food, shelter, health care or protection. Sexual abuse can also be elder abuse it is still non-consensual. Last there is exploitation which is illegal taking of senior benefits. Each year hundreds up to thousands of elders are abused, and neglected for many victims they cannot help themselves since they are older and frail. In...
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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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...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 method. Rodgers (2000) method of concept analysis was chosen because it is evolutionary in nature. Rodger method is not a fixed phenomenon but evolves over time. Surrogate Terms/Related Every disciplines ranging from economics and anthropology to psychology, science and engineering use the term vulnerability. The term vulnerability originates from the word vulnerable. According to...
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...Elder Abuse Veronica Dalton SOC 120 Introduction to Ethics & Social Responsibility Dr. James Prentice May 26, 2012 Elder Abuse Elder abuse is a very serious issue in America today. The baby boomer generation has hit their elder years and drastically changed the numbers for this age group. Because the number has gone up so quickly we have limited people willing to take care of the elderly. The cost for care has gone up also, making more families opt to keep their loved ones at home instead of sending them to the nursing homes. The fear of elder abuse is higher now because of the cost rise in elder care. Nursing homes are being frowned upon because they do not have enough staff to properly take care of the patients they have. This presents a big problem for society because either choice, nursing homes or in home care can have a negative outcome for our elderly. Abuse is happening more often because we were not prepared in advance to take care of this jump in patients. This paper will look at this issue from a utilitarianism point of view as well as an emotivism point of view. From a utilitarianism point of view the best way to fix this problem would be for more people to pay attention to the elderly. Everyone working together to fix this issue would be the best route. Leaving it to only a few people is not going to work. Laws have been passed and yet we still have elder abuse going on. For the elderly that are being taken care of in their homes there...
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...ELDER ABUSE IN NURSING HOMES: THE IMPACT OF DEMENTIA/SPECIAL CARE UNITS BY CHRISTINA KAY FALK THESIS Submitted in partial fulfillment of the requirements for the degree of Master of Science in Community Health in the Graduate College of the University of Illinois at Urbana-Champaign, 2013 Urbana, Illinois Adviser: Stephen J. Notaro, Ph.D. ii ELDER ABUSE IN NURSING HOMES: THE IMPACT OF DEMENTIA/SPECIAL CARE UNITS By: Christina K. Falk Elder abuse is a topic that impacts everyone in America at some point in their life. Special care units also called dementia units are protected areas in a nursing home that are specially designed for dementia/Alzheimer patients. This thesis reviewed how a special care unit in a nursing home affect the number and severity of deficiencies reported to Medicare. The data was collected from Medicare’s Nursing Home Compare system and the Illinois Public Health Department. This study reviewed 770 nursing homes in Illinois were reviewed, 141 had special care units during the time of data collection. The facilities had a range of total deficiencies from one to 74 with Level of Harm ratings ranging from one to four on a four-point scale. The results showed that residents in a nursing facility that has a special care unit are at a greater risk of a higher Level of Harm but no difference in the number of deficiencies. Possible causes of this greater risk are due to the intrinsic nature of the population in special care units, the need for policy and procedural...
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...How Teen Mothers Describe dating Violence Abstract This paper will examine Teen Dating Violence (TDV) from the perspective of pregnant teenagers and teenage mothers. TDV is recognized as a major current public health issue threatening youth and is even more prevalence during pregnancy and parenting (Herman, 2013). The task of parenting and the stress that comes with pregnancy are two psychological issues that are beyond the capabilities of the adolescent’s period. Dealing with these stressors often leads to TDV with adolescent parents. Throughout this paper I will discuss the viewpoints of selected teen mothers and pregnant teens, their thoughts on the causes, and their suggestions on how to stop or reduce TDV. The method used to collect the data will also be analyzed, the research limitations will be discussed, and the impacts of the research result on the nursing profession will be elaborated. Teenagers have the most understanding of their age group; therefore, the thoughts and experiences of young mothers will be useful in the development prevention strategies specific to their needs (Herman, 2013) Key words: teen dating violence, pregnant and parenting teens, interpersonal violence TDV can be defined as any negative use of power or control in teenage relationships. Development tasks of the adolescent period, hurdles for all adolescents, are even more complex when teens confront pregnancy and parenting and may predispose them to violent relationships (Herman, 2013)...
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...Running head: NURSING ROLES IN THE THREE LEVELS Nursing Roles in the Three Levels of Health Promotion and Prevention April Nguyen Grand Canyon University: NRS 429v 03/18/2012 Instructor Melinda Darling, MSN, FNP Nursing Roles in the Three Levels of Health Promotion and Prevention For over a decade, health promotion and prevention has been the main focus of healthcare professionals in general and nurses in particular. What does it mean by health promotion and prevention? According to Edelman & Mandle (2010), it’s “the science and art of helping people change their lifestyles to move toward a state of optimal health” (p. 14). In other words, it’s the strategy used in purpose to increase a sense of well-living and to decrease episodes of illness that can happen to anyone at any age. By doing this, it helps lessen the expensive cost government and patients have to spend for the cure. Being alongside with the vulnerable population, nurses work as critical roles of advocates, healers, educators, and researchers throughout all three levels of promotion and prevention (Edelman & Mandle, 2010, p. 19-20). Primary Prevention The focus of the first level is to promote good health and to protect individuals from diseases. There’re many ways nurses can help with general health and with fighting specific illnesses. The most common ways include (1) educating benefit of vaccination, (2) giving vaccines, (3) instructing benefits of healthy diet and regular exercise...
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...Exploring bullying: Implications for nurse educators Sharon L. Edwards a a,* , Claire Frances O’Connell b Department of Pre-registration, Nursing Faculty of Health Studies, Buckinghamshire Chilterns University College, Chalfont Campus, Newland Park, Gorelands Lane, Chalfont St. Giles, Buckinghamshire HP8 4AD, United Kingdom b Green Lawns, Kilmona Grenagh Co., Cork, Republic of Ireland Accepted 27 March 2006 KEYWORDS Bullying; Violence; NHS; Higher education; Nurse education Summary This article examines briefly the issue of workplace violence and bullying in the hospital environment, but more importantly how the same and different styles of bullying and intra-staff bullying are emerging in nurse education. The content describes the aetiology of violence and bullying and their place in the National Health Service (NHS) including nursing. It explores bullying as the principle form of intimidation in nurse education, the different types and subtle forms of bullying, why individuals become bullies, dealing with and the consequences of bullying. The legislation, guidelines, policies are part of the recommendations for practice. c 2006 Elsevier Ltd. All rights reserved. Introduction In modern day society, it could be argued that violence and aggression is a common aspect of daily life. Violence and abuse within the hospital setting occurs throughout the entire health care sector (Zernike and Sharpe, 1998; Wells and Bowers, 2002). Over the years, negative...
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...Advocacy Paper Fidelia Edoziem West Coast University Dr Beverly Quaye 12/21/2013 Ethics in Nursing In healthcare, ethical dilemmas arise primarily because of the nature of the work, the nurse-patient relationship and the responsibility of the nurses for the well-being of vulnerable populations, such as the older adult (Beauchamp, 1990). The nurse-patient relationship is where the nurse helps a patient and family go through a stressful situation with compassion and care. Nursing is committed to the health and quality of life of the individual, family, community and profession. Nursing professionals engaged in promotion, prevention, recovery and rehabilitation, with autonomy and in accordance with ethical and legal issues (Pinch & Haddad, 2008). Nursing professionals participated as member of the health team, the actions aiming to meet the health needs of the population and defense of the principles of public health and environmental policies that ensure universal access to health services, comprehensive assistance, resolution, preserving the autonomy of individuals, community participation, prioritization and political and administrative decentralization of health services. The nursing professionals respect life, dignity and human rights in all of their dimensions. The nursing professional has operations responsible for the promotion of the human being in its entirety, in accordance with the principles of ethics and bioethics (Beauchamp, 1990). Case Study ...
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...Issues Around Abuse Within the Healthcare System Abuse within the healthcare system is prevalent in numerous areas including examples of abuse toward healthcare professionals, abuse of patients, substance abuse, financial abuse to name a few. Awareness of violence or abuse within the healthcare system is rapidly growing. The significance of abuse results in the negative impact on the health of individuals and the health consequences that they can encounter in their own mental, financial, and physical health (McIntyre & McDonald, 2014). This paper examines three different articles from different sources as follows: news feed, scholarly journal, and a website posting discussing abuse which impacts the health of the effected individual and bringing...
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...Vulnerable Population: Elderly population NUR/440 July 11, 2011 Anavictoria Fortaleza Vulnerable Population and Self-Awareness Paper The Elderly Population According to Chesnay (2008) “vulnerable populations are those with greater than average risk of developing health problems by virtue of their marginalized sociocultural status, their limited access to economic resources or personal characteristics such as gender or age. Anyone can be vulnerable at any given point in time as a result of life circumstances or response to illness or events” (p 3-4). For the last few decades, society and government have put a great deal of concern and interest on the aging population. The number of elderly population in the United States is rapidly increasing. The US population under the age of 65 tripled during the 20th century. This number is to double by the middle of next century. Over 70 million American citizens will be considered elderly by 2030, or about 20% of the population will be senior citizen (Walsh, 2009). The growing numbers are attributed to aging “Baby Boomers” and increasing life expectancies. Disability and disease are more common in elderly population such as hip fractures, parkinson’s disease, malnutrition, cardivovascular disease and malignant cancer. More than 70% of the elderly population has been diagnosed with a chronic disease (Pishchita, 2007). According to CDC, arthritis is the leading cause of disability among individuals over 65 years of age and 47% of...
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...now engaged in jobs that include providing care and assistance, especially in education and medicine. This work is satisfying for some people, but it can also be highly stressful. In the following scenario, consider how a company in the nursing care industry is responding to the challenges of the new environment. Major Topic Areas * Stress * Organizational change * Emotions * Leadership The Scenario Parkway Nursing Care is an organization facing a massive change. The company was founded in 1972 with just two nursing homes in Phoenix, Arizona. The company was very successful, and throughout the 1980s it continued to turn a consistent profit while slowly acquiring or building 30 more units. This low-profile approach changed forever in 1993 when venture capitalist Robert Quine decided to make a major investment in expanding Parkway in return for a portion of its profits over the coming years. The number of nursing homes exploded, and Parkway was operating 180 homes by the year 2000. The company now has 220 facilities in the southwestern United States, with an average of 115 beds per facility and a total of nearly 30,000 employees. In addition to health care facilities, it also provides skilled in-home nursing care. Parkway is seen as one of the best care facilities in the region, and it has won numerous awards for its achievements in the field. As members of the baby boom generation become senior citizens, the need for skilled care will only...
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...Female and Male Sexual Disorders Summer L. Meeks Florida Memorial University Abstract There are times in a couple’s life when things do not go so well in the bedroom. One or both of the partners are unable to perform in sexual encounters. These problems are called sexual dysfunctions. Sexual dysfunctions are defined as persistent or recurrent difficulties in becoming sexually aroused or reaching orgasm. There are many different types of sexual dysfunctions. They are classified into four categories: sexual desire disorders, sexual arousal disorders, orgasmic disorders, and sexual pain disorders. The disorder I would like to touch on that affects both men and women sexual desire disorders. Female and Male Sexual Disorders The orgasmic disorder is split into two categories. The first category is the female orgasmic disorder. This disorder causes women a challenge to achieve orgasm if they can achieve it, but this does not always count for masturbation. Women with this disorder usually do not receive enough clitoral stimulation during sexual intercourse to be able to achieve orgasm. Performance anxiety or sexual guilt may provoke an outburst. Also, trying too hard causes the opposite. Another main problem women encounter is not participating to the fullest. They rather watch than engage when it comes to active sexual intercourse. Women can also experience premature ejaculation, but most of the times this is not even recognized or classified as orgasmic disorder. Types of...
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...Regulatory Agency Paper University of Phoenix HCS 430 Legal Issues in Healthcare: Regulation and Compliance June 8, 2008 The Department of Health and Human Services (DHHS) is one of the many agencies that handle an array of healthcare departments as well as research. The DHHS caters to citizens of all nationalities, race, and ethnicities. The DHHS focus is to protect the health of all Americans and providing the highest level of human services, especially for those who are least able to help themselves. The Public Health Service is divided into 42 subdivisions (Department of Health and Human Services, 2007). This paper will give highlights of the history of the DHHS, the source and scope of authority, how the day-to-day operations are guided and performed, and how DHHS is structured. In addition, examples are given as to the duties that are carried out within the department of the DHHS. History of the Agency The Department of Health and Human Services (DHHS) was established in 1953 and was referred to as the Department of Health, Education and Welfare. In 1979, the agency was recreated and renamed as the Department of Education. The DHHS agency has many components within the agency that handles and maintains day-to-day operations. (U.S. Department of Health and Human Services, 2008). Source and scope of authority According to the statement Office of Inspector General (OIG), the text reads that OIG will ensure that disseminated information meets the standards...
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